Case Reports

Four-dimensional CT excretory urography imaging findings, cystoscopy and exploratory surgery for the diagnosis of a vesicovaginal fistula in a young dog

Authors
  • M. Gracz
  • J.H. Saunders
  • N. Devriendt
  • E. Stock

Abstract

An eight-month-old, entire female German Shepherd was referred for investigation of continuous urinary incontinence not responding to medical therapy. A four-dimensional excretory urography (4D-CTEU) abdominal CT scan revealed a hypoattenuating fluid-filled structure dorsally to the urinary bladder, extending cranially, continuing as the uterine horns, and ending blindly caudally. On post-contrast images, during all contrast phases, a continuity of the urinary bladder and cranial vaginal walls was underlined by a hyperattenuating mucosal surface with the creation of a hypoattenuating fistulous tract. Cystoscopy and exploratory surgery confirmed the presence of a vesicovaginal fistula and revealed that the distal vagina and urethra consisted of one structure.

How to Cite:

Gracz, M. & Saunders, J. & Devriendt, N. & Stock, E., (2023) “Four-dimensional CT excretory urography imaging findings, cystoscopy and exploratory surgery for the diagnosis of a vesicovaginal fistula in a young dog”, Vlaams Diergeneeskundig Tijdschrift 92(6), 323–328. doi: https://doi.org/10.21825/vdt.90046

Downloads:
Download PDF
View PDF

369 Views

199 Downloads

Published on
20 Dec 2023
Peer Reviewed