An 8-year-old female DSH was presented for evaluation of hematuria.
Case Study
06_00257 Lily M Interstitial cystitis, cystic calculi
Sonographic Differential Diagnosis
Interstitial cystitis with concurrent bladder stone.
A cystotomy, bladder wall biopsy and culture, and stone analysis are recommended. Part of the underlying issue may not be only the calculus but also urinary bladder wall disease.
Image Interpretation
A 1.1 cm uniform, shadowing calculus was noted in the urinary bladder. However, the bladder wall itself revealed a 0.6 cm ventral apical wall thickening consistent with interstitial cystitis or similar.
DX
Chronic cystitis with hemorrhage
Outcome
Cystotomy was performed and revealed struvite stone. The patient was placed on C/D diet. The patient is doing well at home.
Clinical Differential Diagnosis
Bladder – urolith, neoplasia, polyploid cystitis, interstitial cystitis, bacterial cystitis, granulomatous cystitis
Kidney – renolith, neoplasia, pyelonephritis
Sampling
Bladder wall biopsy revealed mild chronic cystitis with hemorrhage.
Video
Patient Information
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Hematuria
Images
Clinical Signs
- Hematuria