Interesting Cases

Case of the Month

Gizmo, a 2 year old female Pug came to see us at the end of September. Her owners had noticed that she was urinating very frequently and straining to urinate. Her urine was also blood tinged. These classic signs of cystitis were treated by the vet with antibiotics. Two days later her urine was very red, and she seemed to be having some trouble urinating. She was examined again and her bladder was emptied to provide a urine sample for analysis.

Her urine was examined under the microscope, but apart from lots of red blood cells there was nothing else unusual to see. Further samples were sent to an external laboratory for more detailed testing. She was given a different type of antibiotic and some anti-inflammatory medication to make her feel more comfortable whilst we awaited the results.

Gizmo did improve somewhat on the medication, but she still wasn't quite right. The urine results came back showing no evidence of bacterial infection or other abnormalities. We discussed possible options of how to proceed with Gizmo's owners, and it was decided to do further investigations to find out the cause of Gizmo's bladder problems.

Gizmo came in the following day, and after blood tests to check for any underlying anaemia, kidney or liver problems she was put under general anaesthetic. Her abdomen was x-rayed and this revealed four stones ("urinary calculi") within her bladder. It was decided that the best way to treat Gizmo was to perform surgery to remove the stones. After obtaining permission from the owner, surgery was performed immediately.

Post operatively 2 small scars as opposed to large incision

Fortunately for Gizmo, we were able to perform the procedure by "keyhole surgery" techniques using our video endoscopy equipment.

This meant that she had only two small scars in her abdomen as opposed to the usual large incision that is necessary with traditional surgical methods. Calculi being removed from the bladder using forceps.

Calculi being removed from the bladder using forceps

 

 

 

 

 

The stones have been sent for analysis to determine whether Gizmo requires a change of diet to prevent formation of any further stones. Gizmo is recovering well from surgery, and is already playing with Lexi, the family's new pug puppy.