ISRAEL JOURNAL OF
VETERINARY MEDICINE
Vol. 57 (4) 2002
WHAT is
your diagnosis
??
“Jeremiah, what seest thou?” (Jeremiah 1,11)
Presented by: A. Kushnir and U. Bargai
Veterinary Hospital, Koret School of Veterinary Medicine.
Case history:
A Rottwiller bitch 7 years old and spayed, was referred to the Koret School of
Veterinary Medicine Hospital because of frequent hematuria and intermittent inability
to pass urine.
Physical examination revealed a distended urinary bladder that was drained by a
catheterization. Palpation of the empty bladder did not reveal any urinary calculi, sand
or any soft tissue abnormality.
Pressure retrograde Vaginography was performed (Fig. 1). Contrast cyctography was
also performed (Fig. 2).
FIG 1. (left) and FIG 2. (below)
What is your diagnosis ???
Diagnosis:
The retrograde vaginography showed that the contrast material did not flow back for a short distanc
The finding was compatible with blockage of the urethra.
Cystography revealed smooth normal mucosa except at the trigon area, where it was irregular, ulcerat
material back into the lumen of the bladder.
The finding was compatible with neoplasma of the bladder at the trigon area.
The final radiographic diagnosis was “Urethral and bladder carcinoma”.
The dog was euthenised. The pathological diagnosis was squamous cell carcinoma.
Radiological remarks:
Pressure Vaginography is a very useful Radiographic procedure in cases of suspected urethral and vag
ureter. This is an easy procedure to perform but requires anaesthesia since it may be painful.
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