"Biscuit" -- 2 view abdomen
-3 year old Yorkshire Terrier spayed female
-hit by bicycle
See images below. Click to enlarge. Click magnifying glass at the bottom of enlarged images for full-sized image.
Radiographic Findings:
-loops of small intestine outside body wall in left ventral/inguinal region
-no visible urinary bladder
-increased soft tissue opacity in retroperitoneal space
-right SI luxation
-left iliac body, right ischial, and bilateral pubic fractures
-wispy subcutaneous soft tissue in lumbar region
Radiographic Diagnoses:
-body wall herniation with small intestine in left inguinal region
-possible urine leakage or hemorrhage in retroperitoneal space
-possible ruptured urinary bladder
Recommendations:
-Excretory urography (once patient hydrated and stable) preferred over cystography, since we need to evalute kidneys and ureters
- +/- ultrasound of abdomen to evaluate for free fluid, etc
-surgery to repair hernia, fractures
-complete thoracic radiographs
Candidate performance:
The retroperitoneal space and lack of urinary bladder visualization was missed by some candidates. The recommendation for excretory urography and why was not consistent.
