1. Suspected epidural morphine analgesia induced chronic urinary and bowel dysfunction in a cat.
- Author
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Song RB, Cross JR, Golder FJ, and Callan MB
- Subjects
- Anesthesia, Epidural adverse effects, Animals, Cat Diseases therapy, Cats, Cisapride therapeutic use, Constipation drug therapy, Constipation etiology, Gastrointestinal Agents therapeutic use, Injections, Epidural adverse effects, Male, Morphine administration & dosage, Narcotics administration & dosage, Pennsylvania, Treatment Outcome, Urinary Retention etiology, Urinary Retention therapy, Anesthesia, Epidural veterinary, Cat Diseases etiology, Constipation veterinary, Injections, Epidural veterinary, Urinary Retention veterinary
- Abstract
A 12-year-old male castrated domestic shorthair developed chronic urinary retention, constipation and a decreased perineal reflex following a single lumbo-sacral epidural injection of morphine during general anesthesia. Similar adverse effects have been reported in humans following epidural analgesia, but this is the first reported case of both urinary and bowel dysfunction in a cat purportedly from an epidural. The cat was medically managed with manual bladder expressions, intermittent enemas, and various medications including bethanechol, cisapride and stool softeners. The cat continues to have long-term neurologic dysfunction 15 months post-onset. This case report describes a rare but serious potential risk of lumbo-sacral epidural injections in cats., (Copyright © 2011 ISFM and AAFP. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2011
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