Pubic and sciatic osteotomy for rectal adenocarcinoma resection in a dog: Case report
DOI:
https://doi.org/10.31533/pubvet.v16n11a1275.1-6Keywords:
West England Terrier, intestinal adenocarcinoma, pelvic osteotomyAbstract
Intestinal neoplasia in dogs has low occurrence and represents less than 10% of all malignant neoplasms in this species. Observed clinical signs may include tenesmus, diarrhea, dyschezia, hematochezia, anal prolapse, anorexia, and weight loss. There is a good prognosis when the disease is localized and completely removed, but metastasis can be observed in more advanced cases. This report aims to describe the case of a rectal adenocarcinoma in a dog, which was removed through bilateral pubic and sciatic osteotomy access. The 9-year-old bitch presented anal bleeding, diarrhea and hematochezia with five months evolution. Abdominal ultrasound indicated extensive intraluminal neoformation in the descending portion of the distal colon, with thickening and loss of parietal stratification. Colonoscopy characterized a five centimeters hemorrhagic mass in the rectum. Histopathological examination of the mass fragments diagnosed rectal carcinoma. Abdominal and pelvic computed tomography was performed, which also identified intraluminal neoformation in the rectum, with no signs of obstruction. X-ray showed no signs of lung metastasis and other sorting tests were unaltered. We opted for surgical resection of the mass by bilateral pubic and bilateral sciatic osteotomy, requiring medial celiotomy extension, ensuring access to the affected colon and rectum segments, which were completely removed by enterotomy. The final histopathological evaluation confirmed the intestinal adenocarcinoma diagnosis. The described technique allows for satisfactory exposure of the pelvic cavity, as well as safer access to its structures. In this case, planning and appropriate surgical technique allowed for a complete resection of the neoplasm, providing the patient with long-term quality of life.
References
Allen, S. W., & Crowell, W. A. (1991). Ventral approach to the pelvic canal in the female dog. Veterinary Surgery, 20(2), 118–121. https://doi.org/10.1136/vr.134.16.421.
Almeida, J. A. N. C., Medeiros, T. T. B., Carreiro, A. N., Cunha, E. M., Araújo, D. V. F., Falcão, B. M. R., La Salles, A. Y. F., & Menezes, D. J. A. (2018). Diagnóstico por tomografia computadorizada da extrusão de disco intervertebral em paciente geriatra: Relato de caso. PUBVET, 12(3), 1–5. https://doi.org/10.22256/pubvet.v12n3a45.1-5.
Cinti, F., & Pisani, G. (2019). Temporary end‐on colostomy as a treatment for anastomotic dehiscence after a transanal rectal pull‐through procedure in a dog. Veterinary Surgery, 48(5), 897–901. https://doi.org/10.1111/vsu.13152.
Daleck, C. R., Fonseca, C. S., & Canola, J. C. (2016). Oncologia em cães e gatos. Roca.
Formighieri, A. P., Cella, A. C. C., Carvalho, M. F., Andrioli, L. G., & Meirelles, A. C. F. (2012). Adenocarcinoma nasal em cão: Relato de caso. PUBVET, 6(5), 1289–1294. https://doi.org/10.22256/pubvet.v16n5.1289.
Fossum, T. W. (2014). Cirurgia de pequenos animais (4th ed., Vol. 1). Elsevier Brasil.
Hoey, S., Drees, R., & Hetzel, S. (2013). Evaluation of the gastrointestinal tract in dogs using computed tomography. Veterinary Radiology & Ultrasound, 54(1), 25–30. https://doi.org/10.1111/j.1740-8261.2012.01969.x.
Paoloni, M. C., Penninck, D. G., & Moore, A. S. (2002). Ultrasonographic and clinicopathologic findings in 21 dogs with intestinal adenocarcinoma. Veterinary Radiology & Ultrasound, 43(6), 562–567. https://doi.org/10.1111/j.1740-8261.2002.tb01050.x.
Spector, D. I., Fischetti, A. J., & Kovak-McClaran, J. R. (2011). Computed tomographic characteristics of intrapelvic masses in dogs. Veterinary Radiology & Ultrasound, 52(1), 71–74. https://doi.org/10.1111/j.1740-8261.2010.01748.x.
Tanaka, T., Iimori, Y., Yamazaki, H., Nishida, H., & Akiyoshi, H. (2021). Contrast-enhanced computed tomography characterization of canine rectal neoplasms. Japanese Journal of Veterinary Research, 69(3), 163–173. https://doi.org/10.14943/jjvr.69.3.163.
Willard, M. D. (2012). Alimentary neoplasia in geriatric dogs and cats. Veterinary Clinics: Small Animal Practice, 42(4), 693–706. https://doi.org/10.1016/j.cvsm.2012.04.006.
Withrow, S. J., Page, R., & Vail, D. M. (2020). Small animal clinical oncology. Elsevier Health Sciences. https://doi.org/10.1201/9781315381855.
Yoon, H. Y., & Mann, F. A. (2008). Bilateral pubic and ischial osteotomy for surgical management of caudal colonic and rectal masses in six dogs and a cat. Journal of the American Veterinary Medical Association, 232(7), 1016–1020. https://doi.org/10.2460/javma.232.7.1016.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Giovanna Lapkoski Bonatto, Natalia Noreika Kano, Carolina Konkel Barbosa, Wiliam da Silva Prieto, Leticia Fernanda Laube, Robson Junior Piontkovsky, Renato Silva de Sousa, Bruna Fernanda Firmo, Roberta Carareto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Você tem o direito de:
Compartilhar — copiar e redistribuir o material em qualquer suporte ou formato
Adaptar — remixar, transformar, e criar a partir do material para qualquer fim, mesmo que comercial.
O licenciante não pode revogar estes direitos desde que você respeite os termos da licença. De acordo com os termos seguintes:
Atribuição
— Você deve dar o crédito apropriado, prover um link para a licença e indicar se mudanças foram feitas. Você deve fazê-lo em qualquer circunstância razoável, mas de nenhuma maneira que sugira que o licenciante apoia você ou o seu uso. Sem restrições adicionais
— Você não pode aplicar termos jurídicos ou medidas de caráter tecnológico que restrinjam legalmente outros de fazerem algo que a licença permita.
