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Persistent urachus?

Sonopath Forum

Sonopath Forum

Persistent urachus?

Greetings everyone,

This is a female intact 10yo Boxer, with history of on&off hematuria for some weeks now. The refering vet thought it was an UTI and she was put on NSAIDs + antibiotic. The signs resolved during the treatment, but reappeared a week after.

I’ve never seen anything like this, but it seems that there is a diverticulum of the cranial bladder wall with uroliths inside. Could it be a persistent urachus?

 

Greetings everyone,

This is a female intact 10yo Boxer, with history of on&off hematuria for some weeks now. The refering vet thought it was an UTI and she was put on NSAIDs + antibiotic. The signs resolved during the treatment, but reappeared a week after.

I’ve never seen anything like this, but it seems that there is a diverticulum of the cranial bladder wall with uroliths inside. Could it be a persistent urachus?

 

Comments

EL
October 26, 2017 at 3:09 am -

You are getting echo dropout

You are getting echo dropout at the apex of the bladder but I think your interpretation is solidly plausible and worth surgery for partial apical cystectomy and stone removal.

jobrag
October 26, 2017 at 7:21 am -

I tried different positions
I tried different positions but I simply cannot get that image that confirms the connection between these structures, there is always that blur. This happened to me recently in a cranial pole adrenal tumor, there was this acoustic shadow that didn’t let me have a image contiguous to the normal caudal pole.

I suggested exploratory laparotomy and partial cistectomy. If there is any further development I will post it here.

Thanks for the reply!

EL
October 26, 2017 at 1:38 pm -

Sure try scanning the same

Sure try scanning the same area with the animal standing or from the directly opposite direction.

jobrag
October 26, 2017 at 2:07 pm -

The clips that I posted are
The clips that I posted are in the standing and dorsal recumbency positions, abd unfortunately they produce practically the same image… Bad luck I guess 🙂

jobrag
October 26, 2017 at 2:07 pm -

The clips that I posted are
The clips that I posted are in the standing and dorsal recumbency positions, abd unfortunately they produce practically the same image… Bad luck I guess 🙂

jobrag
November 3, 2017 at 7:24 pm -

Greetings,
Upon surgery a
Greetings,

Upon surgery a persistent urachus with a tiny communication to the bladder was confirmed and resected.

Case closed 🙂

jobrag
November 3, 2017 at 7:24 pm -

Greetings,
Upon surgery a
Greetings,

Upon surgery a persistent urachus with a tiny communication to the bladder was confirmed and resected.

Case closed 🙂

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