My cat had a history of megacolon, and had surgery 3 years ago. He did fine (no constipation problems) until a few weeks ago when I noted he had not gone in 2 days. He was admitted to animal hospital, where his was given numerous enemas and after 2 days, treated for deobstipation and put under anestesia (sp?). The fecal matter was manually removed, and a subsequent xray supported same. He came home, and after 2 days of sluggishness, not eating or going to the bathroom I brought him back. An xray showed his abdomen was filled with liquid, and they suspected a ruptured bladder. The recommended course of action was exploratory surgery which would most likely confirm same. For various reasons, I opted against the surgery and made the hardest decision a pet owner has to make.
I am now questioning how his bladder could have been ruptured -- the hospital indicated they there could be numerous causes, but did not provide any specifics. Given that my little guy had no history of ureological problems and that he was not very mobile right after his release, I am prone to thinking that the deobstipation or numerous enemas may have caused the rupture. Should his urine have been monitored before his release (His surgery was completed at approx 6 am, and he was released to me by 12)? I hate to think that he suffered needlessly due to the carelessness of the care he received but can't help but to wonder what happened. Any advise would be greatly appreciated.
First, let me say I am sorry that you had to make a very tough decision to euthanize your precious family member. It is never an easy decision.
As your veterinarian suggested, bladder ruptures occur in pets for numerous reasons. The following is a list of possible causes:
2. Urinary Bladder Obstruction
3. Manual Expression of bladder or cystocentesis (sticking a needle into the bladder to collect a sterile urine sample.
4. Bladder disease
5. Neoplasia (Bladder Cancer)
In this circumstance, I would recommend contacting your veterinarian to further discuss the assumed bladder rupture. They should be able to answer all of your questions and concerns.
As far as sending the cat home with you after the procedure, it is not unusual for veterinarians to send patients home once fully recovered. At our hospital, we have our owners monitor the pet for eating, drinking, urination and defecation. If they have any concerns, we instruct them to call the office for further instructions. Unfortunately, bladder ruptures can go undetected early. It would not be uncommon for the signs to go unnoticed right after the anesthetic episode.
Good luck, and again, please contact your veterinarian to discuss further.
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