الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 202 |  |  |
| | | from | 202 | | |
Abstract
Urogenital diseases causing acute abdomen are a multi-etiologic emergent task. The differential diagnosis includes an enormous spectrum of disorders, ranging from life-threatening diseases to benign self-limiting conditions. This work has been conducted on a total number of 78 small animals (31 dogs and 47 cats) and it was classified into experimental and clinical study. In the experimental study, thirty clinically healthy Mongrel dogs were used. Uroabdomen was surgically induced for evaluation of its effect on cardiopulmonary, hematological and biochemical variables. These dogs were randomly assigned into five groups, 6 animals per each depending up on time of treatment with 12 hours interval between them. The most complicated features were hypovolemic shock, decreased SPO2, decreased ETCO2, life-threatening hyperkalemia, severe azotemia, ileus, watery and/or bloody diarrhea, hematemesis, hypothermia, increased CRP and cardiac arrhythmias. Animals’ management depended on initial resuscitation with special concern to control hypothermia, hypotension, pain, and hyperkalemia. Peritoneal dialysis catheter was used to closely restore animal health parameters then cystorrhaphy was performed. Concerning time of treatment, dogs in G2 and G3 that treated within 24 hours had excellent prognosis with 100% survival rate, while dogs in G4 and G5 that treated within 36 and 48 hours, had a survival rate of 66.7% and 33.3%, respectively. In the clinical study one German Shephard bitch and forty-seven cats (21 Shiraz, 22 Siamese and 4 Egyptian Mau) were included and they suffered from Feline Urologic Syndrome 18/48; urinary bladder rupture 3/48; polycystic kidney 1/48; uterine rupture 1/48 and closed cervix pyometra 25/48. Animals suffered FUS were treated using retrograde urohydropropulsion with cystocentesis and/ or tube cystostomy with successful recovery. Percutaneous cystic aspiration was performed in the case of PKD. Ovariohystrectomy was the radical treatment in cats suffered from both CCP and UtR. Cases with UBR were treated with cystorrhaphy. Results revealed successful recovery and good outcome although a case of FUS died before treatment. In conclusion: Relevance rapid resuscitation, animal monitoring, prompt diagnosis and accurate treatment are the cornerstone for management; prognosis in dogs with uroabdomen is excellent within the first 24 hours after the initial insult, and it is guarded to poor over the subsequent 36 and 48 hours. Uremic gastrointestinal bleeding observed with BUN greater than 140.37 mg/dl and creatinine greater than 4.23 mg/dl and associated with a higher mortality rate. Tube cystostomy is a successful method for treatment of refractory cases of obstructed FUS.