{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T18:57:51Z","timestamp":1735585071639},"reference-count":52,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg G Grosstiere Nutztiere"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das Uroperitoneum ist eine typische Erkrankung des neugeborenen Fohlens. Durch einen kongenitalen oder erworbenen Defekt im Harntrakt kommt es zur Ansammlung von Urin in der Bauchh\u00f6hle. M\u00e4nnliche Tiere sind \u00f6fter betroffen als weibliche. Am h\u00e4ufigsten entwickelt sich ein Uroperitoneum durch eine Zusammenhangstrennung in der dorsalen Harnblasenwand. Die Harnblase ist in 73,1\u2005%, der Urachus in 21,6\u2005% und die Ureteren in 5,2\u2005% der F\u00e4lle betroffen. Erkrankte Fohlen zeigen meist 2\u20135\u2005Tage post natum typische klinische Symptome wie reduziertes Allgemeinbefinden, umfangsvermehrtes Abdomen, milde Koliksymptome und unphysiologisches Harnabsatzverhalten. Die sonografische Untersuchung in Verbindung mit der Abdominozentese gilt als Goldstandard der Diagnostik. Typische labordiagnostische Befunde sind Azot\u00e4mie, metabolische Azidose und Elektrolytabweichungen, insbesondere Hyperkali\u00e4mie, Hyponatri\u00e4mie und Hypochlorid\u00e4mie. Die chirurgische Versorgung des Defekts stellt die einzige ad\u00e4quate Behandlung dar. Vor dem chirurgischen Eingriff sollten stets die metabolische Entgleisung und die Verschiebungen im Elektrolythaushalt korrigiert werden, da vor allem die Hyperkali\u00e4mie das Komplikationspotenzial der An\u00e4sthesie erh\u00f6ht. Bei guter perioperativer Stabilisierung und einem Defekt an der Blase oder am Urachus ist die Prognose gut. Insgesamt werden 63,6\u2005% der betroffenen Fohlen geheilt. Zu den h\u00e4ufigsten Komplikationen geh\u00f6ren Rezidive durch Nahtdehiszenz oder einen inkompletten Verschluss der Defekte.<\/jats:p>","DOI":"10.1055\/a-1345-7148","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T14:53:10Z","timestamp":1613487190000},"page":"41-50","source":"Crossref","is-referenced-by-count":1,"title":["Uroperitoneum beim Fohlen \u2013 eine Literatur\u00fcbersicht"],"prefix":"10.1055","volume":"49","author":[{"given":"Andr\u00e9","family":"Bernick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Nieth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Wehrend","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Geburtshilfe, Gyn\u00e4kologie und Andrologie der Gro\u00df- und Kleintiere, Klinikum Veterin\u00e4rmedizin der Justus-Liebig-Universit\u00e4t Gie\u00dfen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"ref1","first-page":"464","volume-title":"Urinary tract disruption","author":"R Adams","year":"1990"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/j.2042-3306.1988.tb01443.x","article-title":"Exploratory celiotomy for suspected urinary tract disruption in neonatal foals: a review of 18 cases","volume":"20","author":"R Adams","year":"1988","journal-title":"Equine Vet J"},{"key":"ref3","first-page":"11","article-title":"Diseases of foals","volume":"30","author":"A M Bain","year":"1954","journal-title":"Austr Vet J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"676","DOI":"10.21836\/PEM20010629","article-title":"Diagnosis and surgical management of colic in the foal","volume":"17","author":"C P Bartmann","year":"2001","journal-title":"Pferdeheilk"},{"volume-title":"Fohlenerkrankungen und -verluste in den ersten Lebensabschnitten [Dissertation]","year":"1997","author":"G B\u00e4umer","key":"ref5"},{"key":"ref6","first-page":"281","article-title":"Sonografische Befunde bei neugeborenen Fohlen mit akutem Abdomen","volume":"16","author":"C Behn","year":"2000","journal-title":"Pferdeheilk"},{"issue":"03","key":"ref7","first-page":"263","article-title":"Metabolic Abnormalities Associated with Rupture of the Urinary Bladder in Neonatal Foals","volume":"178","author":"M J Behr","year":"1981","journal-title":"J Am Vet Med Assoc"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1111\/j.2042-3306.1988.tb01445.x","article-title":"Development of a scoring system for the early diagnosis of equine neonatal sepsis","volume":"20","author":"B D Brewer","year":"1988","journal-title":"Equine Vet J"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/j.2042-3306.1988.tb01446.x","article-title":"Comparison of empirically developed sepsis score with a computer generated and weighted scoring system for the identification of sepsis in the equine neonate","volume":"20","author":"B D Brewer","year":"1988","journal-title":"Equine Vet J"},{"key":"ref10","first-page":"401","article-title":"Medical and surgical management of uroperitoneum in a foal","volume":"49","author":"A Butters","year":"2008","journal-title":"Can Vet J"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1111\/j.1751-0813.1997.tb14343.x","article-title":"Bilateral ureteral tears in a foal","volume":"75","author":"T J Cutler","year":"1997","journal-title":"Aust Vet J"},{"key":"ref12","first-page":"173","article-title":"Blasenruptur beim neugeborenen Fohlen","volume":"57","author":"H Daniels","year":"1976","journal-title":"Prakt Tierarzt"},{"key":"ref13","first-page":"384","article-title":"Correction of bilateral ureteral defects in a foal","volume":"192","author":"T J Divers","year":"1988","journal-title":"J Am Vet Med Assoc"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/S1534-7516(03)000222","article-title":"Urinary and Hepatic Disorders in Neonatal Foals","volume":"2","author":"T J Divers","year":"2003","journal-title":"Clin Tech Equine Pract"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1111\/j.1939-1676.2005.tb02783.x","article-title":"Uroperitoneum in 32 foals: influence of intravenous fluid therapy, infection, and sepsis","volume":"19","author":"B Dunkel","year":"2005","journal-title":"J Vet Intern Med"},{"key":"ref16","first-page":"261","article-title":"Rupture of the bladder in the newborn foal and its surgical correction","volume":"29","author":"J L Du Plessis","year":"1958","journal-title":"J S Afr Vet Assoc"},{"key":"ref17","first-page":"94","article-title":"Ruptured urachus in a foal","volume":"77","author":"J Ford","year":"1982","journal-title":"Vet Med Small Anim Clin"},{"key":"ref18","first-page":"488","article-title":"Rupture of the urinary bladder in neonatal foals","volume":"6","author":"R P Hackett","year":"1984","journal-title":"Comp Cont Educ Pract Vet"},{"key":"ref19","first-page":"917","volume-title":"The urinary system","author":"R P Hackett","year":"1982","edition":"3\u2005rd ed."},{"key":"ref20","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/j.2042-3292.1998.tb00842.x","article-title":"Uroabdomen in foals","volume":"10","author":"J Hardy","year":"1998","journal-title":"Equine Vet Educ"},{"key":"ref21","first-page":"87","article-title":"Diagnose Uroperitoneum \u2013 Diagnostik und Therapie von Harnblasenrupturen bei Fohlen","volume":"3","author":"K Hopster","year":"2012","journal-title":"Pferdespiegel"},{"key":"ref22","first-page":"461","article-title":"Missbildung am Harnblasenhals, Hypospadie, Pseudohermaphrodismus und Harnblasenruptur bei einem Warmblutfohlen","volume":"25","author":"K Hopster","year":"2009","journal-title":"Pferdeheilk"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1111\/j.1939-1676.2002.tb01270.x","article-title":"Clostridium perfringens Urachitis and Uroperitoneum in 2\u2005Neonatal Foals","volume":"16","author":"S S Hyman","year":"2002","journal-title":"J Vet Intern Med"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.2042-3292.1998.tb00841.x","article-title":"Congenital bilateral defect of the ureters in a foal","volume":"10","author":"D Jean","year":"1998","journal-title":"Equine Vet Educ"},{"key":"ref25","first-page":"348","volume-title":"Urachus patens\/persistens und Urachusfistel","author":"C Jung","year":"2011","edition":"1.\u2005Aufl."},{"key":"ref26","doi-asserted-by":"crossref","first-page":"505","DOI":"10.2746\/042516400777584712","article-title":"Uroperitoneum in the hospitalised equine neonate: retrospective study of 31 cases, 1988\u20131997","volume":"32","author":"K A Kablack","year":"2000","journal-title":"Equine Vet J"},{"key":"ref27","first-page":"353","article-title":"Urinary bladder calculus formation on sutures in rabbits, cats and dogs","volume":"146","author":"J M Kaminski","year":"1978","journal-title":"Surg Gynecol Obstet"},{"key":"ref28","first-page":"308","volume-title":"Offene Harnblase, Harnblasenruptur","author":"D C Knottenbelt","year":"2007","edition":"1.\u2005Aufl."},{"key":"ref29","first-page":"81","article-title":"Peritoneal dialysis for presurgical management of ruptured bladder in a foal","volume":"185","author":"J E Kritchevsky","year":"1984","journal-title":"J Am Vet Med Assoc"},{"key":"ref30","first-page":"1577","article-title":"Nonsurgical management of ruptured urinary bladder in a critically ill foal","volume":"192","author":"J P Lavoi","year":"1988","journal-title":"J Am Vet Med Assoc"},{"key":"ref31","first-page":"888","article-title":"Septic peritonitis and uroperitoneum secondary to subclinical omphalitis and concurrent necrotizing cystitis in a colt","volume":"52","author":"M Lores","year":"2011","journal-title":"Can Vet J"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1053\/j.ctep.2005.02.008","article-title":"Abdominal Ultrasonography of the Foal","volume":"3","author":"S B McAuliffe","year":"2004","journal-title":"Clin Tech Equine Pract"},{"key":"ref33","first-page":"405","volume-title":"Surgery of the urogenital system","author":"C W McIlwraith","year":"1998"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"399","DOI":"10.17221\/2955-VETMED","article-title":"Uroperitoneum secondary to rupture of the urachus associated with Clostridium spp. infection in a foal: a case report","volume":"55","author":"F J Mendoza","year":"2010","journal-title":"Veterinarni Medicina"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.2460\/javma.1992.200.10.1515","article-title":"Diagnosis of ruptured urinary bladder in a foal by the identification of calcium carbonate crystals in the peritoneal fluid","volume":"200","author":"P S Morley","year":"1992","journal-title":"J Am Vet Med Assoc"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"354","DOI":"10.2460\/javma.2002.220.354","article-title":"Surgical management of a ureteral defect with ureterorrhaphy and of ureteritis with ureteroneocystostomy in a foal","volume":"220","author":"S Morisset","year":"2002","journal-title":"J Am Vet Med Assoc"},{"key":"ref37","first-page":"533","article-title":"Das Uroperitoneum beim Fohlen \u2013 ein Fallbericht","volume":"50","author":"A M\u00fcnnich","year":"1995","journal-title":"Tier\u00e4rztl Umsch"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1055\/a-0959-1961","article-title":"Sonografische Topografie abdominaler Organe und Strukturen beim equinen Neonaten","volume":"47","author":"J Nieth","year":"2019","journal-title":"Tier\u00e4rztl Prax Ausg Grosstiere Nutztiere"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1111\/j.1751-0813.1971.tb15515.x","article-title":"Repair of a defect in the bladder of a foal","volume":"47","author":"R R Pascoe","year":"1971","journal-title":"Aust Vet J"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/S0737-0806(81)80050-0","article-title":"Surgical repair of a patent urachus and ruptured bladder in a foal","volume":"1","author":"L C Peyton","year":"1981","journal-title":"J Equine Vet Sci"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0749-0739(17)30776-9","article-title":"Urogenital problems in the neonatal foal","volume":"1","author":"D W Richardson","year":"1985","journal-title":"Vet Clin North Am Equine Pract"},{"key":"ref42","first-page":"267","article-title":"Uroperitoneum in the foal","volume":"182","author":"D W Richardson","year":"1983","journal-title":"J Am Vet Med Assoc"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"9","DOI":"10.21836\/PEM20030101","article-title":"Laparoscopic repair of a bladder rupture in 2\u202ffoals","volume":"19","author":"AB M Rijkenhuizen","year":"2003","journal-title":"Pferdeheilk"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S0749-0739(17)30616-8","article-title":"Surgical management of congenital and perinatal abnormalities of the urogenital tract","volume":"4","author":"J T Robertson","year":"1988","journal-title":"Vet Clin North Am Equine Pract"},{"key":"ref45","first-page":"799","article-title":"Repair of a ureteral defect in a foal","volume":"183","author":"J T Robertson","year":"1983","journal-title":"J Am Vet Med Assoc"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1177\/0300985871008005-00606","article-title":"Rupture of the urinary bladder in the foal","volume":"8","author":"J R Rooney","year":"1971","journal-title":"Vet Path"},{"volume-title":"Erkrankungsh\u00e4ufigkeit und prognostische Bedeutung von ausgew\u00e4hlten Laborparametern beim neugeborenen Fohlen [Dissertation]","year":"2009","author":"T Ulrich","key":"ref47"},{"key":"ref48","first-page":"365","volume-title":"Uroperitoneum und Harnblasenruptur","author":"K Velde","year":"2011","edition":"1.\u2005Aufl."},{"key":"ref49","first-page":"177","volume-title":"Rupture of the urinary bladder","author":"D F Walker","year":"1980"},{"key":"ref50","first-page":"725","volume-title":"Uroperitoneum","author":"A Wehrend","year":"2017","edition":"4.\u2005Aufl."},{"key":"ref51","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1111\/j.1751-0813.1972.tb05202.x","article-title":"Bladder defects in newborn foals","volume":"48","author":"JK M Wellington","year":"1972","journal-title":"Aust Vet J"},{"key":"ref52","first-page":"927","volume-title":"Bladder","author":"J B Woodie","year":"2012","edition":"4th ed."}],"container-title":["Tier\u00e4rztliche Praxis Ausgabe G: Gro\u00dftiere \/ Nutztiere"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1345-7148.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T08:25:43Z","timestamp":1724487943000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1345-7148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":52,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,2,15]]},"published-print":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1345-7148","relation":{},"ISSN":["1434-1220","2567-5834"],"issn-type":[{"type":"print","value":"1434-1220"},{"type":"electronic","value":"2567-5834"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}