Peer-reviewed veterinary case report
Kitten with blocked ureters treated successfully after imaging
By Kwon, Minji et al.·Published in Frontiers in veterinary science·2021·College of Veterinary Medicine, South Korea·View original on PubMed →
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Original publication title: Case Report: Imaging Features and Successful Management of Ureteral Stenosis in a Kitten With Bilateral Atypical Papillary Transitional Mucosal Hyperplasia.
- Species:
- cat
Plain-English summary
A 3-month-old kitten was brought to the vet with vomiting, diarrhea, not eating, and looking very tired. Tests showed serious kidney issues, including high levels of waste in the blood and swollen kidneys. Imaging revealed blockages in the ureters, which were causing fluid buildup in the kidneys. The kitten had surgery to bypass the blocked ureter and remove the affected kidney. After the surgery, the kitten started to recover quickly, with improved kidney function and no more fluid buildup.
People also search for: kitten vomiting diarrhea · cat kidney surgery recovery · ureter blockage treatment in cats
Abstract
A 3-month-old cat weighing 2.62 kg was brought to the VIP Animal Medical Center with vomiting, diarrhea, anorexia, and depression. Laboratory findings confirmed azotemia with elevated blood urea nitrogen (BUN) (168.9 mg/dl) and creatinine (5.9 mg/dl) and symmetric dimethylarginine (SDMA) (86 μg/dl). Abdominal radiography revealed bilateral renomegaly. Ultrasonography revealed bilateral hydronephrosis and left partial and right complete ureteral obstructions with bilateral focal irregular and circumferential thickenings at ureters. Reduction of bilateral renal function was confirmed through excretory urography on computed tomography. The cat underwent subcutaneous ureteral bypass surgery on the left kidney, right nephrectomy, and bilateral ureterectomy. Histopathology of bilateral ureteral irregular and circumferential thickening revealed bilateral atypical papillary transitional mucosal hyperplasia. Three days after surgery, the left hydronephrosis resolved, and azotemia was almost resolved. This is the first report of successful management of ureteral stenosis with congenital papillary transitional mucosal hyperplasia in a kitten using multimodality imaging.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35187140/