This week’s case involves a special procedure, so dust off your notes on contrast studies and take a look. As always, post your interpretations in the comments.
9 month old domestic short-haired cat
Teaching and learning about veterinary diagnostic imaging.
On the serie of lateral radio’s there is an abdominal loss of serosal contact, possible due to fluid-accumulation. In the mid abdominal regio there is an acccumulation of gas in the intestine, mainly in the caudal part of the jejunum and in the colon ascendens. An urinary catheder has been placed into the bladder and air has been blown into the bladder. There is leakage of air around the bladderwall. On the negative radio (without contrast) you can see the dorsal wall of the bladder surrounded with air in and outside the bladder. On the next radio’s contrast medium (liquid) is blown in the bladder. Possible IOHEXOLUM. On the first 3 contrast radio’s you can see the medium filling the normal bladder. Later on you see the leakage of the contrast-medium. On Image 4, you can actually see the holl, it’s an radiolucent holl, where the contrast is leaking out of the bladder.
So, there is an defect in the right midportion of the bladderwall.
On the DV-projection there is leakage of the contrast out of the bladder into the abdominal space. the caput of the left femur has been resected.
Rupture of urinary bladder. Probably secondary to prior trauma (hit by a car).