A 6-year-old NM DSH was presented for evaluation of one week duration of stranguria and mild hematuria.
Case Study
06_00308 Taz L 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.
DX
Concentric bladder wall thickening, sand
Outcome
None
Clinical Differential Diagnosis
Bladder – interstitial cystitis, bacterial cystitis, neoplasia, uroliths, polyploid cystitis
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Hematuria
- Stranguria
Images
Clinical Signs
- Hematuria
- Stranguria