Thrombosis induced urinary bladder rupture in a canine patient with controlled primary immune‐mediated thrombocytopenia

IF 0.3 Q4 VETERINARY SCIENCES
Marta Escobar, Mireia Pascual, Emilie Cloup, Shanti Esmieu, Ferran Valls Sanchez
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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.
一名犬类原发性免疫介导血小板减少症患者因血栓形成导致膀胱破裂
这是一只 7 岁的雌性斯宾格猎犬,已做过绝育手术,因急性绞窄性尿失禁和无排尿报告而就诊。两周前,它被诊断出患有原发性免疫介导的血小板减少症,正在接受泼尼松龙治疗。影像学检查显示,它腹部有积液,膀胱发生了严重变化,可能患有膀胱炎和膀胱壁出血。造影剂检查证实,膀胱壁在其颅腹极破裂。腹腔积液细胞学检查结果为化脓性尿崩症。选择了手术治疗。膀胱出现大面积撕裂,多处疑似坏死。脾脏外观也被认为异常。在这一阶段,选择了安乐术。组织病理学检查显示,膀胱和脾脏有血栓/梗死的特征。
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来源期刊
Veterinary Record Case Reports
Veterinary Record Case Reports Veterinary-Veterinary (all)
CiteScore
0.50
自引率
33.30%
发文量
266
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.
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