Don’t worry, I know I still haven’t posted my last dental sequel and I will definitely be doing that soon. I just had to share this unbelievable case with you first. This will also give you a brief break from the gory dental pictures.
We have endured a very chaotic working schedule in the past two weeks. We have seen a huge and interesting case load and been swamped with emergencies and so I haven’t had time to blog.
Last week, my colleague Liz had just examined a stray kitten that was picked up the night before. It was found next to the bacon factory and a very compassionate man had caught her after his late night shift. She hissed and carried on but he knew she was too tiny and weak to fend for herself.
Liz was concerned the kitten was suffering from a very serious umbilical infection.
She wanted my second opinion. I had never seen such a bad case of an umbilical stump infection. Palpation revealed the infection was protruding deep into the abdomen. We jointly decided to trim the stump that was poking out and treat her supportively.
The poor little critter had very pale white gums and was quite hypothermic. While Liz held her, I clamped the base of the umbilical stump. It felt like I was snapping a twig. I was still in the mindset that I’m dealing with dead tissue when Liz yelled out: ‘Oh my God Rayya, I think that’s a stick!’
The kitten became more reactive and meowed in pain as I tried to grab the remaining bits of the stick poking out of its abdomen. The local anesthetic we infused into her wound was still not enough to keep her still. Liz went back into the consultation room to notify the clients about the progress of the kitten.
She informed them that it required urgent surgery and her prognosis was very poor.
Given it was a stray rescue kitten, Liz offered to do the surgery free of charge on the condition that the clients will cover the costs of the medication. The kitten was immediately anesthetized We had both secretly hoped that the rest of the stick was merely lodged into the abdominal muscle wall and so we could avoid a massive surgery and anesthetic on a much debilitated patient. We quickly discovered that an exploratory laparotomy was inevitable.
I mean the kitten was even smaller than our kidney dish.
There was no obvious sign of peritonitis. The rest of the stick was found to be poking out of the stomach.
Liz was feeling quite disheartened to confirm that the stick had not only completely penetrated the abdominal cavity but was also perforating the stomach wall.
A raging and brewing peritonitis secondary to contamination from the foreign body was now a serious cause of concern.
In that moment, I said: ‘let’s press on and see what happens. What’s the worst that can happen! She dies but at least we can say we did our best to save her.’
And so we did not pull the plug on her and continued with the surgery. Mind you, this was all being conducted after-hours free of charge just because we knew deep down, this kitten deserved a chance. Our vet nurse Jayde also stayed behind and did a terrific job monitoring the critical anesthetic. I scrubbed in to assist Liz with the gastrotomy. We placed stay sutures and I held the stomach up while Liz extended the incision into the stomach wall and pulled out the stick.
She then kept fishing out one foreign body after another. We could not believe our eyes. The content of her stomach consisted of tons of plastic and the rest of a twig.
Here’s a short video of the kitten’s surgery.
The poor baby was obviously starving and binging on the bacon factory’s waste bin.
Her stomach was emptied and stitched back together. Liz then quickly removed her barely formed uterus as she was still fairly stable. She then closed up her abdomen and her very paper thin skin was stapled together. The moment of truth had arrived, most anesthetic deaths in our patients occur during the post-operative recovery period.
We were focused on warming the patient up. Liz even managed to pop in an intravenous catheter so she could be given intravenous fluid therapy which will help increase the patient’s blood pressure. The odds were still against her and we waited anxiously for her to recover. She was very drowsy and unresponsive after the surgery.
She was loaded on pain relief and antibiotics and all we could do now was just sit and wait. We looked at her petite stature and wondered if she would even survive the night.
I went home with a heavy heart wondering if it was indeed the right decision to put her through all that if we couldn’t guarantee saving her life.
The next morning, I ran up to her cage as soon as I arrived at the clinic and she managed to give me a very weak meow. She was barely moving but was feeling much warmer and had a slightly pinkish tinge to her gums. Judy, our groomer, had even bought her a cat igloo that she was comfortably nestling into.
The poor little kitten looked so runty and weighed less than a half a kg. She was so malnourished and needed energy to enable her to start healing. However, we were flustered and knew it was too soon to feed her.
In theory, we are trained to withhold food from our patients for 48 hours after a gastrotomy surgery.
This time is needed to allow the stomach to heal. Otherwise, you risk stretching the sutures and predisposing the patient to a peritonitis secondary to leakage.
We weighed out the pros and cons of not feeding her and Liz decided we could start her on a small amount of nutrigel (vitamin B paste). She quickly regretted feeding her. Why? Well the little kitten sparked up and almost took Liz’s finger off when she smelt the paste. I’ve never seen a kitten so psyched about nutrigel.
A few hours later, she was offered a slurry of Hill’s a/d (liquid high energy food) and she hawed into it. She instantaneously looked much livelier.
We crossed our fingers and toes and preyed the early feed won’t come back to haunt us.
The next 24 hours were quite critical and so she remained in the vet hospital.
I was scheduled to head to Sydney the next day but I made sure to call the clinic to get a progress report on the kitten. I was flabbergasted to hear she was full of life, eating well and even managed to pass a well formed stool. Never did I think I would stand and rejoice at being informed about the successful passing of a stinky kitten poo. Here are photos Jayde messaged me upon my incessant demand showing the huge surge of energy and miraculous recovery of this very stoic kitten. She was demanding to be fed 🙂 
And finally, our nameless stray kitten was named ‘Cleo’ and picked up by her saviors and new loving owners.
A few days after being discharged, Liz called to check up on ‘Cleo’ and was informed she was doing really well. We are scheduled to see her this week and we are all super excited!!!!! I simply can’t wait to see her and cuddle her.
This case should inspire veterinarians to never lose hope. It never hurts to try and there is nothing worse than giving up too soon.This kitten defeated all the odds and managed to survive.
It definitely now makes me a firm believer that cats must have nine lives.
Related articles
- Fetching a stick turns ugly… (rayyathevet.com)
Dr Rayya's Online Veterinary Journal 
May 19, 2013 at 11:25 pm
What a cool case! I probably would have been intimidated to try it myself, so it’s great that you had another vet there to help. Do you think she ate the stick and it perforated the stomach and abdominal wall by itself? Or was it actually coming out right at the umbilicus?
May 19, 2013 at 11:57 pm
Hey Elliot. We think she ingested the twig inadvertently with the plastic wrappings and it poked out through the stomach then out of the abdominal wall. We can only stand to speculate. It is an amazing case with an unbelievably great outcome 🙂
May 19, 2013 at 11:48 pm
What a wonderful story! You and your colleagues are angels to have saved that little kitten. I hope you’ll update us on her after you’ve seen her again.
May 19, 2013 at 11:58 pm
Hey Cathi. Thanks heaps for your lovely comment 🙂
May 20, 2013 at 12:23 am
Such an amazing story, Rayya.
Now, that little kitten, was…..obviously meant to live.
I’m also looking for an update (when you see this little kitten next).
May 20, 2013 at 9:14 pm
Thanks Vicki. It is a pretty out of this world story :-). We saw her today and she was doing brilliantly. She was full of energy and petrified of being at the vet clinic.
May 20, 2013 at 1:32 am
Gawd. I can think of nothing else to say. Except I feel a little tearful. To life, dear Rayya!
May 20, 2013 at 9:14 pm
To life nadbugs 🙂 🙂 🙂
May 20, 2013 at 2:38 am
That result and the desire to live of that kitten is just amazing. How desperate had she been to feed off bacon flavour plastic? Her two sets of saviours should be deeply pleased with theirselves. Bravo and some more pics please 😉
May 20, 2013 at 9:15 pm
She was pretty desperate. Poor little kitten. She is now thriving and going strong. Will post more pics soon. 🙂
May 20, 2013 at 2:53 am
Yay for kitty poo! Congratulations on your great save. I hope to read more great updates!
May 20, 2013 at 9:16 pm
Thanks heaps Heather 🙂
May 20, 2013 at 6:49 am
It’s so wonderful that you could save her. Poor little thing must have suffered so much.
May 20, 2013 at 9:16 pm
She deserved the best go after all that she had been through. She wanted to live and we are so glad we could help her do that 🙂 🙂 🙂
May 20, 2013 at 8:03 am
Seeing as Cleo cannot thank you and your friends whee feel whee should. You performed and miracle and you truly are angels.
Actually, while whee are here whee have a quick question if you have time. Basil, our youngest little guinea piggy had an argument with his cagemate today which has resulted in a large cut to his top left lip. It is a little over 1cm long and goes right through the lip. It bled quite a bit and Mummy called the out of hours vet in a bit of a panic. They advised cleaning and seeing how it is in the morning. As he seems quite happy, can eat and drink alright and is now cuddled up with his cagemate whee think he is ok but do you think it is worth requesting some antibiotics in case of an infection and how can whee continue to keep it clean?
Thank you so much for your time
Nibbles, Nutty, Buddy & Basil
xxxx
May 20, 2013 at 9:20 pm
Thanks for your support 🙂
With regards to Basil, I definitely think it is worth taking him in to the vet for a check. It’s all good signs that he is eating & drinking well. Lips generally heal really well as they have an excellent blood supply. The older the wound gets, the hard it is to operate on it if required. A quick oral exam will give your vet the best assessment to give Basil the best treatment. Hope this information helps.
Lots of hugs to Nibbles, Nutty, Buddy & Basil
May 20, 2013 at 8:29 am
This made me cringe but I still found it to be amazing! As a major catwoman, I am so happy that this cat is doing so well and is safe! It needs to stay INSIDE! ha! Great job by you and your team!!! 🙂
May 20, 2013 at 9:21 pm
Hey Sherri. It is a pretty graphic to picture this poor kitten having a stick poking out of her tiny tummy. She is doing brilliantly well. Thanks for your support. 🙂
May 20, 2013 at 8:43 am
What an amazing story – and I must say that is one feisty little kitty, surviving against all the odds.
So glad you took the time to give her a second chance at life, Rayya and Liz.
May 20, 2013 at 9:22 pm
Thanks Barb. She was worth it and her brilliant prove is living proof of that. 🙂
May 20, 2013 at 9:07 am
Rayya i already commented on facebook but let me say again,this so truly sad,we owe our pets to look after them and to make sure they are desexed,if not then you must look after the babies when they come.When did we place so little value on the lives of animals that they are as disposable as a papercup.This man is my hero as are you and Liz and all the amazing people who stand up and advocate for the ones who need it most.I worry for the rest of the litter and their fate,i hope one day animals will be treated with the respect and love they deserve. Great job to all 🙂 and continued health to Cleo..she has cheeky in those eyes!!
May 20, 2013 at 9:23 pm
Hey Bev. Thanks for shedding some light on the importance of desexing. This scenario could have definitely been avoided. Like you said, I don’t want to dare think what has happened to the rest of the litter. She came in today and was full of cheekiness. Absolutely brilliant to see. 🙂
May 20, 2013 at 9:32 pm
She is truly a lucky little girl,i can’t imagine being so hungry and this cold weather..just broke my heart,i sat here in tears i have seen this too many times.What a great job you and your team have done,she will be the joy of her new families lives for many years to come i am sure. As our Cleo is as well 🙂
May 20, 2013 at 9:37 am
This is really a great story, Doctor! The Red Man always like to see baby creatures come back to life – even if they are C-A-T-S! 😉 Thanks for a job well done.
May 20, 2013 at 9:24 pm
Red Man you have the biggest heart. Thanks for your lovely support 🙂
May 20, 2013 at 3:25 pm
I am so happy that Cleo made it through! She is a beautiful little girl.
May 20, 2013 at 9:25 pm
Thanks Julie. It truly is a miracle that she survived. She came in today full of spice and energy 🙂
May 20, 2013 at 5:58 pm
Once again I am just awestruck at the work that you do, and the skill and talent that you have. She is a very lucky little kitten – I look forward to hearing more about her new life. Well done!
May 20, 2013 at 9:26 pm
Thanks heaps Jo. It was a team effort and we are very proud of the outcome. Every animal deserves a good go 🙂
May 20, 2013 at 10:13 pm
That poor kitten! It’s hard to imagine so much foreign material inside such a tiny body. How desperate do you have to be to eat plastic and twigs? I’m so glad she found her way to you and you were able to take care of her. She looks so different in those last pictures! I’m glad she’ll be able to live in a home with people who care about her and that she’ll be able to eat actual food instead of plastic and twigs!
May 24, 2013 at 7:44 pm
Hey Laura. We could not believe how much plastic was in her little stomach. It was quite a shocking sight. She is thriving in her new home and just one amazing critter. 🙂
May 23, 2013 at 2:42 am
Wonderful story. What survivor.
May 24, 2013 at 7:45 pm
Hey Isobel. She sure is a survivor. 🙂
May 26, 2013 at 6:47 am
Not every cat has nine lives, but this little one certainly does have, Rayya. I’m so glad she survived all of this, she’s an angel 🙂
June 10, 2013 at 5:58 pm
You are absolutely right, not every cat has 9 lives.
May 27, 2013 at 11:26 pm
I am sure they have 9 lives 😛
June 10, 2013 at 11:27 pm
This little kitten is living proof of that 🙂
June 7, 2013 at 4:15 pm
Wow Rayya – thank you so much for giving little Cleo a chance !! What a lovely ending 🙂
June 10, 2013 at 11:22 pm
She was a true trooper and deserved a good go 🙂
June 6, 2014 at 7:31 pm
Wow!! just wow!!! :’) i for sure teared up I’m so glad Cleo made it!!! Vets like you saving animals lives especially little kittens inspire me everyday i come closer to finishing high school and going to college to be a vet!!! ❤
June 6, 2014 at 7:38 pm
Thanks Stefanie. I wish you a brilliant future and hope you achieve your goal of becoming a vet.