Emphysematous cystitis (EC) is a complicated lower urinary tract condition characterised by gas within the urinary bladder wall and lumen. It results from infection by gas‐producing microorganisms and has been reported in both diabetic and non‐diabetic dogs and cats with variable presentation. There are two case reports from the medical literature documenting subcutaneous extension of gas in people with EC, but this finding has never been reported in a veterinary patient. In this case, we identified abdominal wall emphysema as a complication of EC in a veterinary patient, secondary to recurrent urinary tract infection with Escherichia coli in a 10‐year‐old neutered female border collie with diabetes mellitus. Both radiography and ultrasonography were sensitive for the diagnosis of this condition and important in excluding retrograde extension of gas into the renal parenchyma.
An 18-month-old, 23-kg, neutered male Staffordshire bull terrier was presented with acute left pelvic limb lameness. There was marked swelling at the level of the tuber calcanei, and lateral luxation of the tendon of the superficial digital flexor muscle (TSDFM) was palpable. Surgical correction included replacement of the TSDFM before apposition of the retinacular tissues. An autologous fascia lata graft was harvested from the ipsilateral limb and sutured over the primary suture line as augmentation. A modified Robert-Jones bandage with caudally positioned splint was placed for 12 days, and 5-minute lead exercise was started after 6 weeks. At 10 and 14 weeks postoperatively, the dog was exercising without evidence of lameness or clinical signs. Subjective grading by the attending veterinary surgeon (European College of Veterinary Surgeons boarded surgeon) revealed no lameness at either time point (Visual Analogue Scale score of 0/10). A clinical metrology questionnaire revealed normal mobility (Liverpool Osteoarthritis in Dogs Questionnaire score of 3).
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