Bir Yavru Kedide Tip 2 Atresia Ani ve Rectovajinal Fistülün Cerrahi Tedavisi Olgusu

Öz

Rektovajinal fistülün eşlik ettiği konjenital tip 2 atresia ani, kedilerde rektum ve vajina arasında anormal bir bağlantı oluşturan nadir bir durumdur. Bu olgu sunumunda konjenital tip 2 atresia ani ve eşlik eden rektovajinal fistül şikayeti ile İstanbul Üniversitesi Cerrahpaşa Veteriner Fakültesi Hastanesi Cerrahi Klinikleri'ne getirilen 4 haftalık dişi British Shorthair yavru kedi olgusunu içermektedir. Yavru kedinin sahipleri, doğumdan itibaren dışkılama güçlüğü nedeniyle kliniğimize başvurdu. Klinik muayenede anal açıklığın olmadığı ve vulvar kavitenin dışkı ile kontamine olduğu görüldü. Anüsün kapalı olduğunu teyit eden kontrastlı grafi çekildi ve ameliyat kararı verildi. Ameliyat sırasında anal sfinkterler korundu ve rektuma ulaşmak için anüste "+" şeklinde bir kesi yapıldı. Rektum vajinal bağlantıdan ayrıldı ve fistül kapatıldı. Yavru kedi sorunsuz bir şekilde iyileşti ve bir yıllık takipte kendi başına kum kabına giderek normal bir şekilde dışkıladığı görüldü. Bu olgu sunumu, atresia ani ve rektovajinal fistülün tanı ve tedavisinde cerrahi girişimlerin önemini vurgulamaktadır.

Anahtar Kelimeler

• Atresia Ani
• Kongenital Anomali
• Rektovajinal Fistül
• Pseudohermafroditizm
• Yavru Kedi

A case of surgical treatment of Type 2 Atresia Ani and Rectovaginal Fistula in a Kitten

Abstract

Congenital type 2 atresia ani, accompanied by a rectovaginal fistula, is a rare condition in cats that forms an abnormal connection between the rectum and vagina. This case presentation involves a 4-week-old female British Shorthair kitten brought to Istanbul University Cerrahpasa Faculty of Veterinary Medicine Hospital Surgical Clinics with complaints of congenital type 2 atresia ani and the accompanying rectovaginal fistula. The owners of the kitten sought veterinary care due to difficulties with defecation since birth. Upon clinical examination, the absence of an anal opening and contamination of the vulvar cavity with feces were observed. Contrast X-ray confirming that the anus was closed and surgery was decided. During the surgery, anal sphincters were preserved, and a "+" shaped incision was made in the anus to reach the rectum. The rectum was separated from the vaginal connection, and the fistula was closed. The kitten recovered smoothly and, during a one-year follow-up, was able to defecate normally by going to the litter box on its own. This case presentation highlights the importance of surgical interventions in the diagnosis and treatment of atresia ani and rectovaginal fistula.

Keywords

• Atresia ani
• Congenital Anomaly
• Kitten
• Rectovaginal Fistula
• Pseudohermaphroditism

Kaynakça

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