Urolithiasis in a Dog with Diabetes Mellitus - A Case Report
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Keywords:
Cystitis, Diabetes mellitus,Dog, Hematuria, UrolithiasisAbstract
A 7-year-old female Beagle, diagnosed with diabetes mellitus six months earlier and on insulin therapy, presented with haematuria, dysuria, and abdominal discomfort. Diagnostic workup included complete blood count, blood smear, mean blood glucose estimation, serum amylase and lipase, rapid Snap 4DX test, Babesia spp. antigen tests, radiography, and ultrasonography. All infectious disease tests (E. canis, Anaplasma spp., Dirofilaria immitis, Borrelia burgdorferi, Babesia canis, B. gibsoni) were negative. Complete blood count showed a platelet count of 399,000/µL. Random blood glucose was 600 mg/dL, reduced to 224 mg/dL post-insulin. Imaging revealed a 3.52 cm hyperechoic, radio-opaque structure in the lower abdomen, consistent with cystic calculi, along with a thickened urinary bladder wall (0.61 cm), suggestive of cystitis likely associated with diabetes and uroliths. Surgery was performed, and a 24.42 g, yellowish, apricot seed-shaped calculus (3.1 × 2.4 × 1.3 cm) was removed.
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References
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