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Veterinarian Technician September 2011 (Vol 32, No 9)

Final View: Cupcakes to the Rescue!

by Bridget Kabealo

    An 8-year-old spayed Labrador retriever mix presented for eating eight to 10 pumpkin cupcakes approximately 36 hours earlier. The dog was vomiting, not eating, and approximately 3% dehydrated. Abdominal palpation revealed several large masses. The client consented to radiography. To everyone’s surprise, several large bladder stones were revealed (FIGURES 1 and 2). The client consented to surgical removal of the stones within the next several days. Before being sent home, the patient was treated with 200 mL of subcutaneous fluids, 28 mg of famotidine, and 30 mg of Cerenia (maropitant citrate, Pfizer Animal Health). The patient was sent home with amoxicillin (500 mg) to be administered orally after the vomiting resolved.

    Lateral radiograph showing several large bladder stones.

    Figure 1. Lateral radiograph showing several large bladder stones.

    Ventrodorsal radiograph showing several large bladder stones.

    Figure 2. Ventrodorsal radiograph showing several large bladder stones.

    After several days of rest at home, the patient was admitted to the hospital for a routine cystotomy. Three racquetball- to tennis ball–sized bladder stones were removed (FIGURE 3). Chemical analysis of the stones revealed magnesium ammonium (struvite). The patient spent the night in the hospital and was sent home the next day with tramadol (75 mg q12h PO) and Rimadyl (carprofen, Pfizer Animal Health; 125 mg q24h PO).

    Three racquetball- to tennis ball–sized bladder stones

    Figure 3. Three racquetball- to tennis ball–sized bladder stones were removed.

    Several days after the surgery, the patient presented for not eating. Physical examination revealed a large, bloated abdomen with a palpable fluid wave. An abdominal tap revealed fluid that looked like urine. Exploratory surgery revealed a small area of dehiscence at the mid-bladder incision, which the doctor repaired. The patient was sent to the local emergency service for overnight care.

    The patient made a full recovery, and the client brought us a thank-you gift … pumpkin cupcakes, of course!

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