Bladder Retroflexion in a Pointer Bitch During Pregnancy (Pointer Irkı Bir Köpekte Gebelik Sürecinde Karşılaşılan İdrar Kesesi Retrofleksiyonu)

A 4-year-old pregnant pointer bitch was brought to Clinic of Obstetrics and Gynaecology Department, Faculty of Veterinary Medicine, Afyon Kocatepe University with the complaint of vaginal mass and dysuria. In patient’s history, it was learnt that the bitch was mated 50 days ago. Owner also stated that the dog experienced a recent abdominal blunt trauma. On clinical examination, a protruded vaginal mass was observed (Fig. 1a). In ultrasonography, a large amount of anechoic image was seen in the prolapsed tissue. The abdominal ultrasonography revealed that the dog was pregnant but two fetuses were not viable. In addition, urinary bladder was not in normal position. Then it was decided to carry out ovariohysterectomy and to reduce the retroflexed bladder into normal position concurrently. Within two days after surgical intervention, the urinary bladder was retroflexed once again (Fig. 1b). A positive contrast cystourethrography was performed to reveal the bladder position (Fig. 1c). In the second surgery, cystopexy of the retroflexed urinary bladder to the right abdominal wall was performed (Fig. 1d). Ten days after the second surgery, the skin sutures were removed and no complications were observed (Fig. 2). After ten months following second surgery recurrence of the retroflexion was not detected.