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Prepuce swelling

Sonopath Forum

Sonopath Forum

Prepuce swelling

  • 1 year old Lab, castrated 4 days prior (unsure how procedure went), no history of trauma post op
  • Presentented with preputial swelling and pain, can urinate, has diarrhoea
  • Scrotum and surgical site is unremarkable but severe swelling cranial to this and around prepuce
  • Subcutaneous fluid – haemorrhage/oedema?
  • Caudal abdomen has hyperechoic/reactive tissue around colon and bladder, no free fluid
  • What do you think has caused this?

    • 1 year old Lab, castrated 4 days prior (unsure how procedure went), no history of trauma post op
    • Presentented with preputial swelling and pain, can urinate, has diarrhoea
    • Scrotum and surgical site is unremarkable but severe swelling cranial to this and around prepuce
    • Subcutaneous fluid – haemorrhage/oedema?
    • Caudal abdomen has hyperechoic/reactive tissue around colon and bladder, no free fluid
    • What do you think has caused this?
    • Anytime I have seen a complication/bleed following castration the scrotum is severely swollen and then the prepuce swells.

Comments

Liz
July 28, 2018 at 6:27 pm -

I have seen this happen a few

I have seen this happen a few times, once to me and two that I followed up on. I think it’s a similar situation to a scirrhous cord in the equine world, basically an infection/granuloma of the cut end of the cord. In the case that was mine, after some research, I felt it was partially due to leaving too much tissue between the two ligations (I typically do a miller’s proximally and encircling distally). I never had to go in abdominally, but I did have draining tracts develop in the inguinal region requiring drain placement in the inguinal SQ both in my one case and then in a colleagues. Obviously they were treated medically at the same time. The third case resolved with ice, antibiotics, NSAIds and time, but no surgical intervention. 

All three cases ended up resolving without further complication. I hope that helps?

veteurope1
July 28, 2018 at 6:29 pm -

Thanks Liz, that is really

Thanks Liz, that is really helpful as I didn’t think it was haemorrhage and it explains the findings.

EL
July 28, 2018 at 10:42 pm -

How about Von Willebrands?

How about Von Willebrands?

veteurope1
July 30, 2018 at 7:24 am -

He just didn’t seem to be

He just didn’t seem to be bleeding/bruising into scrotum at all. 

Liz
July 31, 2018 at 3:58 pm -

How’s he doing? Did it

How’s he doing? Did it progress at all?

veteurope1
July 31, 2018 at 4:54 pm -

The swelling around the

The swelling around the prepuce has worsened and the left inguinal region is quite inflamed so it may need drainage as you have seen. Thanks again.

Liz
July 31, 2018 at 7:54 pm -

That is exactly the

That is exactly the progression that I’ve seen in my cases. Keep me updated! Keep scanning it! In the ones I dealt with, it became quite apparent that abscessation was occurring and warranting a drain. Dog much more comfortable after drain placement.

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