Peer-reviewed veterinary case report
Dog with bladder blockage caused by surgical sponge and bladder stones
By Lancaster, Meghan L & Schmiedt, Chad W·Published in Frontiers in veterinary science·2024·Department of Small Animal Medicine and Surgery, United States·View original on PubMed →
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Original publication title: Case report: Transmural migration of a gossypiboma with secondary cystolithiasis and urethral obstruction.
- Species:
- dog
Plain-English summary
A 4-year-old mixed-breed dog was brought to the emergency vet for a complete blockage in her urinary tract, which was causing her severe discomfort. X-rays showed she had bladder stones and a mass in her bladder. During surgery, the vet discovered a surgical sponge that had migrated from her abdomen into her bladder, along with several stones. The vet removed the sponge and stones, and the dog recovered well after the procedure.
People also search for: dog urinary blockage · bladder stones in dogs · surgical sponge in dog bladder · urethral obstruction treatment for dogs
Abstract
This report describes a case of transmural migration of a gossypiboma from the peritoneum into the urinary bladder in a 4-year-old, female spayed, mixed-breed dog. The dog was presented on an emergency basis for complete urethral obstruction with radiographic evidence of urocystolithiasis. An exploratory laparotomy was performed and a 4-5 cm mass was identified which was confluent with the apex of the urinary bladder. The mass and bladder were exteriorized and isolated, and an apical, partial cystectomy was performed to remove the mass and gain access to the uroliths within the lumen of the bladder. A 4×4 surgical sponge was identified within the trigone of the bladder, it had multiple uroliths; another sponge was also found within the mass itself. This case demonstrates an atypical cause of urethral obstruction and serves as the first reported case of transmural migration of a gossypiboma into the urinary bladder of a dog. It also illustrates the importance of establishing routine operating procedures including gauze counts and the use of radiopaque-labeled surgical gauze.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38812558/