James Daniel R, Collins David, Johnson Philippa J, Marchevsky Andrew M
Department of Small Animal Surgery, Small Animal Specialist Hospital, Sydney, Australia.
Department of Small Animal Internal Medicine, Small Animal Specialist Hospital, Sydney, Australia.
JFMS Open Rep. 2015 Sep 3;1(2):2055116915603384. doi: 10.1177/2055116915603384. eCollection 2015 Jul-Dec.
A 10-month-old female spayed domestic shorthair cat was presented for urinary incontinence. The cat was azotaemic, and ultrasound examination identified hydroureter and hydronephrosis. Subsequent computed tomography (CT) contrast pyelography allowed a diagnosis of urinary bladder torsion. Surgical findings and treatment are described. Postoperatively, incontinence and azotaemia resolved, and marked improvements were documented with ultrasound and CT in urinary tract structural abnormalities.
To our knowledge, urinary bladder torsion has not been previously reported in the cat. This case most probably occurred as a complication of ovariohysterectomy, as has been reported in the dog; however, the presenting sign of chronic urinary incontinence is unique. Response to surgical correction was favourable.
一只10个月大已绝育的雌性家养短毛猫因尿失禁前来就诊。该猫存在氮质血症,超声检查发现输尿管积水和肾积水。随后的计算机断层扫描(CT)肾盂造影确诊为膀胱扭转。文中描述了手术所见及治疗情况。术后,尿失禁和氮质血症均得到缓解,超声和CT检查显示尿路结构异常有显著改善。
据我们所知,此前尚未有猫膀胱扭转的报道。该病例很可能是卵巢子宫切除术的并发症,就像在犬类中所报道的那样;然而,慢性尿失禁这一临床表现却很独特。手术矫正的效果良好。