Postobstructive Diuresis in a Cat Associated With Traumatic Urethral Rupture and Abdominal Compartment Syndrome
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2025
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| _version_ | 1867007525631557632 |
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| author | Sung‐Hyuk Kim Hyun‐Jung Han |
| author_facet | Sung‐Hyuk Kim Hyun‐Jung Han Sung‐Hyuk Kim Hyun‐Jung Han |
| collection | Wiley Open Access |
| contents | Postobstructive Diuresis in a Cat Associated With Traumatic Urethral Rupture and Abdominal Compartment Syndrome Sung‐Hyuk Kim Hyun‐Jung Han Journal of Veterinary Emergency and Critical Care ABSTRACT Objective To describe abdominal compartment syndrome (ACS) associated with postobstructive diuresis (POD) in a cat with urethral rupture. Case Summary A 6‐month‐old intact male Korean domestic shorthaired cat presented with suspected urethral rupture. Diagnostic imaging revealed multiple pelvic fractures and free fluid in the abdominal cavity, suggesting a uroabdomen secondary to traumatic urethral rupture. No evidence of urethral obstruction was observed, and the urinary bladder was empty. Uroabdomen and septic peritonitis were confirmed via abdominal fluid‐to‐serum creatinine and potassium concentration ratios and cytological analysis, respectively. Retrograde urethral catheterization using a 3‐Fr urethral catheter was achieved and intraabdominal pressure (IAP) was measured, revealing intraabdominal hypertension with IAP of 28.5 mm Hg. Ultrasound‐guided abdominocentesis removed 140 mL of free fluid, reducing IAP to 14.8 mm Hg after 30 min to alleviate the uroabdomen. Subsequent IAP measurements collected every 4 h revealed a gradual decrease. Following urethral catheterization, urine output was monitored at 1‐ to 4‐h intervals, revealing urine output of 47.15 mL/kg/h during the first hour after catheterization, indicative of POD. Intravenous fluid therapy rate was adjusted based on urine output. Urine output progressively decreased to 5.2 mL/kg/h 14 h after catheterization and to 4.5 mL/kg/h at the time of discharge. The final IAP measurement, 24 h following abdominocentesis and urethral catheterization, was 12.1 mm Hg. New Information Provided This case report describes a rare occurrence of POD following the alleviation of IAP in a cat with uroabdomen‐induced ACS. 10.1111/vec.70072 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/vec.70072 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_vec_70072 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Postobstructive Diuresis in a Cat Associated With Traumatic Urethral Rupture and Abdominal Compartment Syndrome Sung‐Hyuk Kim Hyun‐Jung Han Journal of Veterinary Emergency and Critical Care Postobstructive Diuresis in a Cat Associated With Traumatic Urethral Rupture and Abdominal Compartment Syndrome Sung‐Hyuk Kim Hyun‐Jung Han Journal of Veterinary Emergency and Critical Care ABSTRACT Objective To describe abdominal compartment syndrome (ACS) associated with postobstructive diuresis (POD) in a cat with urethral rupture. Case Summary A 6‐month‐old intact male Korean domestic shorthaired cat presented with suspected urethral rupture. Diagnostic imaging revealed multiple pelvic fractures and free fluid in the abdominal cavity, suggesting a uroabdomen secondary to traumatic urethral rupture. No evidence of urethral obstruction was observed, and the urinary bladder was empty. Uroabdomen and septic peritonitis were confirmed via abdominal fluid‐to‐serum creatinine and potassium concentration ratios and cytological analysis, respectively. Retrograde urethral catheterization using a 3‐Fr urethral catheter was achieved and intraabdominal pressure (IAP) was measured, revealing intraabdominal hypertension with IAP of 28.5 mm Hg. Ultrasound‐guided abdominocentesis removed 140 mL of free fluid, reducing IAP to 14.8 mm Hg after 30 min to alleviate the uroabdomen. Subsequent IAP measurements collected every 4 h revealed a gradual decrease. Following urethral catheterization, urine output was monitored at 1‐ to 4‐h intervals, revealing urine output of 47.15 mL/kg/h during the first hour after catheterization, indicative of POD. Intravenous fluid therapy rate was adjusted based on urine output. Urine output progressively decreased to 5.2 mL/kg/h 14 h after catheterization and to 4.5 mL/kg/h at the time of discharge. The final IAP measurement, 24 h following abdominocentesis and urethral catheterization, was 12.1 mm Hg. New Information Provided This case report describes a rare occurrence of POD following the alleviation of IAP in a cat with uroabdomen‐induced ACS. 10.1111/vec.70072 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Postobstructive Diuresis in a Cat Associated With Traumatic Urethral Rupture and Abdominal Compartment Syndrome |
| topic | Journal of Veterinary Emergency and Critical Care |
| url | https://onlinelibrary.wiley.com/doi/10.1111/vec.70072 |