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8/29/08

Here's my Case of the Week

Being that my paint brushes are sadly neglected for the moment, I will share with you my interesting case of the week. This is Sassy, 11 years old Lhasa Apso, that came in with a history of straining to urinate, and passing a little blood in her urine. Yes, she has eyes under there too.

Remember, you can click on the photos and they will enlarge a little bit.




Her bloodwork was fine. So we shot radiographs of her abdomen. And look at her bladder. (red arrow). Normally the bladder would have the same density as soft tissue (muscle, intestines, etc.). Her bladder is as opaque as her bones on the radiograph.


And a ventral-dorsal view.


So off to surgery we go. Here you can see her bladder flipped over and out of the abdominal incision. Normally, the bladder wall would be thin and translucent. Her bladder wall was very thickened from the chronic irritation and inflammation.



So I made a small incision into the bladder, and out popped the bladder stone that was lodged in the neck of the bladder. Kewl, isn't it?

Sassy went home the next day on antibiotics. With her bladder stone to sit on the mantel.


4 comments:

Craig and Tanya Amberson, said...

That's amazing Andy. Thanks for sharing the details of this interesting case. I love happy endings!

TheresaJ said...

Wow, that's huge! No passing that one, that's for sure. Lucky for Sassy that she has a responsible and caring owner and a wonderful vet.

BackwoodSophisticate said...

Oh, how cool! I was a pre-vet drop out, so I love this kind of stuff!! Too bad chemistry made my head spin... and the partying did not help much either... sigh.

Sandy and Jinger said...

Thank You my doggie is having this procedure in the morning. Her stone did not show on Xray but did on ultrasound. I feel so much better after seeing what will be done. jinnyscloset

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