Cystic and ureteral calculi in a 3 year old FS DSH cat

Case Study

Cystic and ureteral calculi in a 3 year old FS DSH cat

 A 3-year-old spayed female DSH cat was presented for evaluation of a recurrent urinary tract infection. On the last urinalysis, normal specific gravity (1.030), proteinuria, and a negative culture were evident.

 A 3-year-old spayed female DSH cat was presented for evaluation of a recurrent urinary tract infection. On the last urinalysis, normal specific gravity (1.030), proteinuria, and a negative culture were evident.

Sonographic Differential Diagnosis

Bladder calculi with urethral calculus and thickened bladder wall. The thickening may be due to calculi irritation or underlying mural disease such as interstitial cystitis. Cystotomy and retrograde flushing of the urethra in order to liberate the urethral stone, as well as bladder wall biopsy, would be recommended. Urine culture and sensitivity is also recommended.

Image Interpretation

The urinary bladder presented multiple, small calculi with a urethral calculus that measured 1.0 cm. The wall was uniformly thickened. The kidneys appeared normal.

DX

Cystitis and cystic calculi

Outcome

None

Clinical Differential Diagnosis

Bladder pathology – interstitial cystitis, granulomatous cystitis, polyploid cystitis, uroliths. Renal pathology – pyelonephritis, renolith.

Sampling

Urine culture revealed Enterococcus. Biopsy of the urinary bladder revealed hemorrhagic chronic cystitis.

Patient Information

Patient Name : Emily O
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 06_00150

Clinical Signs

  • Signs of UTI

Images

better_bladderstone

Clinical Signs

  • Signs of UTI