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Chronic urinary bladder torsion causing urinary incontinence in a cat.
Daniel R James1, David Collins2, Philippa J Johnson3
1Department of Small Animal Surgery, Small Animal Specialist Hospital, Sydney, Australia.
JFMS Open Reports
|May 12, 2017
Summary
Urinary bladder torsion, a condition previously unreported in cats, was diagnosed in a young feline presenting with incontinence. Surgical correction resolved the azotaemia and incontinence, highlighting a novel complication of ovariohysterectomy.
Area of Science:
- Veterinary Medicine
- Comparative Pathology
- Surgical Innovation
Background:
- Urinary incontinence and azotaemia are common presenting complaints in feline patients.
- Ovariohysterectomy is a routine surgical procedure in female cats.
- Urinary bladder torsion is a rare condition, previously reported only in dogs.
Observation:
- A 10-month-old spayed domestic shorthair cat presented with urinary incontinence and azotaemia.
- Diagnostic imaging, including ultrasound and computed tomography (CT) contrast pyelography, revealed hydroureter and hydronephrosis.
- Computed tomography (CT) contrast pyelography confirmed urinary bladder torsion.
Findings:
- Surgical intervention for urinary bladder torsion was performed.
- Postoperative recovery showed resolution of urinary incontinence and azotaemia.
- Follow-up imaging confirmed significant improvements in urinary tract structural abnormalities.
Implications:
- This case represents the first reported instance of urinary bladder torsion in a cat.
- Urinary bladder torsion may occur as a complication following ovariohysterectomy in cats, similar to dogs.
- The unique presentation of chronic urinary incontinence as a sign of bladder torsion offers new diagnostic considerations.
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