Elvis has left the Building - 7 Nov 2012
Elvis Lockley, 4 year old male cat, was transferred from our out of hours practice one morning in October following a road traffic accident the previous night. He was very shocked and there was a concern he may have serious internal injuries which could potentially be life threatening. Elvis could not stand, was in a lot of pain and very shocked with hypothermia.
We stabilised him with intravenous fluids and got his temperature back up to normal. He did not appear to be producing urine but had received a lot of fluid. We scanned him to check for a ruptured bladder but his abdomen looked normal. However, as the day went on he did not improve as we would expect and his left hind leg started to swell with fluid.
A subsequent scan still showed evidence of urine in his abdomen but we became worried somehow it was leaking into his leg! Giving Elvis an anaesthetic at this stage was very risky but we felt it was the only way to find out what was going on. Elvis was taken to theatre that evening and we found not only was his bladder ruptured but he had a rupture in his abdominal wall which allowed urine from his abdomen to accumulate in his leg. There was extensive bruising but we managed to repair both ruptures and he recovered well from his surgery.
We were still very guarded as to Elvis's long term outcome but to our amazement he was up and about and eating 24 hours after the operation. His pelvis had been damaged in the accident and so he was sent home after a few days on cage rest and since then has made a remarkable recovery.
All the staff got to know Elvis well whilst he was with us and it was only right he made our Patient of the Month!
Smokey all Steamed Up - 20 Jun 2012
Smokey - a rottweiller hit by a train and survived to tell the tale!
He was found badly injured by a railway line, after going missing, with extensive muscle injuries to his right hind leg. He had emergency treatment on the night of the accident to close the his severe muscle injuries and the next day we operated on the badly broken hip and fixed the fractures with multiple screws and pins.
After several months of rest and rehabilitation he is back to his old happy self having hopefully learned an important lesson! Through all his treatment and despite being in a lot of pain he has always been friendly and happy to come and see us and is probably the luckiest dog we gave ever treated at Pype Hayes!!
Bailey gets Relief - 24 Apr 2012
Bailey, a 5 year old male Dogue de Bordeaux, presented at the Practice with signs of constipation. He was depressed, dehydrated and off his food and was straining to go but passing very little. On examination, Bailey had a large palpable mass of faeces in his large bowel. On rectal exam there were no bones or hard faeces present but an enlarged prostate was felt. Bailey had not been castrated and as is common in entire male dogs, his prostate had become enlarged and was making it difficult to pass faeces. It was decided he should be admitted for pain relief, fluids to correct his dehydration and then he was given an anaesthetic to examine him more thoroughly and give him a soapy water enema to try to break up the impacted faeces in his large bowel. He was also castrated at the same time in order that his prostate would gradually shrink and prevent future problems. The following day he was much brighter but required another soapy water enema as he still wasn't passing much at all. After this he was sent home on pain killers and lactulose which softens the motions. By the following day he was eating as normal and although very watery, he was passing his motions once again and his owner was very happy to have him back to his normal self.
Prostate enlargement is a common presentation that can cause difficulty in passing urine, faeces or both. It is caused by the male hormones secreted in the testicles either as a natural old age change or sometimes secondary to a testicular tumour. Castration prevents this but treatment in older dogs there are alternative medical treatments but these need to be continued long term.
Tommi in a Tangle - 3 Mar 2012
This is Tommi who came to our surgery in January with bad vomiting and diarrhoea that did not respond to normal treatment. Twelve hours from being first examined Tommi was much worse and had become very weak and tender to examine.
When we re palpated his abdomen we felt a large sausage shaped structure and realised Tommi had an intususception. This is an uncommon complication usually seen in young animals with diarrhoea where the intestine folds in on itself (rather like pulling a sock inside out).
Because the bowel becomes blocked it is often rapidly fatal without surgery. Tommi was rushed into theatre where he had an operation to remove part of his small intesine and correct the blockage. He went home the following day and has made a full recovery.
The vets and nurses are all very pleased with his progress and he is now growing and playing as normal.
Well done Tommi!!