Hi everyone,
8 y.o female desexed siamese that presented for recurrent urinary tract infection. Patient also has chronic renal failure. Last urine culture grew E.coli. The ultrasound of the bladder seems to suggest some sort of ‘flaccid’ urinary bladder wall.
Questions:
1. Does myogenic failure (destrusor areflexia) presents like this?
2. What is the correct decription for this changes?– is ‘flaccid’ a correct term?
Hi everyone,
8 y.o female desexed siamese that presented for recurrent urinary tract infection. Patient also has chronic renal failure. Last urine culture grew E.coli. The ultrasound of the bladder seems to suggest some sort of ‘flaccid’ urinary bladder wall.
Questions:
1. Does myogenic failure (destrusor areflexia) presents like this?
2. What is the correct decription for this changes?– is ‘flaccid’ a correct term?
Comments
Usually with a myogenic
Usually with a myogenic bladder you get a very full bladder with a thin “stretched wall – this bladder appears to have an a convoluted and irregular wall. With the chronic cystitis, pylectasia/early hydronephrosis, and chronic kidney disease; bladder wall neoplasia and granulomatous cystitis with involvement of the trigone area needs to be considered.
hi Remo,
Thanks for the
hi Remo,
Thanks for the reply. I’m sorry I didn’t take a longer video. When I was scanning the U.Bladder, the wall was observed to be curving into the lumen and out again, not that it is irregular. It seemed to maintained the same thickness throughout the ‘convulations’, kinda like the rugae folds in a stomach. Do patients with myogenic bladder always present with a full bladder? what happens when they empty their bladder?
Regards,
Priscilla
Myogenic bladder implies that
Myogenic bladder implies that the bladder is paralyzed and therefore will only be empty if the bladder is expressed or catherized.
chronic mural echogenic and
chronic mural echogenic and strating bladder wall changes extending in near transmural fashion, Submucosal layer is thickened but in tact with hypertrophied mucularis. Full thickness sampling histopath and culture warranted. Peyelctasia of the insterstitial nephrosis renal pattern may be form scarring or embedded UTI/pyelonephritis. Lilkel;y chronic e coli that will take a lifetime to clear but underlying instertitial inflammation in bladder and kidney may be a predisposing factor. I doubt neoplasia but tcc always possible with these but she’s a little young for it. Predisposing vaginal issues that would chronically seed e coli?
Hi Eric!
Thanks for the
Hi Eric!
Thanks for the reply:) Cat was unfortunately put to sleep as she wasn’t responding to antibiotics or IV fluids. No post mortem was done.. Really wanted to know how that bladder looks in real life! Thanks for ur help!
Pris