Diagnosis and treatment of urinary bladder rupture in a dog. Case study
1997
Voros, K. (Univ. of Vet. Sci., Budapest (Hungary). Dep. and Clinic of Internal Med.) | Fenyves, B. (Univ. of Vet. Sci., Budapest (Hungary). Dep. and Clinic of Surgery and Ophthalmology) | Vrabely, T. | Nemeth, E. (Univ. of Vet. Sci., Budapest (Hungary). Dep. and Clinic of Internal Med.)
A 12 and a half year-old male German Shepherd was brought to the clinic with lethargy, listlessness, vomiting, and anorexia. On clinical examination the dog showed tachycardia and dyspnoe and the abdomen was full and painful on palpation. Laboratory examination of the blood showed compensated metabolic acidosis and high creatinin values. The urine contained blood and pus and it was negative for glucose, ketones and bilirubin. Echocardiography revealed no abnormalities in the kidneys and showed the urinary bladder empty. There was some free fluid in the abdomen that had a very high creatinin content. After that retrograde cystography was done and the contrast material filling the urethra and the abnormally shaped urinary bladder could be well observed, however, there was no contrast material entering the abdominal cavity. Therefore the urinary bladder was filled with saline solution and during gentle pressure of the bladder the ultrasonographic view revealed the leaking of the urinary bladder into the abdomen. After instituting IV fluid therapy and maintaining the fluid balance exploratory laparotomy was performed. The urine was removed from the peritoneal cavity and the rent on the urinary bladder was closed after debridement of the edges. Patient monitoring was done for 3 days and then the patient went home. After 3 and a half months the dog showed the same symptoms. The new rent was again corrected surgically and the dog keeps to be healthy for more than 6 month after surgery
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