A Case of Bladder Tamponade with Factor XII Deficiency in a Cat

  • ITOH Harumichi
    Laboratory of Veterinary Medical Center, Surgical Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • HARAGUCHI Tomoya
    Laboratory of Veterinary Medical Center, Surgical Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • ITAMOTO Kazuhito
    Laboratory of Veterinary Medical Center, Surgical Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • TAMURA Kinya
    Laboratory of Veterinary Medical Center, Surgical Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • KANBAYASHI Satoshi
    Laboratory of Veterinary Medical Center, Internal Medicine Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • MIZUNO Takuya
    Laboratory of Veterinary Medical Center, Internal Medicine Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • NAKAZAWA Hiroshi
    Laboratory of Veterinary Medical Center, Surgical Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • TANI Kenji
    Laboratory of Veterinary Medical Center, Surgical Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • TAURA Yasuho
    Laboratory of Veterinary Medical Center, Surgical Division, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan

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Other Title
  • 膀胱タンポナーデを発症した第XII因子欠損症の猫の1例
  • 膀胱タンポナーデを発症した第Ⅶ因子欠損症の猫の1例
  • ボウコウ タンポナーデ オ ハッショウ シタ ダイ Ⅶ インシ ケッソンショウ ノ ネコ ノ 1レイ

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A case of bladder tamponade in a cat with coagulation factor XII deficiency. A 31/2-year-old castrated mixed-breed cat exhibited dysuria and was referred to the Animal Medical Center of Yamaguchi University, Japan. The cat had a history of feline lower urinary tract infection. Based on diagnostic imaging including X-ray, ultrasound and computed tomography, a mass lesion was detected in the bladder causing slight dilation of the left ureter. Surgery was scheduled; however, severe prolongation of the activated partial thromboplastin time (APTT) was detected on pre-operative coagulation testing. Exploratory cystomy revealed massive blood clots within the bladder, allowing the definitive diagnosis of bladder tamponade to be made. Surgery was uneventful. Postoperative testing indicated coagulation factor XII deficiency. In this case, the likely cause of the intravesical hemorrhage and bladder tamponade was iatrogenic injury caused by urethral catheterization during the management of feline lower urinary tract infection, likely exacerbated by the incidental finding of coagulation factor XII deficiency.

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