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Bu olgu sunumunda prepisyumundan dışkı geldiği ve anüsten defekasyon yapamadığı şikâyetiyle kliniğimize getirilen üç günlük simental ırkı erkek bir buzağının operatif tedavisinin tanımlanması amaçlandı. Yapılan klinik ve radyografik muayeneler sonucunda atresia ani ve rektoüretral fistül tanısı konuldu. Premedikasyon ve lokal anestezi uygulamasını takiben deri ve derialtı bağ dokuları ensize edilerek rektuma ulaşıldı. Çevre dokulardan küt diseksiyon ile ayrılan rektum operasyon yarasından dışarı çekildi. Rektumun kapalı olan uç kısmı açıldıktan sonra üretraya açılan fistül deliği bulunan rektum parçası ekstirpe edildi. Ekstirpasyon işlemi sonrası rektum anal bölgedeki derialtı bağ doku ve deriye dikilerek anüs oluşturuldu. Postoperatif olarak 7 gün boyunca parenteral antibiyotik uygulaması ve ılık antiseptikli sularla yara bakımı gerçekleştirildi. Deri dikişleri 10 gün sonra alındı. Operasyon sonrası 6 ay boyunca hasta sahibi ile yapılan görüşmelerde olguda herhangi bir komplikasyon bulunmadığı tespit edildi.
In this case report, we aimed to describe the operative treatment of a three-day simmental breed male calf who was brought to our clinic with the complaint of stool coming from the preputium and not defecation from the anus. As a result of clinical and radiographic examinations, atresia ani and rectourethral fistula was diagnosed. Following premedication and local anesthesia, the skin and subcutaneous connective tissues were injured and the rectum was reached. The rectum, which was separated from the surrounding tissues by blunt dissection, was pulled out of the operation wound. After the closed end of the rectum was opened, the rectum part with a fistula hole opening into the urethra was extirpated. After the extirpation procedure, the anus was created by suturing to the subcutaneous connective tissue and skin in the rectum anal region. Postoperative parenteral antibiotic administration and wound care with antiseptic warm water were performed for 7 days. Skin sutures were removed 10 days later. In the interviews with the owner for 6 months postoperatively, it was detected that the calf has any complication.
In this case report, we aimed to describe the operative treatment of a three-day simmental breed male calf who was brought to our clinic with the complaint of stool coming from the preputium and not defecation from the anus. As a result of clinical and radiographic examinations, atresia ani and rectourethral fistula was diagnosed. Following premedication and local anesthesia, the skin and subcutaneous connective tissues were incised and the rectum was reached. The rectum, which was separated from the surrounding tissues by blunt dissection, was pulled out of the operation wound. After the closed end of the rectum was opened, the rectum part with a fistula hole opening into the urethra was extirpated. After the extirpation procedure, anus was created by suturing to the subcutaneous connective tissue and skin in the rectum anal region. Postoperative parenteral antibiotic administration and wound care with antiseptic warm water were performed for 7 days. Skin sutures were removed 10 days later. In the interviews with the owner for 6 months postoperatively, it was detected that the calf has any complication.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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