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Peer-reviewed veterinary case report

Cat with bladder inversion causing blood in urine treated by surgery

By Adin, Christopher A et al.·Published in Journal of the American Veterinary Medical Association·2011·Department of Veterinary Clinical Sciences, United States·View original on PubMed

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Original publication title: Bladder inversion and secondary hematuria in a 6-month-old domestic shorthair cat.

Species:
cat

Plain-English summary

A 6-month-old female domestic shorthair cat was brought in because she had been experiencing blood in her urine and urinating inappropriately for the past two months. An ultrasound showed a mass in her bladder, which turned out to be a condition where part of the bladder wall had folded in on itself. The vet performed surgery to fix the bladder and also found a urinary tract infection. After removing the affected part of the bladder and treating the infection, the cat's symptoms improved, and she was able to urinate normally again.

People also search for: cat blood in urine treatment · cat urinary tract infection signs · domestic shorthair bladder problems

Abstract

CASE DESCRIPTION: A 6-month-old female domestic shorthair cat was admitted for evaluation of intermittent clinical signs of hematuria and inappropriate urination for the past 2 months. CLINICAL FINDINGS: Transabdominal ultrasonography revealed a multilayered mass in the urinary bladder apex consistent with full-thickness invagination of the bladder wall. TREATMENT AND OUTCOME: Exploratory surgery was performed, and partial inversion of the urinary bladder was confirmed. The invaginated bladder apex was manually reduced, and partial cystectomy was performed to remove the invaginated section of bladder wall. Histologic findings were consistent with vascular congestion and edema secondary to partial invagination. Bacterial culture of a section of the bladder mucosa demonstrated concurrent bacterial urinary tract infection. Clinical signs resolved following surgical resection of the bladder apex and antimicrobial treatment for the concurrent urinary tract infection. CLINICAL RELEVANCE: Partial invagination of the urinary bladder should be considered in the differential diagnosis for cats with clinical signs of hematuria, stranguria, and inappropriate urination. A diagnosis may be made on the basis of detection of invaginated tissue in the bladder apex during abdominal ultrasonography.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21801051/