– 17 year old MN DSH presented ADR and diarrhea
– had been on budesonide for suspected IBD; history of suspected cystitis
– bloodwork with fPLI unremarkable
– urine sediment normal; SG 1.022
– u/s consistent with intestinal IBD vs lymphoma (thick muscularis layer), 1 cm hepatic mass, and apical urinary bladder lesion
I don’t think the lesion seen in the bladder is causing the current clincial symptoms in this patient, but could this be a urachal remnant? this is a sag still and clip of the UB
– 17 year old MN DSH presented ADR and diarrhea
– had been on budesonide for suspected IBD; history of suspected cystitis
– bloodwork with fPLI unremarkable
– urine sediment normal; SG 1.022
– u/s consistent with intestinal IBD vs lymphoma (thick muscularis layer), 1 cm hepatic mass, and apical urinary bladder lesion
I don’t think the lesion seen in the bladder is causing the current clincial symptoms in this patient, but could this be a urachal remnant? this is a sag still and clip of the UB
Comments
Interesting cine. Could this
Interesting cine. Could this be a urachal remnant or is there a small mass effect on the ventral wall breaking up the normal curvi-linear pattern? Strange how is shadows. I slowed the cine and stopped it. There appears to be a very small “lesion” that you can see that is the source of the shadowing. I can’t wait to see what others say.
I thought of a mass too but
I thought of a mass too but couldn’t convince myself . To me this looks more like an out pocketing. I guess good news is that it is in a good surgical spot
I thought of a mass too but
I thought of a mass too but couldn’t convince myself . To me this looks more like an out pocketing. I guess good news is that it is in a good surgical spot
The apical defect is
The apical defect is urachocele for sure and chronic cystitis pattern makes sense given the age of this patient living with it. That looks like a lipoma adhered to the apical wall but sure looks like a mass doesnt it and I couldnt follow the serosal layer clean enough to separate that isoechoic tissue with fat density. Short axis loop should resolve it while we all ponder. 17 year old cats can get what they want pathologically:) Here is a similar confirmed urachocele in a yoounger cat