Peer-reviewed veterinary case report
Hematuria in a 3-month-old filly with an internal umbilical abscess and internal iliac artery aneurysm.
- Journal:
- The Canadian veterinary journal = La revue veterinaire canadienne
- Year:
- 2021
- Authors:
- Zakia, Luiza et al.
- Affiliation:
- Department of Clinical Studies · Canada
- Species:
- horse
Plain-English summary
A 3-month-old female foal was having serious issues with blood in her urine. Doctors found that her left kidney was swollen and there was a blood clot blocking the left ureter, which is the tube that carries urine from the kidney to the bladder. Further tests showed a large abscess (a pocket of infection) near a major blood vessel and an aneurysm (a bulging blood vessel) in the area. Unfortunately, because her condition was so severe and the outlook was very poor, the decision was made to euthanize her, and this was confirmed during a post-mortem examination.
Abstract
A 3-month-old foal with a history of acute hematuria was evaluated. Hydronephrosis and hydroureter were visualized upon renal ultrasonography of the left kidney. Cystoscopy identified a blood clot occluding the left ureter. Computed tomography (CT) revealed a large retroperitoneal abscess at the level of the aortic bifurcation and a left internal iliac aneurysm. Due to the severity of the lesions and the poor prognosis, the filly was euthanized and the clinical findings were confirmed by post-mortem examination. This report emphasizes the value of obtaining a precise diagnosisCT in order to avoid unviable treatment approaches when confronted with this unusual secondary complication of omphaloarteritis. Key clinical message: Umbilical complications are routinely diagnosed in equine neonatal medicine, and commonly lead to septicemia, physitis, and septic arthritis; severe internal umbilical abscessation, and subsequent vascular and urinary disorders are uncommon sequelae.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/34341604/