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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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3 year old Domestic Longhair

November 4, 2021 By Allison Zwingenberger

This week’s case is a 3-year-old domestic long haired cat with suspected trauma. Post your interpretations in the comments section.

Show findings...

Findings

ABDOMEN: A lateral survey radiograph of the abdomen demonstrates a urinary catheter placed within the urinary bladder. There is soft tissue mottling of the subcutaneous tissues and swelling of the left hind limb as well as the ventral abdomen. There is soft tissue opacity in the retroperitoneal space; however, the peritoneal detail is normal.
URETHROGRAM: 10 mls of iodinated contrast medium was administered into the urinary bladder through the catheter. There is leakage of contrast from the pelvic urethra into the subcutaneous tissues of the hind limb and the retroperitoneal space and perineum.
Show diagnosis…

Diagnosis

Ruptured urethra
Show discussion…

Discussion

The bladder is contained in the retroperitoneal space, so tears in the urethra allow urine extravasation into the retroperitoneal and perineal tissues. Hind limb swelling and cutaneous bruising from the irritating urine are characteristic presenting signs. In this case, a urinary catheter had been placed, so contrast was injected into the bladder instead of the urethra. Contrast was still able to flow retrograde around the small catheter to demonstrate the rupture.

Filed Under: Abdomen, Case of the Day, Feline, Radiographs

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