International Veterinary Ultrasound Society

Case of the Month - March 2003

Click on an image for a larger view and scroll down to the bottom for the final answer.

Signalment:
3 year old, female spayed Pit Bull Terrier with a 3 day history of progressive anorexia and 1 day history of hematuia.
Initial differentials?

Image is a sagittal plane of the urinary bladder

Describe the abnormalities
What are your differentials?
Testing considerations

Ultrasound findings:

Generalized hyperechoic bladder wall thickening (approximately 1 cm throughout entire bladder)
The thickening is slightly irregular in the deepest portion of the image with hypoechoic central position surrounded by a hyperechoic rim.

Differentials:

Cystitis
Transitional Cell Carcinoma
Mural Hemorrhage

Testing Considerations:

Urinalysis
Thoracic radiographs
Coagulation panel (physical examination for signs of petechiae, etc.)

Diagnosis:

This dog was found to have very elevated clotting times consistent with Warfarin intoxication. The bladder wall thickening resolved at a rate of 1mm/day with Vitamin K therapy. A repeat US in 1 week was normal.

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News

Meeting:
See you in Jackson Hole, WY for the 2012 Annual Meeting, October 9-13, 2012.
Meeting information and early registration are available now!

Certificate:
Drs. Bossung, Lindquist and Miller have successfully completed the IVUSS Ultrasound Certificate Program, which includes didactic training, case submission, practical exam and a written final examination.

Congratulations Amy, Eric and Chris!

IVUSS Election Results:
President: Eric Lindquist
President Elect: Doug Casey
Past President: Gretchen Rowe
Member-at-large: Fern Delaney

Members:
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