- 8 year old ME Rottweiler, presented initially with swollen anus/perineum, then off form, decreased appetite, urinating more
- The prostate is heterogenous with fluid filled areas – is this typical for prostatitis? FNA pending.
- There appeared to be a single very enlarged and rounded LN cranial to prostate and a smaller round hypoechoic LN caudal to the stomach. FNA of large LN was purulent fluid, cytology and culture pending. Why one LN so big? And why is cranial abdominal LN also enlarged do you think?
- 8 year old ME Rottweiler, presented initially with swollen anus/perineum, then off form, decreased appetite, urinating more
- The prostate is heterogenous with fluid filled areas – is this typical for prostatitis? FNA pending.
- There appeared to be a single very enlarged and rounded LN cranial to prostate and a smaller round hypoechoic LN caudal to the stomach. FNA of large LN was purulent fluid, cytology and culture pending. Why one LN so big? And why is cranial abdominal LN also enlarged do you think?
- The bladder seems to have alot of echogenic material in the video 2, with a structure within bladder at top of screen, what is this please?
- Could this all be from prostatitis and if so would you continue with medical management and castration?
- Thanks in advance
Comments
Benign prostatic hyperplasia
Benign prostatic hyperplasia and prostatitis can present similar in appearance. Have you palpated the prostate-was it painful? The fluid filled areas in the prostate look like cysts as there isnt evidence of cellular debris but abscesses are possible. The pending cytology hopefully will help with differentiation.
The structure dorsal to the UB / prostate looks like an abscessed medial iliac lymph node based on location. C/S of this definitely needed. Antibiotics for the prostate and possible abscess would ideally be based on C/S results but a flouroquinolone would be suggested for prostatitis.
The stomach wall layering looks intact yet thickened and suggestive of gastritis. Any signs of vomiting or inappetence? The perigastric lymhadenopathy is likely secondary to this and subjectively looks reactive.
Yes, castration would be recommended. The prostate should inprove over the initial 2 weeks but may take 6 weeks to resolve I believe.