Traumatic urinary bladder rupture in a dog. Case study
1997
Juhasz, Cs. | Szilagyi, A. | Fekete, R. | Juhasz, T. (Budai Kisallat Klinika Kft., Budapest (Hungary))
A 4-year-old male Wire-haired Foxterrier was brought to the clinic after having been hit by a car. The dog could not stand up since the accident and was in bad general condition. The dog was lethargic, listless and could not move. On clinical examination the dog showed tachycardia and high ventillation. The abdomen was not painful on palpation. Musculosceletal abnormalities could not been observed. The initiated shock treatmentimproved the general conditions, but after a short walk dyspnea and tachycardia returned and the dog could not move again. Abdominal and thoracic radiography showed no evident abnormalities. After repeating it with contrast material given orally passage disturbances could be detected. Laboratory examination of the blood showed high creatinin and carbamid values. The urine contained blood and it was negative for glucose, ketones and bilirubin. Retrograde cystography was also done and the contrast material filling the urethra and the urinary bladder could be well observed, and there was some contrast material entering the abdominal cavity from the bladder. Abdominocentesis revealed fluid with blood and high creatinin content. 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 7 days and then the patient went home. After 20 days the general condition of the dog and laboratory findings of blood and urine were completely normal
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