Donà C, Manfredi M, Auletta L, Zambelli M, Brambilla E, Bassi J, Longo M
Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy.
Zooprophylactic Institute of Lombardy and Emilia-Romagna, Brescia, Italy.
J Small Anim Pract. 2025 Aug;66(8):587-591. doi: 10.1111/jsap.13858. Epub 2025 Mar 26.
A 10-year-old male mixed-breed dog presented with vomiting and anuria. The dog was living indoors, and no trauma was reported by the owner. Ultrasonography and a retrograde urethrogram revealed the presence of a urinary bladder leakage. A celiotomy was performed to repair a urinary bladder tear, along with a biopsy of the urinary bladder wall. Histopathological features consisted of lymphoplasmacytic cystitis with haemorrhages and multifocal fibrotic areas within the muscular layers. Spontaneous rupture of the urinary bladder without evidence of trauma is a well-known, though rare, condition in human medicine. The chronic inflammation detected in the present case, along with fibrosis, caused the weakening of the urinary bladder wall, leading to perforation. This is the first documented veterinary case of spontaneous rupture of the urinary bladder secondary to chronic inflammation and highlights the importance of including this condition in the differential diagnosis of patients presenting with uroperitoneum without underlying trauma.
一只10岁的雄性混血犬出现呕吐和无尿症状。该犬生活在室内,主人未报告有外伤情况。超声检查和逆行尿道造影显示存在膀胱渗漏。进行了剖腹术以修复膀胱撕裂,并对膀胱壁进行活检。组织病理学特征包括淋巴细胞性膀胱炎伴出血以及肌层内的多灶性纤维化区域。膀胱无外伤证据的自发性破裂在人类医学中是一种已知但罕见的病症。本病例中检测到的慢性炎症以及纤维化导致膀胱壁变薄,进而引起穿孔。这是首例有记录的继发于慢性炎症的膀胱自发性破裂的兽医病例,强调了在对无潜在外伤的尿腹症患者进行鉴别诊断时纳入这种病症的重要性。