Sonopath Forum

Stone or Mass or Clot???

Ellie is a 6.5 year old boxer that has had several UTI’s in past year.

UA shows significant UTI and owner describes gross hematuria

U/S Wall looks thickened to me and I’m more suspicious a clot in the bladder vs a stone or mass; but I’m not sure. Also in the pelvic urethra it looks like the mucosa is thickened and I think I see a small stone.

And finally, the radiograph has an odd “bump” in trigone area…not sure if it is associated w/ bladder, but the measuements are similar….although on the U/S I think the object is in the cranial portion of the bladder.

Ellie is a 6.5 year old boxer that has had several UTI’s in past year.

UA shows significant UTI and owner describes gross hematuria

I’ve put the dog on a 3 week course of Ciprofloxacin and suggested re-scan at end to see what’s what.

I’d appreciate any thoughts.

Sam

Comments

KV CVT SonoPath

January 12, 2019 at 12:26 am -

Hi Sam, one of our DVM

Hi Sam, one of our DVM specialist’s will answer you soon, but I was wondering if you applied any power doppler to that area? It doesn’t have that shadow radiating like a stone typically does but it appears so hyperechoic.

franklinanimalclinic

January 12, 2019 at 12:52 pm -

Thanks for reminding me, I

Thanks for reminding me, I did put doppler on it and got nothing…Although we have a new machine and I’m still playing with the settings. Later that day I put doppler over a vessel on another scan and didn’t get much return so now I’m not sure if I got a good read on this bladder???

Sam

January 13, 2019 at 10:10 pm -

sorry for the delay i was on

sorry for the delay i was on vacation:)….Looks like sand mucous an dchronic inflammatory but an exploratory cystotomy, urethral lavage and bx warranted… mild potential for tcc. Or could scope.

franklinanimalclinic

January 14, 2019 at 1:38 am -

Never apologize for being on

Never apologize for being on vacation…they’re too few and far between to feel sorry about…although I can’t help but be jealous 😉

Is there some inflammation in the pelvic urethra w/ sand/mucous or am I reaching on my evalutaion?

Sam

January 14, 2019 at 3:32 am -

Im seeing urethral sand and a

Im seeing urethral sand and a slightly but uniformly thickened urethral wall. No reach its real.

rlobetti

January 14, 2019 at 7:57 am -

Can initially also consider

Can initially also consider catheter- assisted biopsy of the lesion as a non-invasive approach before cystotomy.

franklinanimalclinic

January 14, 2019 at 5:18 pm -

Thanks for the replies…
I’m

Thanks for the replies…

I’m reaching out to the owner this week and will discuss options…I like the idea of the catheter; mainly because I haven’t done this before. If I’m remembering correctly I just take a normal urinary cathter and cut the tip at an angle then pass…identify w/ U/S then “stab” into the lesion w/ suction???

Sam

rlobetti

January 14, 2019 at 7:41 pm -

Correct for the technique.

Correct for the technique.

January 16, 2019 at 8:11 am -

Female can be a bit more

Female can be a bit more challenging to place a u catheter.