Four-dimensional CT excretory urography imaging findings, cystoscopy and exploratory surgery for the diagnosis of a vesicovaginal fistula in a young dog

IF 0.2 4区 农林科学 Q4 VETERINARY SCIENCES Vlaams Diergeneeskundig Tijdschrift Pub Date : 2023-12-20 DOI:10.21825/vdt.90046
M. Gracz, J.H. Saunders, N. Devriendt, E. Stock
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Abstract

An eight-month-old, entire female German Shepherd was referred for investigation of continuous urinary incontinence not responding to medical therapy. A four-dimensional excretory urography (4D-CTEU) abdominal CT scan revealed a hypoattenuating fluid-filled structure dorsally to the urinary bladder, extending cranially, continuing as the uterine horns, and ending blindly caudally. On post-contrast images, during all contrast phases, a continuity of the urinary bladder and cranial vaginal walls was underlined by a hyperattenuating mucosal surface with the creation of a hypoattenuating fistulous tract. Cystoscopy and exploratory surgery confirmed the presence of a vesicovaginal fistula and revealed that the distal vagina and urethra consisted of one structure.
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诊断幼犬膀胱阴道瘘的四维 CT 排泄尿路造影成像结果、膀胱镜检查和探查手术
一只八个月大的雌性德国牧羊犬因持续性尿失禁而就诊,但药物治疗无效。四维排泄性尿路造影(4D-CTEU)腹部 CT 扫描显示,膀胱背侧有一个低增强的充满液体的结构,向颅内延伸,一直延伸到子宫角,盲端向尾部结束。在造影后的图像上,在所有造影阶段,膀胱和阴道前壁的连续性都被高增强的粘膜表面所强调,并形成了低增强的瘘道。膀胱镜检查和探查手术证实了膀胱阴道瘘的存在,并显示远端阴道和尿道是由一个结构组成的。
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来源期刊
Vlaams Diergeneeskundig Tijdschrift
Vlaams Diergeneeskundig Tijdschrift 农林科学-兽医学
CiteScore
0.40
自引率
0.00%
发文量
29
审稿时长
>36 weeks
期刊介绍: The Vlaams Diergeneeskundig Tijdschrift (ISSN 0303-9021) is a scientific journal that is published bimonthly (six issues per year). It presents mainly clinical topics and addresses itself to two very different readerships: the local Dutch speaking veterinarians in Belgium and the Netherlands, and the international veterinary and biomedical research community. Each issue contains scientific papers either in English, or in Dutch with an English abstract.
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