The patient is an 8 year old, MN, canine Queensland Healer Cross that presented for hematuria. Clinical exam was uneventful. CBC and chemistry panel was unremarkable. Hematuria and evidence of UTI was present in the urinalysis.
The patient is an 8 year old, MN, canine Queensland Healer Cross that presented for hematuria. Clinical exam was uneventful. CBC and chemistry panel was unremarkable. Hematuria and evidence of UTI was present in the urinalysis.
Case Of the Month
Hematuria
Outcome
The patient recovered uneventfully. Oncology consultation pending.
Comments
Special thanks to Dr. Doug Casey of English Bay Ultrasound, Vancouver, BC, Canada and Dr Phil Anderson and Staff Animal Care Clinic (http://animalcareclinicvancouver.com) for the excellent management of this case
Clinical Differential Diagnosis
(Lobetti)
Bladder – neoplasia, uroliths, bacterial cystitis, trauma
Prostate – neoplasia, abscess
Kidney – neoplasia, renolith, pyelonephritis, trauma
Sampling
(Dr. Doug Casey): US-guided FNA of the ureteral mass revealed epithelial atypia. Surgical biopsy of the right ureteral mass revealed ureteral sarcoma with hemorrhage. Right kidney: Hydronephrosis, pelvic hemorrhage, parenchymal atrophy, fibrosis, mild interstitial lymphoplasmacytic nephrosis.
Sonographic Differential Diagnosis
(Lindquist): Obstructive right ureteral mass with extension into right renal pelvis and secondary hydronephrosis. Potential pelvic blood clot. Mass appears resectable with right nephro-ureterectomy. Suspect transitional cell carcinoma or sarcoma.
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Status :
Complete
Images
