Radiographic, ultrasonographic and surgical treatment of rectovaginal fistula disease associated with atresia ani in ruminants
Abstract
Recto–vaginal fistula (RVF) associated with atresia ani (AA) are congenital anomalies in which fecal and urinary output occurs through the vulvar region. In this study, 17 ruminants (lamb n=9, calf n=8) constituting type II AA–associated RVF cases were included. The cases were evaluated clinically, radiographically and ultrasonographically. Clinical findings included tenesmus, feces in the perivulval area, abdominal distension, partial perineal swelling and hematochezia. The abdomen and pelvis were evaluated by direct radiography and gaseous distension, dilated colon, moderate or severe megacolon were diagnosed. Using radiographic assessment of the distance between the rectum blind pouch and perineum, AA was typed and all cases were diagnosed as Type II AA. Ultrasonography was used to classify RVF and recto–lower fistula was diagnosed in all cases evaluated. All operations were performed by anoplasty using the rectal–pull through technique. No complications were encountered during the postoperative follow–up period. The aim of this study was to provide information about the diagnosis, treatment and use of radiography and ultrasonography in Type II AA with RVF in lambs and calves.
Downloads
References
Monsang SW, Lalzawmliana V, Roy J, Debnath S. Congenital recto–vaginal fistula with Atresia ani in a lamb: A case report. The Pharma Innovat. J. [Internet]. 2020 [cited 6 Sept.2022]; 9(9):366–368. Avaliable in: https://goo.su/NUEYU
Muhammad SA, Shakoor A, Younus M, Awais MM, Kashif M, Maan MK, Akhtar, MS. Surgical rectification of congenital type II Atresia ani leading to rectovaginal fistula in cattle calves. Pak. J. Life Soc. Sci. [Internet]. 2015 [cited 6 Sept. 2022]; 13(1):62‐63. Available in: https://goo.su/YQ3E
Oloumi MM, Paidar–Ardakani A, Razavi–Ebrahimi P, Soltaninejhad H, Hassibi H, Abbasi MF. Anal atresia with rectovaginal fistula in a female Afghan hound puppy. Proceeding of the 4th International Symposium of Veterinary Surgery (ISVS); 2014 Oct. 21–23. Mashhad, Iran: SID. p. 146–149.
Naddaf H, Imani H, Jahany S, Sabiza S. Surgical Repair of Congenital Rectovaginal Fistula with Atresia Ani in Two Cases. Proceeding of the 4th International Symposium of Veterinary Surgery (ISVS); 2014 Oct. 21–23. Mashhad, Iran: SID. p. 122–124
Shakoor A, Muhammad SA, Younus M, Kashif M. Surgical repair of congenital recto–vaginal fistula with atresia ani in a cow calf. Pak. Vet. J. [Internet]. 2012 [cited 12 Sept. 2022]; 32(2):298–300. Avaliable in: https://goo.su/kwVUvl
Antonioli ML, Carvalho JRG, Bustamante CC, Mendonça LF, Bergamasco PLF, Escobar A, Canola PA. [Anal Atresia with rectovaginal fistula in sheep: case report]. Arq. Bras. Med. Vet. Zootec. [Internet]. 2017; (69):1167–1171. Portuguese. doi: https://doi.org/mn4d
Kurt BK, Turan G. Successful treatment of type III atresia ani and rectovaginal fistula in a kitten. Vlaams Diergeneeskundig Tijdschrift. [Internet]. 2021; 90(4)189–193. doi: https://doi.org/mn4f
Mana HP, Yusuf ZB, Gapsiso RH. Atresia ani associated with recto–vaginal fistula in two months old Sudanesse crossbreed lamb. J. Vet. Med. Anim. Health. [Internet]. 2019; 11(2):26–29. doi: https://doi.org/mn4g
Ellison GW, Papazoglou LG. Long–term results of surgery for atresia ani with or without anogenital malformations in puppies and a kitten: 12 cases (1983–2010). J. Am. Vet. Med. Assoc. [Internet]. 2012; 240(2):186–192. doi: https://doi.org/fx3vj6
Shakoor A, Muhammad SA, Younus M, Kashif M. Surgical repair of congenital recto–vaginal fistula with atresia ani in a cow calf. Pak. Vet. J. [Internet] 2012 [cited 25 Aug. 2023]; 32(2):298–300. Available in: https://goo.su/OHuwlME
Pourreza B, Alizadeh A, Hallajzadeh N, Eidi N. Atresia Ani Type II with Rectovaginal Fistula in a 6–Week–Old Kitten. Iranian J. Vet. Surg. [Internet]. 2023; 18(1):70–73. doi: https://doi.org/mn4h
Kamalakar G, Devaratnam J, Brahmaji R, Jyothsna B. Congenital atresia ani associated with recto–vaginal fistula in Ongole calf. J. Livest. Sci. [Internet]. 2015 [cited 10 Aug. 2023]; 6:80–84. Available in: https://goo.su/bXigFAS
Kleinübing H, Jannini JF, Malafaia O, Brenner S, Pinho M. Transperineal ultrasonography: new method to image the anorectal region. Dis. Colon Rectum [Internet]. 2000; 43(11):1572–1574. doi: https://doi.org/ft9c9z
Choi YH, Kim IO, Cheon JE, Kim WS, Yeon KM. Imperforate anus: determination of type using transperineal ultrasonography. Korean J. Radiol. [Internet]. 2009; 10(4):355–360. doi: https://doi.org/d3ctxv
Vianna ML, Tobias K. Atresia ani in the dog: a retrospective study. J. Am. Anim. Hosp. Assoc. [Internet]. 2005; 41(5):317–322. doi: https://doi.org/gr5xm9
Kim IO, Han TI, Kim WS, Yeon KM. Transperineal ultrasonography in imperforate anus: identification of the internal fistula. J. Ultrasound Med. [Internet]. 2000; 19(3):211–216. doi: https://doi.org/mn8b
Veena P, Sivasudharsan L, Devarathnam J, Bharathi S. Correction of atresia ani and recto–vaginal fistula in a buffalo calf– A case report. Buffalo Bull. [Internet] 2016 [cited 10 Aug. 2023]; 35(4):495–497. Available in: https://goo.su/JZe1l
Hamid MAA, Hassan EA. Clinical and Radiographic Diagnosis of Sacrococcygeal Agenesis in a One–day–old Buffalo Calf. Large Anim. Review. [Internet]. 2022 [cited 10 Aug. 2023]; 28(2):107–109. Available in: https://goo.su/klOQqG
Kılıç E, Baran V, Yayla S, Özen H. [Atresia Ani, Atresia Vulva and Rectovaginal Fistula in a Tuj Breed Lamb]. Erciyes Üniv. Vet. Fak. Derg. [Internet]. 2015 [cited 10 Aug. 2023]; 12(3):219–222. Available in: https://goo.su/vO3ONS2
Salari SH, Jamshidi SH, Rajabioun M, Massoudifard M. Rectovaginal fistula and atresia ani in a kitten: a case report. Iranian J. Vet. Med. [Internet]. 2010; 4(2):87–88. doi: https://doi.org/mn8h
Chaudhary GR, Bhat AR, Vikram R, Kharayat NS, Suthar AN, KumarA, Pawde AM. Congenital atresia of vulva and anus in a lamb: A case report. J. Livest. Sci. [Internet]. 2016 [cited 02 Aug. 2023]; 7:89–91. Available in: https://goo.su/Z60Utub
Córdoba–Parra JD. Atresia ani (Type IV) and agenesis of the vulva in a Gyr Calf born in Colombia: a case report. Rev. Investig. Vet. Perú. [Internet]. 2021; 32(1):e17755. doi: https://doi.org/mn8j
Ryu J, Kang SG, Yun J. Surgical repair of atresia ani with rectovaginal fistula in an African buffalo (Syncerus caffer). J. Vet. Clin. [Internet]. 2018; 35(3):111–113. doi: https://doi.org/mn8m
Bae SW, Chung DJ, Chung WH, Park NW, Lim CY, Kim HY. A rare case of a complex of multiple congenital anomalies diagnosed using computed tomography in a male puppy. Vet. Med–Czech. [Internet]. 2018; 63(1):50–53. doi: https://doi.org/gcwsqj
Kim M, Hwang YH, Choi W, Lee JH. Surgical correction of congenital type III atresia ani with rectovaginal fistula in a cat. J. Vet. Clin. [Internet]. 2013 [cited 12 Sep. 2023]; 30(5): 376–379. Available in: https://goo.su/cMsns
Fernandes MESL, Caldas SA, Rocha LR, Chenard MG, Freire KRF, da Silva Carvalho N, Helayel MA. Atresia Ani (Imperforated Anus) in Calves: Clinical, Surgical and Pathological Aspects. Acta Sci. Vet. [Internet]. 2021; 49(Suppl. 1):681. doi: https://doi.org/mn8p
Choi CK, Jung HJ, Jeong SW. Rectovaginal Fistula and Atresia Ani in a Kitten: A Case Report. J. Vet. Clin. [Internet]. 2022; 39(1):32–37. doi: https://doi.org/mn8h
Haber HP, Seitz G, Warmann SW, Fuchs J. Transperineal sonography for determination of the type of imperforate anus. AJR Am. J. Roentgenol. [Internet]. 2007; 189(6):1525–1529. doi: https://doi.org/dfng8f
Hwang JY, Yoon HK, Kim WK, Cho YA, Lee JS, Yoon CH, Kim KM. Transperineal ultrasonography for evaluation of the perianal fistula and abscess in pediatric Crohn disease: preliminarystudy. Ultrasonography. [Internet]. 2014; 33(3):184–190. doi: https://doi.org/mn8r
Ziaullah AH, Shahzad AH. Case report of rectourethral fistula and atresia ani in a day old rottweiler puppy. Res. J. Vet. Pract. [Internet]. 2020; 8(2):20–22. doi: https://doi.org/mn8s
Jardel N, Vallefuco R, Viateau V. A fistula flap technique for correction of type II atresia ani and rectovaginal fistula in 6 kittens. Vet. Surg. [Internet]. 2013; 42(2):180–185. doi: https://doi.org/f4nv9m
Uma R, TamilMahan T. Surgical Management of Congenital Rectovaginal Fistula and Type III Atresia Ani in an Umbalachery Calf. Indian J. Vet. Sci. Biotechnol. [Internet]. 2018; 14(1):75–76. doi: https://doi.org/mn8t
Copyright (c) 2024 Kerem Yener, Ali Hayat, Ünal Yavuz, Mehmet Salih Karadağ, Kübra Dikmen, Mehmet Sıdık Hurma
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.