Sabrina MANFREDI,
Cibele CARVAHLO,
Paolo FONTI,
Giacomo GNUDI,
Francesca MIDURI,
Martina FABBI,
Eleonora DAGA,
Manuela RAVERA,
Simona MORABITO,
Edoardo AURIEMMA,
Ilaria PARROCCINI,
Mattia BONAZZI,
Antonella VOLTA
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Complications of ultrasound-guided cystocentesis in companion animals: 21 cases (2005–2016)
Complications of ultrasound-guided cystocentesis in companion animals: 21 cases (2005–2016)
Complications of cystocentesis in dogs and cats are seldom reported. The aim of this study was to describe clinical andultrasonographic features of complications after diagnostic cystocentesis. Medical records of animals that underwent ultrasound-guideddiagnostic cystocentesis (UGDC) were retrospectively reviewed to describe adverse events. The inclusion criteria were: ultrasoundreport describing the complication, signalment, clinical history, urine culture, and surgical exploration or necroscopic findings if present.Images of ultrasonographic examination were reviewed. Complications were classified as minor and major. Minor complications weredefined as self-limited events; major complications were those that led to prolonged hospitalization and required intensive therapy orsurgery, or lead to death. Twenty-one cases met the inclusion criteria (20 animals). Major complications included septic peritonitis (n= 2), big vessel laceration (n = 2), and acute abdomen (n = 1). Death occurred in two cases (septic peritonitis). Minor complicationsincluded nodular fat necrosis (n = 1), abdominal wall abscess formation (n = 1), intraluminal blood clots (n = 2), self-limited bleeding(n = 5), wall bladder hematoma (n = 3), bladder mucosal detachment (n = 1), intraparietal gas bubbles (n = 2), and focal peritonitisadjacent to bladder (n = 1). Findings of this study can be useful to promptly identify complications after UGDC and to ensure a propertreatment and follow-up.
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- 1. Kruger JM, Osborne CA, Ulrich LK. Cystocentesis. Diagnostic and therapeutic considerations. Vet Clin North Am Small Anim Prac 1996; 26: 353-361.
- 2. Vap LM, Shropshire SB. Urine cytology collection, film preparation, and evaluation. Vet Clin North Am Small Anim Prac 2017; 47: 135-149.
- 3. Odunayo A, Ng ZJ, Holford AL. Probable vasovagal reaction following cystocentesis in two cats. J Feline Med Surg Open Reports 2015; 22: 1-4.
- 4. Specht A, Chan D, O’Toole T, Kent M, Benson J, Rozanski EA, Rusj JE. Acute staphylococcal peritonitis following cystocentesis in a dog. J Vet Emerg Crit Care 2002; 12: 183-187.
- 5. Hall J, Hall K, Powell LL, Lulich J. Outcome of male cats managed for urethral obstruction with decompressive cystocentesis and urinary catheterization: 47 cats (2009-2012). J Vet Emerg Crit Care 2015; 25: 256-262.
- 6. Sørensen TM, Jensen AB, Damborg P, Bjørnvad CR, Guardabassi L, Jessen LR. Evaluation of different sampling methods and criteria for diagnosing canine urinary tract infection by quantitative bacterial culture. Vet J 2016; 216: 168- 173.
- 7. Davis H, Riel Dl, Pappagianis M, Miguel K. Diagnostic sampling and therapeutic techniques. In: Basset JM, Thomas JA, editors. Clinical Textbook for Veterinary Technicians. 8th ed. London, UK: Saunders; 2013. p. 605.
- 8. Buckley GJ, Aktay SA, Rozanski EA. Massive transfusion and surgical management of iatrogenic aortic laceration associated with cystocentesis in a dog. J Am Vet Med Assoc 2009; 235: 288-291.
- 9. Schwarz T, Morandi F, Gnudi G, Wisner E, Paterson C, Sullivan M, Johston P. Nodular fat necrosis in feline and canine abdomen. Vet Radiol Ultrasound 2000; 41: 335-339.
- 10. Withrow SJ, Vail DM. The biology and pathogenesis of cancer. In: Withrow SJ, Vail DM, editors. Small Animal Oncology. 4th ed. St. Louis, MO, USA: Saunders; 2007. p. 14.
- 11. Moustaki M, Stefos E, Malliou C, Fretzayas A. Complications of suprapubic aspiration in transiently neutropenic children. Pediatr Emerg Care 2007; 23: 823-825.
- 12. Datz CA. Noninfectious causes of immunosuppression in dogs and cats. Vet Clin North Am Small Anim Prac 2010; 40: 459-467.
- 13. Sutherland-Smith J, Penninck D. Bladder and urethra. In: Penninck D, D’Anjou MA, editors. Atlas of Small Animal Ultrasonography. 2nd ed. Ames, IA, USA: Wiley Blackwell; 2015. pp. 378-383.
- 14. O’Brien RT, Wood EF. Urinary bladder mural hemorrhage associated with systemic bleeding disorders in three dogs. Vet Radiol Ultrasound 1998; 39: 354-356.
- 15. Le Boedec L, Pastor ML, Lavouè R, Reynolds BS. Pseudomembranous cystitis, an unusual condition associated with feline urine outflow obstruction: four cases. J Feline Med Surg 2011; 13: 588-593.
- 16. Beatrice L, Nizi F, Callegari D, Paltrinieri S, Zini E, D’Ippolito P, Zatelli A. Comparison of urine protein-to-creatinine ratio in urine samples collected by cystocentesis versus free catch in dogs. J Am Vet Med Assoc 2010; 236: 221-224.
- 17. Haseler LJ, Sibbit RR, Sibbit jr WL, Michael AA, Gasparovic CM, Bankhurst AD. Syringe and needle size, syringe type, vacuum generation, and needle control in aspiration procedures. Cardiovasc Intervent Radiol 2011; 34: 590-600.