{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T22:23:21Z","timestamp":1746311001671,"version":"3.38.0"},"reference-count":12,"publisher":"American Veterinary Medical Association (AVMA)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2012,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p><jats:bold>Case Description<\/jats:bold>\u2014A 10-year-old castrated male domestic shorthair cat was examined for a mass involving the right anal sac region.<\/jats:p>\n<jats:p><jats:bold>Clinical Findings<\/jats:bold>\u2014The mass was diagnosed as a fibrosarcoma, and resulted in progressive tenesmus, requiring repeated resection.<\/jats:p>\n<jats:p><jats:bold>Treatment and Outcome<\/jats:bold>\u2014Surgical removal of the fibrosarcoma was performed on 4 occasions, including complete resection of the anal sphincter muscles and portions of the rectum. A perineal urethrostomy was required during the third surgical procedure secondary to tumor invasion of the preputial tissues. To reduce involuntary loss of feces, the remaining rectal wall was rotated approximately 225\u00b0 prior to surgical closure during the second, third, and fourth surgical procedures. This procedure created a natural spiral diaphragm within the rectal lumen. The elastic spiral barrier reduced inadvertent fecal loss and facilitated fecal distention of the terminal portion of the colon, allowing the patient to anticipate the impending passage of feces and to use the litter tray on a daily basis.<\/jats:p>\n<jats:p><jats:bold>Clinical Relevance<\/jats:bold>\u2014With complete loss of the terminal portion of the rectum and anal sphincter muscles, spiraling the rectum created a deformable threshold barrier to reduce excessive loss of stool secondary to fecal incontinence. On the basis of the positive outcome in this patient, this novel technique may be a useful option to consider for the treatment of cats with loss of anal sphincter function.<\/jats:p>","DOI":"10.2460\/javma.241.6.766","type":"journal-article","created":{"date-parts":[[2012,9,4]],"date-time":"2012-09-04T14:55:33Z","timestamp":1346770533000},"page":"766-770","source":"Crossref","is-referenced-by-count":3,"title":["Use of a spiral rectal diaphragm technique to control anal sphincter incontinence in a cat"],"prefix":"10.2460","volume":"241","author":[{"given":"Michael","family":"Pavletic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Mahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Duddy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Textbook of veterinary internal medicine","first-page":"1408","article-title":"Rectoanal disease","author":"Zoran","year":"2005"},{"key":"ref2","series-title":"Compend Contin Educ Pract Vet","first-page":"313","article-title":"Fecal incontinence in dogs and cats","volume":"12","author":"Guilford","year":"1990"},{"key":"ref3","series-title":"Textbook of veterinary internal medicine","first-page":"1408","article-title":"Recto-anal disease","author":"Washabau","year":"1995"},{"key":"ref4","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1111\/j.1532-950X.1988.tb01022.x","article-title":"Silicone elastomer sling for fecal incontinence in dogs","volume":"17","author":"Dean","year":"1988"},{"key":"ref5","series-title":"Textbook of small animal surgery","first-page":"701","article-title":"Rectum and anus","author":"Aronson","year":"1993"},{"key":"ref6","series-title":"J Am Anim Hosp Assoc","first-page":"666","article-title":"Surgical treatment of fecal incontinence","volume":"12","author":"Lumb","year":"1976"},{"key":"ref7","series-title":"J Am Anim Hosp Assoc","first-page":"663","article-title":"A modified fascial sling for the treatment of fecal incontinence-surgical technique","volume":"17","author":"Leeds","year":"1981"},{"key":"ref8","series-title":"J Am Vet Med Assoc","first-page":"1385","article-title":"Semitendinosus muscle transfer flap for external anal sphincter incompetence in a dog","volume":"15","author":"Doust","year":"2003"},{"key":"ref9","series-title":"Surgery","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1067\/msy.2000.103158","article-title":"End-to-side pudendal nerve anastomosis for the creation of a new reinforcing anal sphincter in dogs","volume":"127","author":"Sato","year":"2000"},{"key":"ref10","series-title":"Br J Surg","first-page":"466","article-title":"Canine model for treatment of faecal incontinence using transposed and electrically stimulated sartorius muscle","volume":"81","author":"Konsten","year":"1994"},{"key":"ref11","series-title":"Atlas of feline anatomy for veterinarians","first-page":"161","author":"Hudson","year":"1993"},{"key":"ref12","series-title":"Miller's anatomy of the dog","first-page":"655","author":"Evans","year":"1993"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/241\/6\/javma.241.6.766.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/241\/6\/javma.241.6.766.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/241\/6\/javma.241.6.766.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T11:35:29Z","timestamp":1741347329000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/241\/6\/javma.241.6.766.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,15]]},"references-count":12,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.2460\/javma.241.6.766","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2012,9,15]]}}}