Lopez Julio, Norman Brian C
VCA California Animal Hospital Veterinary Specialty Group, Los Angeles, CA.
J Am Anim Hosp Assoc. 2014 Nov-Dec;50(6):414-6. doi: 10.5326/JAAHA-MS-6068. Epub 2014 Sep 23.
A 34.4 kg 5 yr old spayed female mixed-breed dog was presented for evaluation of a urinary bladder mass. The dog had a recent onset of hematuria and stranguria but otherwise appeared to be healthy. Abdominal ultrasound revealed a mass in the urinary bladder. The dog was sedated and a 10-French rubber catheter that had the blunt end removed was passed from the urethra to the urinary bladder. Using ultrasound guidance, ellipsoid cup biopsy forceps were advanced through the rubber catheter to the urinary bladder mass and biopsies were successfully obtained. The dog was discharged from the hospital a few hours after the procedure. Histopathology of the mass was consistent with polypoid cystitis. Follow-up surgical removal of the polyp was uneventful, and histopathology confirmed the presurgical biopsy diagnosis. Procurement of urinary bladder biopsies through a urinary catheter with ultrasound guidance was used as a minimally invasive alternative to either cystoscopy or surgery in a bitch. Use of this technique achieved a diagnosis without the need for specialized endoscopic equipment, anesthesia, or surgery.
一只34.4千克的5岁绝育雌性混种犬因膀胱肿物前来评估。该犬近期出现血尿和排尿困难,但其他方面看起来健康。腹部超声显示膀胱有肿物。对该犬进行镇静后,将一根去除钝端的10法式橡胶导管经尿道插入膀胱。在超声引导下,将椭圆形杯状活检钳经橡胶导管推进至膀胱肿物处,成功获取了活检组织。术后数小时该犬出院。肿物的组织病理学检查结果与息肉样膀胱炎相符。后续对息肉进行手术切除过程顺利,组织病理学检查证实了术前活检诊断。在一只母犬中,通过超声引导经尿管获取膀胱活检组织作为膀胱镜检查或手术的微创替代方法。使用该技术无需专门内镜设备、麻醉或手术即可实现诊断。