A 4-year-old NM pug was presented for evaluation of stranguria.
A 4-year-old NM pug was presented for evaluation of stranguria.
Case Study
Chronic urinary cystitis, sand, and calculi in a 4 year old MN pug
Sonographic Differential Diagnosis
Chronic cystitis with bladder sand and calculi. Urethral sand and calculi. Cystotomy with bladder wall biopsy is recommended to ensure that only chronic cystitis is present. Sand analysis, as well as both normograde and retrograde flushing would be warranted.
Image Interpretation
The urinary bladder in this patient presented chronic cystitis pattern with micropolypoid changes at the apex, which were relatively uniform. However, the bladder itself presented 4.0 cm of progressively shadowing sand and debris with urethral sand and small calculi.
DX
Chronic E.coli cystitis with bladder and urethral sand and calculi.
Outcome
The patient will finish antibiotics and continue on S/D diet, but the patient appears to be doing well.
Clinical Differential Diagnosis
Stranguria – urethral pathology (urolith, urethritis, trauma, stenosis), bladder pathology (urolith, bacterial cystitis, chronic cystitis, polyp).
Sampling
Organisms on Urine MIC were Escherichia coli and appear sensitive.
Video
Patient Information
Patient Name :
Wyatt R
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
06_00097
Clinical Signs
- Stranguria
Images
Clinical Signs
- Stranguria