Peer-reviewed veterinary case report
Cat with ureter injury treated with stents and bypass devices
By Kulendra, Elvin et al.·Published in Journal of feline medicine and surgery·2014·Department of Veterinary Clinical Sciences, United Kingdom·View original on PubMed →
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Original publication title: Management of bilateral ureteral trauma using ureteral stents and subsequent subcutaneous ureteral bypass devices in a cat.
- Species:
- cat
Plain-English summary
A cat with abdominal pain and worsening kidney function was found to have serious injuries to both ureters after an unknown trauma. Initially, the vet performed surgery to connect the ureters using stents, which helped the cat feel better for a while. However, two months later, the cat developed bladder inflammation that didn’t respond to treatment. After several attempts to manage the stents, the vet placed special bypass devices that successfully resolved all symptoms, and the cat was doing well a year later.
People also search for: cat abdominal pain · cat kidney injury treatment · cat bladder inflammation · ureteral stents for cats · subcutaneous ureteral bypass for cats
Abstract
This report describes a cat that presented with abdominal pain and worsening azotaemia following unknown trauma. Further diagnostic investigations and surgery confirmed bilateral ureteral trauma. The cat was initially managed surgically by bilateral ureteroureterostomy over ureteral stents. The clinical signs and biochemical parameters rapidly resolved, but 2 months later the cat developed signs consistent with sterile cystitis that was unresponsive to medical management. Removal of the ureteral stents resulted in severe azotaemia as a result of stricture formation at the previous ureteral anastomosis site. The ureteral stents were initially replaced with soft stents, but subsequently cut short owing to the persistence of clinical signs of cystitis. Following shortening of the ureteral stents severe azotaemia was again observed. The resulting pelvic dilatation allowed for placement of bilateral subcutaneous ureteral bypass (SUB) systems, which resulted in alleviation of all clinical signs 12 months after SUB placement.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/24174498/