Intravesical Instillation of Dilute Formalin for the Treatment of Severe Hemorrhagic Emphysematous Cystitis in a Diabetic Dog

2004 ◽  
Vol 40 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Todd D. Henrikson ◽  
Lisa Moore ◽  
David S. Biller ◽  
Thomas Schermerhorn
Keyword(s):  
Veterinary Medicine ◽  
Case Report ◽  
Urinary Bladder ◽  
Hemorrhagic Cystitis ◽  
Intravesical Instillation ◽  
Emphysematous Cystitis ◽  
Life Threatening ◽  
Diabetic Dog

Intravesical formalin is a known treatment for control of hemorrhagic cystitis caused by multiple etiologies in humans and dogs. This case report documents the successful use of intravesical formalin for the treatment of severe hemorrhagic cystitis that occurred secondary to emphysematous cystitis in a diabetic dog. In addition, a review of emphysematous cystitis and the use of intravesical formalin in human and veterinary medicine is discussed. Formalin instillation into the urinary bladder is an option for life-threatening, refractory cases of hemorrhagic cystitis; but clinicians must be familiar with the proper technique and be aware of potential complications prior to its use.

scholarly journals RUPTURE OF THE URINARY BLADDER DUE TO EMPHYSEMATOUS CYSTITIS: A CASE REPORT

2012 ◽  
Vol 103 (4) ◽  
pp. 627-630
Author(s):  
Kazuna Tsubouchi ◽  
Shinichiro Irie ◽  
Manabu Mikuriya ◽  
Kazuhiro Yoshida ◽  
Masatoshi Tanaka
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Emphysematous Cystitis

scholarly journals Clinical, Laboratory and Ultrasonographic Findings of Diabetic Dog with Emphysematous Cystitis

2019 ◽  
Vol 47 ◽  
Author(s):  
Francisco Felipe De Magalhães ◽  
Francisco Jucélio Correia Canuto ◽  
Gisele De Oliveira Matos Gomes ◽  
Marília Lídia Maia Rôla ◽  
Roméria Rodrigues Barbosa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Urinary Bladder ◽  
Clinical Laboratory ◽  
Urine Culture ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Diagnostic Tools ◽  
Emphysematous Cystitis ◽  
History Of ◽  
Diabetic Dog

Background: Emphysematous cystitis is a rare inflammatory disease of the lower urinary tract characterized by the accumulation of gas within the wall and lumen of the urinary bladder. The clinical manifestations of emphysematous cystitis resemble those of bacterial cystitis, often hindering the differentiation between the two. In this work, we report a case of emphysematous cystitis in a diabetic dog. The diagnosis of cystitis was followed by ultrasonography for the early detection of emphysematous cystitis, which showed the presence of multifocal and irregular hyperechoic interfaces forming a distal reverberation artifact.                                                                                       Case: A 9-year-old female dog was referred to VETCLINIC Veterinary Hospital 24 hours with a history of urinary incontinence, polydipsia, polyuria, and diabetes mellitus. At first, the blood glucose was measured and found to be 376 mg/dL. Blood count, biochemical measurements of alkaline phosphatase (AF), urea, creatinine, and alanine aminotransferase (AAT), urinalysis, urine culture with antimicrobial susceptibility testing, and abdominal ultrasonography were performed. The hematological exams showed that the serum was lipemic and with hemolysis; the values of AAT, AF, and total plasma proteins were above the reference values; hematocrit was below the normal level; erythrocyte rouleaux and thrombocytosis with platelet aggregates were present. Urinalysis showed the presence of traces of proteins, glucose, and occult blood as well as granular and hyaline cylinders and transitional epithelial cells. In urine culture, growth of the aerobic bacteria Klebsiella pneumoniae was observed, being sensitive to most of the antimicrobials. Ultrasonography showed the presence of gas in the wall of the urinary bladder, besides a discrete thickening of the wall, compatible with the diagnosis of emphysematous cystitis.                                                                                                   Discussion: The first report of emphysematous cystitis in dogs was made in 1926 in a diabetic dog. Emphysematous cystitis is complicated, characterized by the presence of gas in the wall and lumen of the urinary bladder. It is usually reported in patients with diabetes mellitus. The patient presented with a very high glycemic index (376 mg/dL), in addition to having a history of urinary obstruction and presence of bladder stones, which may have acted as predisposing factors for the onset of emphysematous cystitis. In the present case, ultrasonography was the examination of choice. Hyperechoic reverberation-forming lines, identified as gas present in the topography of the urinary bladder, were easily visualized, as described in the literature. For the treatment of this condition, adequate management of the diet and the correct use of antimicrobials are of fundamental importance since the presence of diabetes mellitus in this patient can present serious complications in the future. This report shows the importance of the use of a combination of diagnostic tools to arrive at the correct diagnosis of the patient.

scholarly journals Emphysematous Cystitis Complicated by Urinary Bladder Perforation: A Case Report

2012 ◽  
Vol 21 (2) ◽  
pp. 140-143
Author(s):  
Yan Qin ◽  
Haresh Tulsidas ◽  
Fazlur Jaufeerally ◽  
Raymond Kim Leong Tan
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Bladder Perforation ◽  
Emphysematous Cystitis

64: Intravesical Instillation of Epinephrine in Patients with Intractable Hemorrhagic Cystitis Due to Radiation Cystitis

2007 ◽  
Vol 177 (4S) ◽  
pp. 22-22
Author(s):  
Yung C. Chow ◽  
Jong M. Hsu ◽  
Wen C. Lin ◽  
Huang K. Chang ◽  
Yuh C. Yang ◽  
...  
Keyword(s):  
Hemorrhagic Cystitis ◽  
Intravesical Instillation ◽  
Radiation Cystitis

Nephrogenic Adenoma Arising from the Urinary Bladder: A Case Report

2001 ◽  
Vol 44 (3) ◽  
pp. 377
Author(s):  
Sun Hee Chung ◽  
Sun Wha Lee ◽  
Woon Seupp Han
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Nephrogenic Adenoma

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Secondary cavernous hemangioma of urinary bladder following pelvic radiation therapy: a case report

2015 ◽  
Vol 36 (1) ◽  
pp. 112
Author(s):  
Jun-jie ZHAO ◽  
Bo YANG ◽  
Zhen-sheng ZHANG ◽  
Yang WANG ◽  
Ying-hao SUN ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Case Report ◽  
Urinary Bladder ◽  
Cavernous Hemangioma ◽  
Pelvic Radiation
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