Presentation
Presents with history of diabetes and urinary tract infections.
Patient Data
Age: 13 years
Gender: Spayed female
Category: Domestic dog
Organism: Alaskan malamute
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The wall of the urinary bladder contains small pockets of gas . There is additional gas in the center of the bladder lumen. There are no calculi, and no free gas or effusion is noted in the peritoneal cavity.
Emphysematous cystitis.
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Case Discussion
Emphysematous cystitis is recognized on radiographs and ultrasound. It is caused by bacteria, usually in the presence of glucose in the urine (diabetes, hyperadrenocorticism). The bacteria (usually Clostridium spp) in the lumen and in the wall cause gas formation. The cystitis may be clinical or asymptomatic. The cystitis is treated with antibiotics.
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