Difference between revisions of "Anal Sac Impaction"

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==Description==
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The most common disease of the anal sacs where the sac becomes impacted by a viscous, grey-brown secretion.  It is caused by a failure of the sacs to empty normally during defecation, obesity, poor muscle tone and generalized seborrhea. The retained secretion can encourage bacterial overgrowth and therefore infection and inflammation.
  
 
==Signalment==
 
==Signalment==
*Small breeds are predisposed
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Can occur in any dog of any age, breed or gender however small breed dogs and obese dogs are predisposed. Cats can also suffer from anal sac impaction.
*German Shepherd
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*Obese dogs
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==Diagnosis==
*Cats can also suffer from anal sac impaction
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The anal sac region may appear distended and inflammed, on palpation of the perianal tissue may the anal sac may be enlarged, firm and not easily expressed. Impaction can cause tha anal sac to rupture and create a draining tract of either normal secretions (pale yellow) or abnormal (grey, brownor green).
  
==Description==
 
The most common disease of the anal sacs where the sac becomes impacted by a viscous, grey-brown secretion.  It is caused by a failure of the sacs to empty normally during defecation, obesity, poor muscle tone and generalized seborrhea. The retained secretion can encourage bacterial overgrowth and therefore infection and inflammation.
 
  
==Diagnosis==
 
 
===History and Clinical Signs===
 
===History and Clinical Signs===
 
See [[Anal Sac Disease - General|Anal Sac Disease - General]]
 
See [[Anal Sac Disease - General|Anal Sac Disease - General]]
 +
  
 
==Treatment==
 
==Treatment==
Compression and expression of the sacs by either internal or external forces. The sacs are situated at the 4 and 8 c'clock positions. Internal expression is more effective and desired with external expression reserved for small dogs and cats where it is not possible to place a digit in the rectum. If the contents are too dry, then a softening agent or saline can be placed inside to aid clearance.
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Compression and expression of the sacs by either internal or external forces. The sacs are situated at the 4 and 8 c'clock positions. Internal expression is more effective and external expression reserved for small dogs and cats where it is not possible to place a digit in the rectum. If the contents are too dry, then a softening agent or saline can be placed inside to aid clearance.
  
 
==Prognosis==
 
==Prognosis==
Some cases may require regular expression but generally the prognosis is excellent. Certain cases may become chronic or infected and sacculectoimy may need to be considered.
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Some cases may require regular expression but generally the prognosis is excellent. Certain cases may become chronic or infected leading to [[Anal Sacculitis|Anal Sacculitis]] or [[Anal Sac Abscessation|Anal Sac Abscessation]].  
 +
 
 
==References==
 
==References==
 +
Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition) BSAVA
  
Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) '''BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition)''' ''BSAVA''
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Merck & Co (2008) The Merck Veterinary Manual (Eighth Edition) Merial
  
Merck & Co (2008) '''The Merck Veterinary Manual'''
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Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition) Mosby Elsevier
[[Category:Recto-Anal_-_Pathology]][[Category:To_Do_-_Caz]]
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[[Category:Recto-Anal_-_Pathology]]
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[[Category:To_Do_-_Review]]

Revision as of 18:21, 18 July 2010



Description

The most common disease of the anal sacs where the sac becomes impacted by a viscous, grey-brown secretion. It is caused by a failure of the sacs to empty normally during defecation, obesity, poor muscle tone and generalized seborrhea. The retained secretion can encourage bacterial overgrowth and therefore infection and inflammation.

Signalment

Can occur in any dog of any age, breed or gender however small breed dogs and obese dogs are predisposed. Cats can also suffer from anal sac impaction.

Diagnosis

The anal sac region may appear distended and inflammed, on palpation of the perianal tissue may the anal sac may be enlarged, firm and not easily expressed. Impaction can cause tha anal sac to rupture and create a draining tract of either normal secretions (pale yellow) or abnormal (grey, brownor green).


History and Clinical Signs

See Anal Sac Disease - General


Treatment

Compression and expression of the sacs by either internal or external forces. The sacs are situated at the 4 and 8 c'clock positions. Internal expression is more effective and external expression reserved for small dogs and cats where it is not possible to place a digit in the rectum. If the contents are too dry, then a softening agent or saline can be placed inside to aid clearance.

Prognosis

Some cases may require regular expression but generally the prognosis is excellent. Certain cases may become chronic or infected leading to Anal Sacculitis or Anal Sac Abscessation.

References

Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition) BSAVA

Merck & Co (2008) The Merck Veterinary Manual (Eighth Edition) Merial

Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition) Mosby Elsevier