Geriatrik Bir Köpekte İdrar Kesesinde Çoklu Strüvit Ürolit Taşı Oluşumu: Olgu Sunumu

Yıl 2025, Cilt: 18 Sayı: 4, 537 - 541, 24.12.2025

Rahime Yaygıngül , Ahmet Gürsel , Burak Baydoğan

https://izlik.org/JA76WG97GR

Öz

Bu çalışmada, bir köpekte ürolitiazis tanısı için klinik, laboratuvar, radyografik ve ultrasonografik bulguların araştırılması amaçlandı. On iki yaşında Golden Retriever cinsi bir köpek iki yıldır devam eden hematüri ve poliüri nedeniyle Aydın Adnan Menderes Üniversitesi Veteriner Fakültesi, Araştırma ve Uygulama Hastanesi’ne getirildi. Fiziksel muayenesinde kaudal abdomende sert bir kitle tespit edildi. Radyografi, idrar kesesindeki ürolit varlığını doğruladı ve ultrasonografide hiperekoik bir görünüm veren akustik gölgelenme görülerek ürolitiyazis tanısı konuldu. Ürolitler cerrahi olarak sistotomi ile çıkarıldı ve sarı renkli, dört ile altı kenarlı, boyut ve şekil bakımından değişken, toplam 158 gram ağırlığında olduğu görüldü. Biyokimyasal analiz sonucunda struvit oldukları belirlendi. Ürolitiyazis için çeşitli medikal ve cerrahi tedavi seçenekleri mevcut olsa da, geleneksel sistotomi, bu vaka raporunda gösterildiği gibi, özellikle büyük, çoklu taşlarda kullanımı en yaygın olan etkili bir yöntem olmaya devam etmektedir.

Anahtar Kelimeler

Köpekler , Mesane , Sistotomi , Taşlar , Ürolitiyaz

A Case of Multiple Struvite Urolith Formation in the Urinary Bladder of a Geriatric Dog

https://izlik.org/JA76WG97GR

Öz

This study aimed to investigate the clinical, laboratory, radiographic and ultrasonographic findings for diagnosing urolithiasis in a dog. A 12-year-old Golden Retriever was brought to the Aydin Adnan Menderes University, Faculty of Veterinary Medicine Research and Practice Animal Hospital, Aydin, Türkiye, due to haematuria and polyuria that has been presented for two years. Physical examination revealed a hard mass in the caudal abdomen. Radiographs confirmed the presence of uroliths in the urinary bladder and ultrasonography showed acoustic shadowing, giving a hyperechoic appearance, leading to a diagnosis of urolithiasis. Uroliths were surgically removed by cystotomy and were found to be yellow, four to six-sided, and varied in size and shape, weighing 158 grams in total. Biochemical analysis identified them as struvite. While various medical and surgical treatment options exist for urolithiasis, traditional cystotomy remains the most commonly used and effective method, especially for large, multiple stones, as demonstrated in this case report.

Anahtar Kelimeler

Urinary bladder calculi , Calculi , Cystotomy , Dogs , Urolithiasis

Kaynakça

• Birla Singh, K., & Sailo, S. (2013). Understanding epidemiology and etiologic factors of urolithiasis: an overview. www.sciencevision.org
• Burggraaf, N. D., Westgeest, D. B., & Corbee, R. J. (2021). Analysis of 7866 feline and canine uroliths submitted between 2014 and 2020 in the Netherlands. Res Vet Sci, 137, 86–93. https://doi.org/10.1016/j.rvsc.2021.04.026
• Houston, D. M., Moore, A. E. P., Favrin, M. G., & Brent Hoff. (2004). Canine urolithiasis: A look at over 16.000 urolith submissions to the Canadian Veterinary Urolith Centre from February 1998 to April 2003. Can Vet J, 45, 225–230.
• Hoxha, Z., & Rapti, D. (2018). Breed predisposition differences of dogs with urolithiasis in Tirana district. Journal of the Association-Institute for English Language and American Studies, 7(4), 35–39.
• Ling, G. V., Thurmond, M. C., Choi, Y. K., Franti, C. E., Ruby, A. L., & Johnson, D. L. (2003). Changes in proportion of canine urinary calculi composed of calcium oxalate or struvite in specimens analyzed from 1981 through 2001. Vet Intern Med 17(6), 817–823. https://doi.org/10.1111/j.1939-1676.2003.tb02520.x
• Low, W. W., Uhl, J. M., Kass, P. H., Ruby, A. L., & Westropp, J. L. (2010). Evaluation of trends in urolith composition and characteristics of dogs with urolithiasis: 25,499 cases (1985-2006). JAVMA, 236(2), 193–200. https://doi.org/10.2460/javma.236.2.193
• Mendoza-López, C. I., Del-Angel-Caraza, J., Aké-Chiñas, M. A., Quijano-Hernández, I. A., & Barbosa-Mireles, M. A. (2019). Epidemiology of urolithiasis in dogs from Guadalajara City, Mexico. Vet Méx OA, 6(1). https://doi.org/10.22201/fmvz.24486760e.2019.1.585
• Okafor, C. C., Lefebvre, S. L., Pearl, D. L., Yang, M., Wang, M., Blois, S. L., Lund, E. M., & Dewey, C. E. (2014). Risk factors associated with calcium oxalate urolithiasis in dogs evaluated at general care veterinary hospitals in the United States. Prev Vet Med, 115(3–4), 217–228. https://doi.org/10.1016/j.prevetmed.2014.04.006
• O’Kell, A. L., Grant, D. C., & Khan, S. R. (2017). Pathogenesis of calcium oxalate urinary stone disease: species comparison of humans, dogs, and cats. Urolithiasis, 45(4), 329–336. https://doi.org/10.1007/s00240-017-0978-x Okpara, M., Njoku, N. U., Ajayi, N. O., Kalu, N. R., & Ukweni, C. P. (2021). Management of canine urolithiasis by cystotomy in a two-year old Lhasa Apso bitch. Journal of Sustainable Veterinary & Allied Sciences, 1(1), 96–99. https://doi.org/10.54328/covm.josvas.2021.014
• Osborne, C. A., Kruger, J. M., & Lulich, J. P. (1996). Feline lower urinary tract disorders. Definition of terms and concepts. The Vet Clin North Am Small Anim Pract. 26(2), 169–179. https://doi.org/10.1016/S0195-5616(96)50200-7
• Osborne, C. A., Lulich, J. P., Polzin, D. J., Allen, T. A., Kruger, J. M., Bartges, J. W., Koehler, L. A., Ulrich, L. K., Bird, K. A., & Swanson, L. L. (1999a). Medical dissolution and prevention of canine struvite urolithiasis: Twenty years of experience. Vet Clin North Am Small Anim Pract. 29(1), 73–111. https://doi.org/10.1016/S0195-5616(99)50006-5.
• Osborne, C. A., Lulich, J. P., Polzin, D. J., Sanderson, S. L., Koehler, L. A., Ulrich, L. K., Bird, K. A., Swanson, L. L., Pederson, L. A., & Sudo, S. Z. (1999b). Analysis of 77,000 canine uroliths. Perspectives from the Minnesota Urolith Center. Vet Clin North Am Small Anim Pract, 29(1). https://doi.org/10.1016/S0195-5616(99)50002-8
• Osborne, C. A., Lulich, J. P., Kruger, J. M., Ulrich, L. K., & Koehler, L. A. (2009). Analysis of 451,891 Canine Uroliths, Feline Uroliths, and Feline Urethral Plugs from 1981 to 2007: Perspectives from the Minnesota Urolith Center. Vet Clin North Am Small Anim Pract, 39(1), 183–197. https://doi.org/10.1016/j.cvsm.2008.09.011
• P Picavet, P., Detilleux, J., Verschuren, S., Sparkes, A., Lulich, J., Osborne, C., Istasse, L., & Diez, M. (2007). Analysis of 4495 canine and feline uroliths in the Benelux. A retrospective study: 1994-2004. J Anim Physiol Anim Nutr, 91(5–6), 247–251. https://doi.org/10.1111/j.1439-0396.2007.00699.x
• P Polat, E., & Sagliyan, A. (2022). Clinical, radiographic, ultrasonographic diagnosis, and treatment of urolithiasis in two domestic cats-case report. Vet J KU, 1(1), 34–41.
• S Sancak, İ. G., Özgencil, F. E., & Sancak, A. (2009). Fakülte kliniklerine gelen (2002-2003) kedi ve köpeklerde urolitiazis olgularının klinik değerlendirilmesi. Ankara Univ Vet Fak Derg, 56(2), 105-111. https://doi.org/10.1501/Vetfak_0000002169
• S Syme, H. M. (2012). Stones in cats and dogs: What can be learnt from them? Arab J Urol, 10(3), 230–239. https://doi.org/10.1016/j.aju.2012.06.006
• T Tuna, G. E., Dinler, C. & Ulutaş B. (2018). Kedilerde Alt Üriner Sistem Hastalıklarına Diagnostik Yaklaşım. Ulutaş B, editör. Kedilerde Alt Üriner Sistem Hastalıkları. Türkiye Klinikleri, 12-9.
• Y Yaygıngül, R. (2024). Clinical, laboratory, radiography and ultrasonography findings and surgical treatment the lower urinary system urolithiasis in cats and dogs. Animal Health Production and Hygiene, 13(1), 23–30. https://doi.org/10.53913/aduveterinary.1375487