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Peer-reviewed veterinary case report

CT scan signs of lipid in cat urine and kidneys

By Schwarz, Tobias et al.·Published in Journal of feline medicine and surgery·2021·Royal (Dick) School of Veterinary Studies and Roslin Institute, United Kingdom·View original on PubMed

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Original publication title: CT features of feline lipiduria and renal cortical lipid deposition.

Species:
cat

Plain-English summary

A group of 27 domestic cats was found to have lipiduria, which is the presence of fat in the urine, detected through CT scans. These cats had lower kidney density compared to those without lipiduria, and male neutered cats were more likely to show this condition than female neutered cats. While lipiduria itself is common and often not a serious issue, it can indicate underlying kidney health concerns. Regular check-ups and CT scans can help veterinarians identify this condition and monitor kidney health in cats.

People also search for: cat urine fat causes · feline kidney health · lipiduria in cats · male neutered cat health issues · cat CT scan results

Abstract

OBJECTIVES: The aims of this study were to document the presence and prevalence of feline lipiduria and renal lipid deposition on CT, and to search for associations between the presence of lipiduria and sex, urinary tract abnormalities and urolithiasis. METHODS: The CT examinations of 252 cats were reviewed for the presence of an antigravitational hypodense bubble in the urinary bladder with density values between -180 Hounsfield units (HU) and -20&#x2009;HU. To identify associations between lipiduria and sex, urinary tract abnormalities and urolithiasis, Fisher's exact test was used. Renal cortical density measurement was performed in all cats. The Mann-Whitney test was performed to compare renal cortical density between lipiduric and unaffected cats. RESULTS: A total of 27 domestic cats (10.7%) had CT evidence of lipiduria. Lipiduric cats had a significantly lower renal cortical density than unaffected cats (<0.01). Male neutered cats had a significantly higher frequency of lipiduria and lower renal cortical density compared with female neutered cats (<0.01). There was no significant difference between the groups regarding renal, ureteral or urethral abnormalities. CONCLUSIONS AND RELEVANCE: Lipiduria is a common physiological phenomenon in cats that can be detected on routine CT examinations. Decreased renal cortical density is associated with lipiduria. This may aid in the diagnosis of feline lipiduria and help to differentiate its presence from other pathological depositions and excretions.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32960133/