The bladder is a hollow, muscular organ which is located within the pelvis. It stores urine until it is ready to be voided. The most common causes of a ruptured bladder are trauma, such as being hit by a car, falling from a height, gunshot wound or due to a urinary blockage caused by calculi or mucous plugs or bladder cancer. Once the bladder ruptures, urine leaks into the abdomen (known as uroabdomen) resulting in uremic poisoning, a life-threatening condition due to a dangerous build-up nitrogenous of toxins in the bloodstream.
Symptoms of ruptured bladder:
Any cat who has had a serious trauma should be evaluated for a ruptured bladder, especially where a pelvic fracture has occurred. Obviously, a traumatic injury will result in a bladder that ruptures quickly, however, if a urinary blockage is the cause, there may have been symptoms of a urinary prior to the bladder rupturing. These would include:
Your veterinarian will perform a complete physical examination of your cat and obtain a medical history from you. If he has been involved in a trauma he will be assessed for a broken pelvis and a ruptured bladder, both of which are common injuries.
Abdominal x-rays and ultrasound will be taken to evaluate the pelvis and bladder.
Bloodwork to evaluate for elevated BUN (blood urea nitrogen), creatinine and potassium levels.
Your cat will need to be stabilised in order to prepare him for surgery. Intravenous fluids will be administered to correct electrolyte imbalances, azotemia (high levels of nitrogen-containing compounds in the blood, and cardiac arrhythmias due to high blood potassium levels. Ruptured bladders require surgical repair.
Draining the urine from the bladder is the next step. Your veterinarian will insert a catheter into the abdomen and remove the fluid. Ruptured bladders require surgical repair.
Ruptured bladders require surgical repair.
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