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Peer-reviewed veterinary case report

Dog with emphysematous cystitis and air in abdomen from E coli UTI

By Day, Samantha K & Mooney, Erin TĀ·Published in Journal of the American Animal Hospital AssociationĀ·2021Ā·View original on PubMed →

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Original publication title: Emphysematous Cystitis and Pneumoperitoneum in a Dog with Escherichia coli Urinary Tract Infection and Hyperadrenocorticism.

Species:
dog

Plain-English summary

A 9-year-old male neutered Staffordshire bull terrier was brought in for vomiting and had a history of urinary tract infections and a condition called emphysematous cystitis (a gas-filled bladder). Tests showed he had a recurrent Escherichia coli infection but no bladder rupture. The dog was treated medically, mostly as an outpatient, and he fully recovered without needing surgery. At a follow-up two months later, he showed no signs of the infection returning.

People also search for: dog vomiting urinary tract infection treatment Ā· Staffordshire bull terrier emphysematous cystitis Ā· Escherichia coli dog infection recovery

Abstract

A 9 yr old male neutered Staffordshire bull terrier with a history of poorly controlled hyperadrenocorticism, urinary tract infections, and emphysematous cystitis (EC) was presented to a veterinary referral teaching hospital for vomiting. Abdominal radiographs revealed EC and a pneumoperitoneum. The urinary bladder was found to be intact based on ultrasound and a pre- and postiohexol contrast computed tomography study with retrograde contrast cystogram. Urine culture confirmed the presence of a recurrent Escherichia coli urinary tract infection. The patient was managed medically, primarily as an outpatient, and had complete resolution of all problems. This case represents an extremely rare form of EC with pneumoperitoneum, without evidence of concurrent urinary bladder rupture. Only six similar cases have been reported in humans, with no previous cases reported in veterinary medicine. This case demonstrated that surgery is not necessarily indicated in all cases of pneumoperitoneum. The patient remained alive at 2 mo follow-up, with no evidence of recurrence of EC.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33770186/