Vale Community Hospital

Abstract A 10‐month‐old female American bulldog presented for surgical revision of a left quadriceps injury that was sustained after running into a glass table. The wounds were initially repaired and tendons reattached at the referring practice. However, the dog remained non‐weight bearing following the initial surgery. A substantial gap could be palpated within the quadriceps, proximal to the stifle joint, indicating failure of the quadriceps mechanism repair. Radiography of the limb revealed a large joint effusion and soft tissue swelling around the stifle. Surgical revision of the quadriceps deficit was performed. The dog made a full recovery and no residual lameness was evident 6 months following surgery.

Abstract An 11‐year‐old, male, neutered American bulldog presented with a 3‐month history of intermittent vomiting and concurrent hyporexia. Abdominal ultrasonography identified concentric thickening of the tunica muscularis at the ileo–caeco–colic junction, which was confirmed with computed tomography. An exploratory coeliotomy was undertaken, where a solitary caecal mass was identified. An end‐to‐side enterocolostomy was performed and resected tissue submitted for histopathology. Histopathology was consistent with diffuse smooth muscle hyperplasia of the tunica muscularis. Two months later, the patient re‐presented with profuse watery diarrhoea. Low vitamin B12 was identified on biochemistry, and supplementation was commenced. In the following 3 months, no further clinical signs were reported.

Limited information exists about surgical techniques to treat incontinence in cats. In this case, a four-month-old female entire domestic shorthair cat was presented with a history of severe urinary incontinence. Contrast studies supported a diagnosis of genitourinary and urethral dysplasia with urethral sphincter mechanism incompetence (USMI). The incontinence was unresponsive to medical treatment. At 10 months old, an artificial urethral sphincter (AUS) was surgically placed, restoring urinary continence completely. This case report demonstrates that an AUS—a technique previously described only for treatment in dogs with refractory incontinence—may be suitable for the management of refractory USMI in cats with congenital urinary incontinence. Also, in cases of persistent or recurrent incontinence, and at any time subsequent to the surgery, an increase in pressure around the urethra can be achieved, non-invasively, by inflating the AUS's percutaneous occluder.