Female Cat Intravesical Sequestration after Ovariosalpingohisterectomy Using Nylon Clamp

Authors

  • Larissa Caroline Cordeiro de Andrade Médica Veterinária Autônoma
  • Andréia Vitor Couto do Amaral Medicina Veterinária, Unidade Acadêmica de Ciências Agrárias (CIAGRA), Universidade Federal de Jataí (UFJ), Jataí, GO, Brazil.
  • Camila Franco Carvalho Medicina Veterinária, CIAGRA / UFJ, Campus Jatobá, BR 364, km 195, nº 3800, CEP 75801-615, Jataí, GO, Brazil.
  • Leuton Scharles Bonfim Medicina Veterinária, CIAGRA / UFJ, Campus Jatobá, BR 364, km 195, nº 3800, CEP 75801-615, Jataí, GO, Brazil.
  • Igor Ribeiro Rosa Médico Veterinário Autônomo
  • Klaus Casaro Saturnino Medicina Veterinária, CIAGRA / UFJ, Campus Jatobá, BR 364, km 195, nº 3800, CEP 75801-615, Jataí, GO, Brazil.

DOI:

https://doi.org/10.22456/1679-9216.102087

Abstract

Background: The nylon clamp, marketed as an accessory of electrical devices, has been used as an alternative method for definitive surgical hemostasis by ligature of arteriovenous vessels in ovariosalpingohisterectomy (OSH) in bitches and female cats. However, since May 2015, the Brazilian Veterinary Statutory Body (CFMV - Conselho Federal de Medicina Veterinária) banned its application, once it is a material still not regulated to be used in animals, in addition to the numerous reports of postoperative complications. This paper reports the migration of the clamp used in the OSH to the urinary bladder of the cat and the implications of the presence of the foreign body, in addition to discussing the use of this device in surgeries.

Case: A 1-year-old Persian female cat, which, three months after an elective OSH in a private veterinary clinic, presented polyuria and hematuria. The patient presented pain at abdominal palpation; in the WBC were observed leucopenia and eosinophilia, indicating a chronic inflammatory process installed; the urinalysis showed the presence of crystals, increased urinary density, milky aspect indicating presence of pus, proteinuria and hematuria; on ultrasound were observed the presence of two amorphous mobile structures inside the bladder, producing acoustic shadow, measuring approximately 0.4 and 0.6 cm in diameter, suggesting the presence of bladder urolithiasis. Considering the results, the patient was sent for a cystotomy. The association of acepromazine (0.02 mg/kg), midazolam (0.2 mg/kg), morphine (0.2 mg/kg) and ketamine (10 mg/kg) was used intramuscularly as preanesthetic medication. For anesthetic induction, 5 mg/kg of propofol was applied intravenously, in addition to epidural anesthesia with 1 mL/4 kg of lidocaine along 0.1 mg/kg of morphine and, for maintenance, isoflurane in oxygen at 100% was used. Then, a four-centimeter retro-umbilical incision was performed to exhibit the bladder. After the incision on the ventral aspect of the bladder wall, a nylon clamp with approximately 0.8 cm, present in the lumen was found and removed. The seromuscular synthesis of the bladder was with a 3-0 mononylon simple continuous suture, the muscle with a 2-0 mononylon sultan pattern, and in the skin an interrupted simple suture using 2-0 nylon was performed. Postoperative care comprised by amoxicillin with potassium clavulanate (15 mg/kg, orally, 8/8 h, 7 d), meloxican (0.15 mg/kg, orally, 24/24 h, 4 d) and tramadol (12 mg/kg, orally, 12/12 h, 4 d). After ten days, surgical stitches were removed, with good healing and clinical improvement, as well as remission of the symptomatology reported on anamnesis and physical examination.

Discussion: The pathophysiology of the nylon clip migration probably occurred in a similar way to the intravesical migration of intrauterine devices (IUDs) to the abdominal cavity, bladder and intestine, in women. According to reports, it is a progressive event, in which several factors may be involved, mainly: inadequate implantation of devices, uterine infections, use of contaminated medical instruments, among others, followed by an inflammatory process, perforation of the uterine wall by the device, adhesions and migration to adjacent structures. In the present report, it is believed that the clamp lock failed in the procedure performed by the veterinarian responsible for OSH, with subsequent loosening and detachment, and migration to the urinary bladder, an organ located ventrally to the uterine body. However, the following hypotheses can also be raised: pregnancy at the moment of castration, followed by uterine stump retraction and release of the clamp; contamination of surgical instruments; postoperative infections and adhesions involving the bladder.

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Author Biographies

Larissa Caroline Cordeiro de Andrade, Médica Veterinária Autônoma

Médica Veterinária Autônoma

Andréia Vitor Couto do Amaral, Medicina Veterinária, Unidade Acadêmica de Ciências Agrárias (CIAGRA), Universidade Federal de Jataí (UFJ), Jataí, GO, Brazil.

Medicina Veterinária, CIAGRA / UFJ, Campus Jatobá, BR 364, km 195, nº 3800, CEP 75801-615, Jataí, GO.

Igor Ribeiro Rosa, Médico Veterinário Autônomo

Médico Veterinário Autônomo

References

Atallah F.A., Silva R.S., Ramos M.L.M., Oliveira A.L.A., França T.N. & Brito M.F. 2013. Complicações pós-cirúrgicas em cadelas submetidas à ovariohisterectomia no Rio de Janeiro. Revista Brasileira de Medicina Veterinária. 35(1): 61-69.

Barros B.J., Sanches A.W.D. & Pachaly J.R. 2009. Utilização de abraçadeiras de náilon 6.6 (poliamida) como método de ligadura de pedículos ovarianos e coto uterino em ovariohisterectomia eletiva em cadelas (Canis familiaris). Arquivos de Ciências Veterinárias e Zoologia da UNIPAR. 12(1): 47-60.

Bartges J.W. & Callens A.J. 2015. Urolithiasis. Veterinary Clinics of North America: Small Animal Practice. 45(4): 747-768.

Brasil. 2015. Conselho Federal de Medicina Veterinária. Ofício nº 00371/2015/CFMVPR. Parecer técnico quanto a utilização de abraçadeiras de Nylon na realização de ligaduras vasculares em procedimentos cirúrgicos de pequenos animais. Brasília, DF. [Available at: ].

Colombi B.L. 2016. Polimerização da Poliamida 6,6: Uma Breve Revisão. Revista Eletrônica de Materiais e Processos. 11(3): 121-129.

Costa Neto J.M., Teixeira E.M., Ferreira Filho E.M., Toribio J.M.M.L., Almeida Filho C.H.R. & Moraes V.J. 2009. Braçadeira de náilon para hemostasia preventiva na ovariosalpingohisterectomia em gatas. Revista Brasileira de Saúde e Produção Animal. 10(3): 615-624.

Davoodabadi A., Mohammadzadeh M., Amirbeigi M. & Jazayeri H. 2015. Invading of intrauterine contraceptive device into the sigmoid colon through uterine perforation caused by a blunt trauma. Chinese Journal of Traumatology. 18(4): 235-237.

Ebel L., Foneron A., Troncoso L., Cañoles R., Hornig A. & Corti D. 2008. Migración de dispositivo intrauterino a vejiga: Aportación de cuatro casos. Actas Urológicas Españolas. 32(5): 530-532.

Gallego R., Arenas V. & Ortiz J. 2019. Litiasis renal y vesical en un canino: descripción imagenológica. Revista de investigaciones veterinarias del Perú. 30(1): 507-511.

Gandolfi-Decristophoris P., Regula G., Petrini O., Zinsstag J. & Schelling E. 2013. Prevalence and risk factors for carriage of multi-drug resistant Staphylococci in healthy cats and dogs. Journal of Veterinary Science. 4(4): 449-456.

Istanbulluoglu M.O., Ozcimen E.E., Ozturk B., Uckuyu A., Cicek T. & Gonen M. 2008. Bladder perforation related to intrauterine devices. Journal of the Chinese Medical Association. 71(4): 207-209.

Jain N., Singh P., Chabbra A. & Goel D. 2019. Lost IUCD since 14 years: found in urinary bladder. Scholars International Journal of Obstetrics and Gynecology. 2(5): 135-139.

Macedo A.S., Dal-Bó I.S., Quadros A.M., Brambatti G., Reis K.D.H.L., Brun M.V., Alievi M.M. & Beck C.A.C. 2012. Complicações associadas à ovariosalpingohisterectomia eletiva realizada com abraçadeira de náilon como método de hemostasia. Acta Scientiae Veterinariae. 40(4): 1086.

Mesquita L.R., Rahal S.C., Matsubara L.M., Mamprim M.J., Foschini C.R., Faria L.G. & Kano W.T. 2015. Bilateral hydronephrosis and hydroureter after ovariohysterectomy using nylon cable tie: a case report. Veterinární Medicína. 60(1): 53-56.

Mülayim B., Mülayim S., & Yigit Celik N. 2006. A lost intrauterine device. Guess where we found it and how it happened? The European Journal of Contraception & Reproductive Health Care. 11(1): 47-49.

Oguntayo O.A., Zayyan M., Odogwu K., Koledade K., Mbibu H., Bello A. & Sani S. 2009. Foreign Body (Metallic Flashlight Cover) in the Urinary Bladder Mimicking Advanced Cancer of the Cervix: Case Report and Review of the Literature. African Journal of Urology. 15(2): 111-113.

Oh Y.I., Kim H.J., Kim Y.M., Kim S.S., Kim J.K., Kim H.W., Kang B.J. & Youn H.Y. 2017. Antimicrobial resistance of bacterial isolates from positive urine culture in four hundred five dogs between 2013-2014. International Journal of Applied Research in Veterinary Medicine. 15(2): 99-107.

Pereira B.J., Coelho H., Brandão A., Borges R., Leão R., Grenha V., Peralta P. & Sobral F. 2010. Migração transuterina transvesical espontânea de dispositivo intra-uterino. Acta Urológica. 4: 55-57.

Pérez G.V., García L.L.M., Serra A.G., Ariza A.M.J., Antón N.J.A., Almodóvar B.R. & Serra P.A. 2001. Perforación uterina y migración vesical de un dispositivo intrauterino. Actas Urológicas Españolas. 25(6): 458-461.

Prado T.D. 2012. Braçadeira de poliamida e fio de náilon na ovariohisterectomia em gatas. 46f. Goiânia, GO. Dissertação (Mestrado em Ciência Animal) - Programa de Pós-Graduação em Ciência Animal, Universidade Federal de Goiás.

Rafique M., Rauf A., Khan N.A. & Haque T.U. 2003. An unusual cause of vesical stone: a migrant intrauterine device. The European Journal of Contraception & Reproductive Health Care. 8(3): 170-172.

Silva W.M. 2013. Eficácia da braçadeira de náilon como método hemostático na ovariosalpingohisterectomia de cadelas. Salvador, BA. 65f. Dissertação (Mestrado em Ciência Animal) - Programa de Pós-Graduação em Ciência Animal nos Trópicos. Universidade Federal da Bahia.

Published

2020-01-01

How to Cite

Andrade, L. C. C. de, Amaral, A. V. C. do, Carvalho, C. F., Bonfim, L. S., Rosa, I. R., & Saturnino, K. C. (2020). Female Cat Intravesical Sequestration after Ovariosalpingohisterectomy Using Nylon Clamp. Acta Scientiae Veterinariae, 48. https://doi.org/10.22456/1679-9216.102087

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