Wednesday, December 23, 2015

2892. A biting Hougang rabbit passes blood in the urine

Dec 23, 2015

Yesterday, I had a Caesarean section call before 9 am and then a rabbit passing blood in the urine appointment at 8 pm. Some days are long. 

The biting rabbit would snap at me and his family members when given a chance. I had to scruff him to feel his abdomen. A hard bladder lump around 8 cm across. I gave antibiotics and asked the owner to return the next day for X-rays.

The mother and young adult daughter showed me the image from their smart phone. "My rabbit had passed red blood in the urine this morning but clear urine at the 2nd time!" the daughter showed me the phone images.

Today, I palpated the abdomen. The rock-hard painful bladder was softer.

X rays confirmed bladder stones which could be dissolved by urine acidification.
I got a urine sample and will check for the crystals.

So, 2 years ago, the rabbit may have cystitis or bladder stones but the rabbit recovered fully after antibiotics. Till today, 2 years later. The presenting sign was fresh blood in the vaginal area. I thought there could be pyometra or uterine cancer as old female unspayed rabbits are prone to get. It is not possible to confirm pyometra but the main complaint was blood in the urine (haematuria). 

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