A 16-year-old NM Miniature Pinscher was presented for evaluation of hematuria. Abnormalities on serum biochemistry were elevated liver enzyme activity (ALT 222, ALP 1023), cholesterol, and triglycerides.
Case Study
06-00313 Max S Prostatic and urethral mass ——-NEED SL——-
Sonographic Differential Diagnosis
Prostatic and urethral mineralizing mass. Suspect carcinoma.
Concurrent bladder sand.
Traumatic catheterization was performed without complication. Guarded to poor prognosis.
Image Interpretation
The urinary bladder presented 1.0 cm of sand accumulation. The pelvic urethra was infiltrated with a mineralizing mass. The mass involved the prostate. Power Doppler demonstrates the vascularity of the mass to distinguish it from a collection of debris. Disruption of architecture was noted along with capsular expansion. The infiltrative pattern within the urethra extended past the prostatic urethra.
DX
Prostatic and urethral mass
Outcome
None
Clinical Differential Diagnosis
Bladder – neoplasia, uroliths, bacterial cystitis
Prostate – neoplasia, prostatitis
Liver – neoplasia, nodular regeneration, reactive hepatopathy, vacuolar hepatopathy
Gall bladder – mucocele, cholecystitis
Cushing’s disease
Sampling
??
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Clinical Signs
- Hematuria
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
- Chloride, Low
- Hypertriglyceridemia
Clinical Signs
- Hematuria