Emphysematous cysitis canine
Publication Date: 2016-11-02
History
6 year old female spayed mixed breed dog. Hematuria, stranguria.History of poorly controlled diabetes.
6 images
Findings
Orthogonal radiographs of the abdomen are available for interpretation.
The patient is in good body condition score, the serosal detail in the abdominal cavity is within normal limits.
Within the lumen of the urinary bladder there is a large amount of gas which is following the outline of the bladder wall some of those lucencies are superimposed with the bladder wall itself. The content of the urinary bladder also has an irregular appearance due to the presence of gas within it. At the level of the trigone, there are multiple small gas lucencies which are not superimposed with the bladder outline.
There is no evidence of gas superimposed with the renal pelvises or ureters.
The remainder of the abdomen is within normal limits radiographically.
The caudal thorax is within normal limits. There is mild ventral spondylosis at the level of L4-L5.
Diagnosis
Emphysematous cystitis. Due to the small gas lucencies superimposed with the bladder trigone, bladder tear or gas extravasation cannot be ruled out.
Pathophysiology data
Radiographic evidence of emphysematous cystitis due to infections with glucose-fermenting organisms such as Proteus sp, Aerobacter aerogenes, and Escherichia coli, which result in gas formation in the wall and lumen of the bladder, is suggestive of diabetes mellitus. Emphysema also may develop in the wall of the gallbladder in diabetic dogs.
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