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Peer-reviewed veterinary case report

Pregnant dog with delayed urine blockage after uterine torsion surgery

By Reynolds, Debbie & Campbell, Bonnie G·Published in Journal of the American Animal Hospital Association·2011·Department of Veterinary Clinical Sciences, United States·View original on PubMed

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Original publication title: Delayed urethral obstruction after uterine torsion in a pregnant dog.

Species:
dog
Drinking & peeingDogs

Plain-English summary

A 4-year-old pregnant female Shih Tzu was taken to the vet for abdominal pain and bloody discharge. During surgery for a twisted uterus, it was discovered that the uterus was blocking her ability to urinate. After the surgery, her bleeding and frequent urination improved, but 17 days later, she developed a complete blockage in her urethra. The vet performed a procedure to place a temporary tube and later a more permanent surgery to fix the blockage. This case highlights that a twisted uterus can lead to serious urinary problems in dogs.

People also search for: pregnant dog abdominal pain · Shih Tzu bloody discharge · dog urethral obstruction treatment

Abstract

A 4 yr old pregnant female shih tzu was presented with abdominal discomfort and bloody vulvar discharge. The nongravid uterine horn was reflected caudally over the trigone, obstructing urine outflow. A cesarian section and ovariohysterectomy were performed. Postoperatively, the hematuria and pollakiuria resolved. Seventeen days later, the pelvic urethra was completely obstructed by a soft tissue mass that was identified by rectal palpation, blocked catheterization attempts, contrast radiography, ultrasonography, and surgery. Management included temporary cystostomy tube and definitive prepubic urethrostomy. Histologic diagnosis was severe, multifocal, necrosuppurative urethritis with fibroplasia, fibrosis, and cellulitis, apparently secondary to ischemia. Delayed urethral obstruction is a potential complication of canine uterine torsion.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21896835/