페르시안 고양이에서 발생한 요도밑 열림증과 거대결증증

Hypospadias and Megacolon in a Persian Cat

  • 김성언 (부산 다솜동물병원) ;
  • 최란 (부산 다솜동물병원) ;
  • 박자실 (부산 다솜동물병원) ;
  • 양혜미 (강원대학교 수의과대학 소동물 내과교실) ;
  • 현창백 (강원대학교 수의과대학 소동물 내과교실)
  • Kim, Sung-Eon (Dasom Animal Medical Centre) ;
  • Choi, Ran (Dasom Animal Medical Centre) ;
  • Park, Jasil (Dasom Animal Medical Centre) ;
  • Yang, Hye-Mi (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University) ;
  • Hyun, Changbaig (Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University)
  • 심사 : 2014.10.13
  • 발행 : 2014.10.31

초록

9개월령 페르시안종 수컷 고양이(체중 3.2 kg)가 변비를 주증으로 내원하였다. 진단검사상 심한 변비와 거대 결장증이 확인되었다. 관장을 비롯한 즉각적인 응급처치를 실시한 후 신체검사를 실시하였고, 검사결과 음경구 0.5 cm 복측에서 비정상적인 요도구를 확인하였다. 이 요도구를 통해 3.5 fr tomcat catheter를 방광내부를 쉽게 삽입할 수 있었다. 영상진단과 신체검사를 통해 본 증례는 요도밑 열림증으로 진단되었다. 본 고양이는 중성화 수술과 함께 변비에 대한 내과적 처치가 실시되었다. 본 증례는 우리나라에서 처음으로 보고되는 만성 변비를 동반한 고양이의 요도밑 열림증이다.

A 9-month-old intact male Persian cat (3.2 kg of body weight) was referred with primary complaint of constipation. Diagnostic studies found severe constipation and megacolon. After immediate medical treatment (e.g. enema), the physical examination was performed and revealed that the unusual urethral opening was found approximately 0.5 cm ventral to the tip of the penis where a 3.5 fr tomcat catheter was easily advanced into the bladder. The case was diagnosed as hypospadias. The cat was treated with castration and medical therapy for constipation. To our best knowledge, this case is the first case report for feline hypospadias complicated with chronic constipation in Korea.

키워드

참고문헌

  1. Dennis M. Hypospadias in Merino lambs. Vet Rec 1979; 105: 94-96.
  2. Ducketjt W. Hypospadias. In: Adult and Pediatric Urology, 2nd edn. Eds Gillenwater JV, Grayhack JT, Howards SS and Duckett JW. Mosby; St Louis. 1991: 2105-2140.
  3. Foley RH and Collinsk S. Hypospadias in two male cats. Feline Pract 1999; 27: 18-19.
  4. Klip H, Verloop J, van Gool JD, Koster ME, Burger CW, van Leeuwen FE. Hypospadias in sons of women exposed to diethylstilbestrol in utero: a cohort study. Lancet 2002; 359: 1102-1107. https://doi.org/10.1016/S0140-6736(02)08152-7
  5. Ladosp W. Congenital abnormalities of the genitalia. Vet Clin North Am Food Anim Pract 1993; 9: 127-144. https://doi.org/10.1016/S0749-0720(15)30677-0
  6. Lefebvre R and Lussier B. A clinical case of hypospodias in a dog. Can Vet J 2005; 46: 1022-1025
  7. Silver RI, Rodriguez R, Chang TS, Gearhart, JP. In vitro fertilization is associated with an increased risk of hypospadias. J Urol 1999; 1: 1954-1957.
  8. Singh AP Congenital malformations in ruminants- a review of 123 cases. Ind Vet J 1986; 1: 981-985.