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犬膀胱镜引导下激光消融异位输尿管后出现疑似输尿管梗阻的结痂性膀胱炎

Encrusted Cystitis with Suspected Ureteral Obstruction Following Cystoscopic-Guided Laser Ablation of Ectopic Ureters in a Dog.

作者信息

Duffy Maura, Gallagher Alex

机构信息

From the Small Animal Hospital, College of Veterinary Medicine, University of Florida, Gainesville, Florida.

出版信息

J Am Anim Hosp Assoc. 2018 Mar/Apr;54(2):117-123. doi: 10.5326/JAAHA-MS-6392. Epub 2018 Jan 26.

Abstract

A 1 yr old 30 kg spayed female Labrador retriever presented for stranguria and hematuria 3 wk after cystoscopic laser ablation for ectopic ureters. Encrusted cystitis was diagnosed based on ultrasonography, cystoscopy, urinalysis, and culture of Corynebacterium urealyticum from the urine. Unilateral hydronephrosis and hydroureter were suspected to be secondary to obstruction at the trigone. The dog was treated with focal debridement of plaques at the left ureter, urinary acidification, and long-term antibiotic therapy with complete recovery. This is the first report of encrusted cystitis as a complication of cystoscopic-guided laser ablation for ectopic ureters, and suggests cystoscopic debridement may be useful if ureteral obstruction occurs.

摘要

一只1岁、体重30千克的已绝育雌性拉布拉多寻回犬,在因异位输尿管接受膀胱镜激光消融术后3周,出现排尿困难和血尿。根据超声检查、膀胱镜检查、尿液分析以及从尿液中培养出解脲棒状杆菌,诊断为结痂性膀胱炎。怀疑单侧肾积水和输尿管积水是继发于膀胱三角区梗阻。该犬接受了左侧输尿管斑块的局部清创、尿液酸化以及长期抗生素治疗,最终完全康复。这是首例关于结痂性膀胱炎作为膀胱镜引导下激光消融治疗异位输尿管并发症的报告,并表明如果发生输尿管梗阻,膀胱镜清创术可能有用。

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