I'd like to see what you folks out there think of a case I dealt with recently. Gabe is a 9 year old, NM, labrador mix who presented for routine vaccinations, heartworm testing, and examination. On exam, it was noted that his abdomen appeared distended and mildly tense / painful on palpation of the caudal region. He was leaking urine uncontrollably and this increased with palpation. It was difficult to determine if there was a mass because of his tenseness but there was a moderately enlarged bladder for sure. Because of this, I recommended abdominal radiographs and submit the lateral view for your examination. What do you think?? I'll post a follow-up in a few days with the interesting results.
4 comments:
Did it rupture? Surely the white area isn't his bladder....
You've got a small bladder with a stone in the middle of it and a generalized decrease in abdominal serosal detail. I would be worried about a previous rupture secondary to uroliths and subsequent uroabdomen.
What was his PE like? Bloodwork? Abdominocentesis results?
I would have preceded with bloodwork, abdominocentesis, and an abdominal ultrasound to better characterize what was going on in that abdomen.
There is a pretty impressive stone in the bladder, I wonder about the stomach in the area of the pylorus? A VD view might give more information about exact location. I'd definitely want an AUS to see what the heck is going on in there, but I'd totally settle for an explore :) I love explores.
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