Anesthetic management of obstructed felines: Case report

Authors

DOI:

https://doi.org/10.31533/pubvet.v17n12e1475

Keywords:

feline anesthesia, urethral obstruction, sedation

Abstract

Feline Lower Urinary Tract Disease (FLUTD) is the main cause of urethral obstruction in this species, including idiopathic obstructions, urethral plugs, urolithiasis and other mechanical obstructions, such as strictures and neoplasms. This predominance is directly related to young and middle-aged males, due to the male's urethra being longer and narrower, increasing the likelihood of interference. Clinical signs often include hematuria, polyuria and, most importantly, stranguria, along with a full bladder. In more severe cases, cardiovascular instability and azotemia may occur. The diagnosis of FLUTD is made through a physical examination of the patient, which may reveal bladder dilation, a history of difficulty urinating, with several visits to the litter box, and there may or may not be vocalization. The goal of work is to report a case of urethral obstruction in a fertile male feline, 2 years old, weighing 5 kg, complaining of probable constipation. During physical examination, the patient presented a lot of pain upon abdominal palpation, which led to sedation for a more detailed examination, revealing a full bladder with apparent stiffness. An anesthetic and therapeutic protocol was implemented to carry out the necessary procedures and monitor the evolution of the case.

References

Beeston, D., Humm, K., Church, D. B., Brodbelt, D., & O’Neill, D. G. (2022). Occurrence and clinical management of urethral obstruction in male cats under primary veterinary care in the United Kingdom in 2016. Journal of Veterinary Internal Medicine, 36(2), 599–608. https://doi.org/10.1111/jvim.16389.

Canei, D. H., Pereira, M. E., Freitas, M. N., Trevisan, Y. P. A., Zorzo, C., Bortolini, J., Mendonça, A. J., & Sousa, V. R. F. (2021). Biochemical, electrolytic, and cardiovascular evaluations in cats with urethral obstruction. Veterinary World, 14(8), 2002.

Cosford, K. L., & Koo, S. T. (2020). In-hospital medical management of feline urethral obstruction: a review of recent clinical research. The Canadian Veterinary Journal, 61(6), 595.

Ettinger, S. J., Feldman, E. C., & Cote, E. (2017). Textbook of Veterinary Internal Medicine-eBook. Elsevier Health Sciences.

Galvão, A. L. B., Ondani, A. C., Frazílio, F. O., & Ferreira, G. S. (2010). Obstrução uretral em gatos machos–revisão literária. Acta Veterinaria Brasilica, 4(1), 1–6.

Gerber, B., Eichenberger, S., & Reusch, C. E. (2008). Guarded long-term prognosis in male cats with urethral obstruction. Journal of Feline Medicine and Surgery, 10(1), 16–23.

Jones, J. M., Burkitt-Creedon, J. M., & Epstein, S. E. (2022). Treatment strategies for hyperkalemia secondary to urethral obstruction in 50 male cats: 2002–2017. Journal of Feline Medicine and Surgery, 24(12), e580–e587.

Kaufmann, C., Neves, R. C., & Habermann, J. C. A. (2011). Doença do trato urinário inferior dos felinos. Anuário Da Produção Científica Dos Cursos de Pós-Graduação, 4(4), 193–214.

Leite, A. C., Almeida, A. C., Araújo, A. H. B., Schultz, E. B., Araújo, B. P. G., Araújo, S. V. S. de C., & Reis, R. C. S. (2020). Dieta natural no tratamento de cão acometido com recorrentes urólitos de oxalato de cálcio: Relato de caso. PUBVET, 14(11), 1–4. https://doi.org/10.31533/pubvet.v14n11a681.1-4.

Litster, A., Thompson, M., Moss, S., & Trott, D. (2011). Feline bacterial urinary tract infections: An update on an evolving clinical problem. The Veterinary Journal, 187(1), 18–22. https://doi.org/10.1016/j.tvjl.2009.12.006.

Martins, G. S., Cassia Martini, A., Meirelle, Y. S., Dutra, V., Nespóli, P. E. B., Mendonça, A. J., Torres, M. T., Gaeta, L., Monteiro, G. B., & Abreu, J. (2013). Avaliação clínica, laboratorial e ultrassonográfica de felinos com doença do trato urinário inferior. Semina: Ciências Agrárias, 34(5), 2349–2355. https://doi.org/10.5433/1679-0359.2013v34n5p2349.

Nelson, R., & Couto, C. G. (2015). Medicina interna de pequenos animais (3.ed.). Elsevier Brasil.

Reineke, E. L., Cooper, E. S., Takacs, J. D., Suran, J. N., & Drobatz, K. J. (2021). Multicenter evaluation of decompressive cystocentesis in the treatment of cats with urethral obstruction. Journal of the American Veterinary Medical Association, 258(5), 483–492.

Published

2023-11-21

Issue

Section

Medicina veterinária

How to Cite

Anesthetic management of obstructed felines: Case report. (2023). Pubvet, 17(12), e1475. https://doi.org/10.31533/pubvet.v17n12e1475