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Peer-reviewed veterinary case report

Cat urine leaking into abdomen after trauma or catheter use

By Aumann, M et al.·Published in Journal of the American Animal Hospital Association·1998·Veterinary Centers of America, United States·View original on PubMed

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Original publication title: Uroperitoneum in cats: 26 cases (1986-1995).

Species:
cat

Plain-English summary

A cat was diagnosed with uroperitoneum, a condition where urine leaks into the abdominal cavity, often due to trauma. In this case, the cat showed signs of not being able to urinate and vomiting. The vet found that the cat's bladder was swollen, indicating a possible rupture. Treatment involved draining the urine from the abdomen, which helped stabilize the cat. The outcome varied depending on the severity of any other injuries, but prompt treatment was crucial for recovery.

People also search for: cat vomiting and not urinating · cat bladder rupture treatment · cat trauma symptoms

Abstract

Uroperitoneum (UP) was diagnosed in 26 cats. Trauma was the most common cause (84.6%), including blunt abdominal trauma (59.1%), urethral catheterization (31.8%), and bladder expression (9.1%). The bladder was the most frequent site of urine leakage following blunt abdominal trauma (84.6%), while the urethra was the most common site following catheterization (71.4%). Common historical complaints were anuria (53.8%) and vomiting (50%). On physical examination, the bladders were palpable in nine (69%) of 13 cases; four of the nine had ruptured bladders. The ability to urinate did not exclude a diagnosis of UP since four noncatheterized cases reportedly urinated. Twenty-five cases were azotemic on presentation. The creatinine or potassium (K+) concentration in the serum compared to that in the peritoneal effusion (mean ratio, 1:2 and 1:1.9, respectively) was a useful indicator for UP. When performed, positive contrast radiography was diagnostic. Drainage of urine from the peritoneal cavity appeared to improve patient stabilization. Morbidity and mortality depended largely on the severity of associated injuries.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/9657166/