Millie is a 2 years old Pug that initially presented for straining to urinate, blocked on October 2017. She was diagnosed with bladder stones and had a cystotomy done .According to owner she is incontinent ever since the surgery; she is still urinating with a good stream but also dribbling urine ( wearing a diaper..)
Her bloodwork ( CBC, Chem, lytes) is normal but BUN, Creat is high normal
U/S showed normal bladder wall ( no suture reaction, no TCC), intravesical ureters seen on doppler after Furosemide inj.Bilateral hydronephrosis evident but no definitive urolith seen while scanning the dilated ureters or bladder.
I wonder if this presentation can be pyelonephritis as was suggested by a radiologist ( teleradiology); because I never seen one so bad… or this is most likelly due to stricture, other. If partial obstructed by ureterolithiasis would I still see good ureter jets?
Thank you,
Calin
Comments
There may be pyelonephritis here but the ureter is dilatd and given throhx of obstruction then ureteral stricture from stone passage likely here. Would need to follow the ureter fiurther til it tapers or ends at the trigone. Can do a pyelocentesis to culture and check if septic kindey but im not seeing much inflammation.