Overview : Urinary bladder rupture in dogs is a serious and potentially life-threatening condition that often results from trauma, urinary obstruction, or iatrogenic injury. It leads to uroabdomen ( leakage of urine into the peritoneal cavity ) which can cause severe electrolyte imbalances, azotemia, and shock if not promptly diagnosed and treated. Early recognition and surgical intervention are critical to improving outcomes.
1.5 Years old female German Shepherd dog presented after being diagnosed with urinary obstruction and needed a catheterization, that later on caused an iatrogenic rupture of the bladder .
Abdominal findings:
Abdominal radiographs:
show loss of detail (fluid), bladder not visualized, with catheter passing through the bladder to mid abdomen
Ultrasound:
Can detect free abdominal fluid
shows bladder wall defect ( not intact )
Xray shows rigid urethral catheter passing through the bladder to mid abdomen
later xray after 2 days showing free fluid filling the abdomen
ultrasound shows uroabdomen with impaired bladder wall integrity
Ventral midline approach extending from the umbilicus to the pelvis
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Bladder shows multiple necrotic areas specially at the edges
trimming the edges and refreshing the tissue
Suturing the bladder with 2 layers
Leak testing through injecting sterile saline
No Leak detected
Aspirated fluid from the abdomen approximately 1.8 Liter
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