{"title":"Thrombosis induced urinary bladder rupture in a canine patient with controlled primary immune‐mediated thrombocytopenia","authors":"Marta Escobar, Mireia Pascual, Emilie Cloup, Shanti Esmieu, Ferran Valls Sanchez","doi":"10.1002/vrc2.897","DOIUrl":null,"url":null,"abstract":"A 7‐year‐old, female, spayed springer spaniel presented due to acute stranguria and absence of reported urination by the owner. Two weeks earlier, it had been diagnosed with primary immune‐mediated thrombocytopenia for which it was receiving prednisolone. Imaging revealed the presence of abdominal effusion and severe urinary bladder changes, compatible with cystitis and urinary bladder wall haemorrhage. A urinary bladder wall rupture at its cranioventral pole was confirmed with contrast study. Cytology of the abdominal fluid concluded septic uroabdomen. Surgical management was elected. A large urinary bladder tear was present along with multi‐focal areas of suspected necrosis. The splenic appearance was also considered abnormal. At that stage, euthanasia was elected. Histopathology revealed features suggestive of thrombosis/infarcts in the urinary bladder and spleen.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Record Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/vrc2.897","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
A 7‐year‐old, female, spayed springer spaniel presented due to acute stranguria and absence of reported urination by the owner. Two weeks earlier, it had been diagnosed with primary immune‐mediated thrombocytopenia for which it was receiving prednisolone. Imaging revealed the presence of abdominal effusion and severe urinary bladder changes, compatible with cystitis and urinary bladder wall haemorrhage. A urinary bladder wall rupture at its cranioventral pole was confirmed with contrast study. Cytology of the abdominal fluid concluded septic uroabdomen. Surgical management was elected. A large urinary bladder tear was present along with multi‐focal areas of suspected necrosis. The splenic appearance was also considered abnormal. At that stage, euthanasia was elected. Histopathology revealed features suggestive of thrombosis/infarcts in the urinary bladder and spleen.
期刊介绍:
Vet Record Case Reports is an online resource that publishes articles in all fields of veterinary medicine and surgery so that veterinary professionals, researchers and others can easily find important information on both common and rare conditions. Articles may be about a single animal, herd, flock or other group of animals managed together. Common cases that present a diagnostic, ethical or management challenge, or that highlight aspects of mechanisms of injury, pharmacology or histopathology are deemed of particular educational value. All articles are peer reviewed and copy edited before publication.