• Title/Summary/Keyword: large bladder calculi

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Nephrolithiasis in an Aged Snow Leopard

  • Eo, Kyung-Yeon;Lee, Hyun-Ho;Jung, Young-Mok;Kwon, Oh-Deog
    • Journal of Veterinary Clinics
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    • v.33 no.5
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    • pp.313-315
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    • 2016
  • An aged (14 years old) female snow leopard exhibited renal calculi and pyelonephritis at necropsy. The animal experienced appetite loss, mild diarrhea, polydipsia, and difficulty breathing, and was curled up and staggering on its hind legs 2 days before death. Large calculi were found obstructing both sides of the renal pelvis. The left-side calculus was larger than that of the right side. These calculi had rough surfaces and were $15{\times}21mm$ and $9{\times}14mm$, respectively. The bladder was filled with dark, cloudy urine. Multiple ulcerous lesions were found in the inner layer of the bladder. Enterococcus faecalis and Proteus mirabili were identified via microbiological examination of the urine. Under microscopic examination, urine struvites were observed in the pyuria sediment in the bladder. To our knowledge, this is the first documented case of nephrolithiasis in a captive snow leopard.

Case Report of Combined Herbal Medicine Treatment for Nocturia and Perineal Discomfort Before Bladder Calculi Removal Surgery (방광 결석 제거 수술 대기 기간 중 호소한 야간뇨 및 회음부 불쾌감에 대한 복합 한약 치험 1례)

  • Bae, In-hu;Seo, Yuna;Lee, Young seon;Cho, Ki-Ho;Mun, Sang-Kwan;Jung, Woo-Sang;Kwon, Seungwon
    • The Journal of Internal Korean Medicine
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    • v.42 no.2
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    • pp.131-139
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    • 2021
  • Background: Bladder calculi greater than 10 mm should be managed via surgical treatment, such as cystolithotomy or percutaneous removal. Because risk evaluation for underlying disease must precede operation, patients are medicated with uroselective alpha blockers or analgesics until the operation occurs. However, disagreement exists about the success of these treatments. Case report: We present a case of a male patient who was hospitalized for sequelae of internal cerebral hemorrhage with complaints of nocturia and perineal discomfort. Abdominal computed tomography showed large bladder calculi. However, because of suspected pheochromocytoma, immediate surgery could not be performed, so we treated him with Korean medicine for 27 days (Daesiho-tang for 27 days and Jakyakgamcho-tang was started at 14th day of treatment, treated till 27th day.) until a cystolithotomy could be performed. Nocturia and perineal discomfort improved after 9 days, and the patient stopped taking acetaminophen. Conclusion: The administration of Daesiho-tang and Jakyakgamcho-tang to a patient with bladder calculi successfully controlled symptoms of nocturia and perineal discomfort until cystolithotomy could be performed.

A case of eosinophilic cystitis in a dog (개에서 호산구성 방광염 1례)

  • Kim, Ki-Seung;Kang, Sang-Chul;Jeon, Jae-Nam;Bae, Jong-Hee;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.24 no.1
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    • pp.59-61
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    • 2007
  • Eosinophilic cystitis (EC) is a rare inflammatory disorder in dogs. Although EC has been associated with various etiological factors, the precise cause of this disease remains unclear in human and animals. A 7-year-old female Yorkshire terrier was presented with 3-week-history of hematuria, dysuria, and suprapubic pain. A bladder mass in ventral surface and urinary calculi were noted on ultrasonography and gross findings. Biopsy sample was taken from the protruded mass of bladder for histopathologic examination. Hyperplastic transitional epithelium with focal ulceration covered the bladder mass. A large nodule of fibrous tissue that contained fibrocytes, fibroblasts, Iymphocytes, plasma cells, macrophages, numerous eosinophils, and abundant blood vessels was occupied in lamina propria and submucosa of bladder mass. Based on the clinical, gross, and histopathologic examinations, this case was diagnosed as EC in a dog. In our knowledge, this is the first report of an eosinophilic cystitis in dog in Korea.