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06_00308 Taz L Concentric bladder wall thickening, sand

Case Study

06_00308 Taz L Concentric bladder wall thickening, sand

A 6-year-old NM DSH was presented for evaluation of one week duration of stranguria and mild hematuria. 

 

DX

Concentric bladder wall thickening, sand

Sonographic Differential Diagnosis

Bladder sand and calculi with interstitial cystitis pattern. There is a potential for bladder lymphoma. Bladder wall biopsy is important in this case as well as sand analysis and possible PU surgery. Guarded to good prognosis. Identification of the inflammatory cell type in the bladder wall is essential in this case for long term management.

Image Interpretation

The urinary bladder revealed concentric wall thickening with sand accumulation measuring approximately 1.0 cm. Attached mucous and debris was noted. The bladder wall at mild repletion measured 0.48 cm. This is most consistent with interstitial cystitis with a mild potential for bladder lymphoma. Biopsy at the time of surgery is strongly recommended.

Outcome

None

Clinical Differential Diagnosis

Bladder – interstitial cystitis, bacterial cystitis, neoplasia, uroliths, polyploid cystitis

Sampling

None

Patient Information

Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Hematuria
  • Stranguria

Images

taz_1image1

Clinical Signs

  • Hematuria
  • Stranguria