Traumatic spleno-intestinal evisceration in a tom cat: Surgical management and outcome

The successful surgical treatment of traumatic abdominal evisceration in a tomcat after barbed wire injury is described in this case report. A 2-year-old male domestic shorthair who was in good health showed signs of a prolapsed spleen, small intestines tainted with environmental debris, and a ventral midline cut cranial to the umbilicus that was about 10 cm. Thorough wound debridement, extensive lavage with warmed normal saline followed by 2% Chlorhexidine chloride, and cautious removal of nonviable abdominal organs were all part of the emergency intervention. Three layers of closure were used in the surgical repair: subcuticular closure of subcutaneous tissues, interrupted apposition of the abdominal musculature (2-0 chromic catgut) and tension-relieving horizontal mattress skin sutures (2-0 silk). Systemic antibacterial therapy and topical oxytetracycline administration were part of the postoperative care. The patient made a full recovery, proving that even in cases of severe traumatic evisceration, favorable results can be obtained with timely surgical intervention and careful contamination control. When it comes to treating high-risk abdominal trauma involving several organs, this example emphasizes how crucial emergency planning is in veterinary practice.