– 11 year old MN DSH presented with having urine accidents in the house with blood
– bladder large and very firm on palpation and referring DVM attempted cystocentesis however he said that the bladder wall was extremely hard/firm and he was unable to get a urine sample so he submitted slides for cytology – came back as neutrophilic inflammation
– 11 year old MN DSH presented with having urine accidents in the house with blood
– bladder large and very firm on palpation and referring DVM attempted cystocentesis however he said that the bladder wall was extremely hard/firm and he was unable to get a urine sample so he submitted slides for cytology – came back as neutrophilic inflammation
– u/s shows what looks like a complex mass causing distension and occupying most of the lumen and entering the trigone and proximal urethra. There is effusion around the urethra and apex of the bladder. No medial iliac LN’s seen
– left kidney small and degenerate with small renoliths and right kidney normal in size with mild pylecatasia (patient was on IV fluids)
– this mass did not show positive Doppler colour flow, I have seen mucus in urine look like this but the debris was not mobile – any thoughts?
Comments
OK- Ill commit- lots of
OK- Ill commit- lots of debris in the bladder with a thickened wall. I see some shadowing along with a bit of side lobe artifact. Lets see what EL says.
Would be concerned about a
Would be concerned about a possible bladder mass and would try a catheter assisted aspirate.
bladder lymphoma possible vs
bladder lymphoma possible vs tcc, yes traum cath is the way to go.