A 10-old FS Sheltie was presented for evaluation of hematuria.
A 10-old FS Sheltie was presented for evaluation of hematuria.
Case Study
Hematuria in a 10 yr old, FS, Sheltie
DX
Urethral and bladder masses
Sonographic Differential Diagnosis
Urethral and bladder masses, mineralizing consistent with transitional cell carcinoma.
Enlarged, irregular left adrenal gland. Likely adenoma. Minor potential for pheochromocytoma.
Age related renal changes.
Image Interpretation
The urethra in this patient presented an infiltrative mass extending at least 4 cm caudal to the cystourethral junction and into the pelvis with expansive mineralizing tumor in the deep pelvis. Bladder itself revealed a separate mass that is highly vascular. The mass measured approximately 3 cm. Small calculi were also noted in the bladder.
Right adrenal gland was uniform and measured 2.46 x 1.09 cm cranial; 0.93 cm caudal. Left adrenal gland slightly enlarged measuring 2.6 x 1.08 cm cranial; 0.89 cm caudal with irregular contour to the cranial pole.
Outcome
Recommend Ultrasound-guided laser ablation/UGELAB in this patient. This may be performed in Ridgewood Veterinary Hospital, Ridgewood, New Jersey. Otherwise urethral stent placement could be considered as an option.Poor long-term prognosis. The urethral mass is the more imminent issue.
Clinical Differential Diagnosis
Bladder – cystitis, neoplasia, uroliths, polyploid cystitis
Urethra – granulomatous urethritis, neoplasia, urolith
Renal – neoplasia, renolith, pyelonephritis
Systemic – hypertension, hemorrhagic diathesis
Video
Patient Information
Patient Name :
Misty Shaner
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Clinical Signs
- Hematuria
Images
Clinical Signs
- Hematuria