Peer-reviewed veterinary case report
Percutaneous nephrostomy in short-term management of ureterolithiasis and renal dysfunction in a filly.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 1989
- Authors:
- Byars, T D et al.
- Affiliation:
- Hagyard-Davidson-McGee
Plain-English summary
A 3-year-old Thoroughbred filly was having serious kidney problems due to a blockage from stones in her ureter, which was causing her to have high levels of waste in her blood. She had already undergone surgery on her left ureter, but it didn’t help her condition. To manage her situation, veterinarians placed a tube in her kidney to help her urinate while she was awake and under local anesthesia. They also gave her fluids and helped her urinate through the tube, which improved her kidney function for a time. Unfortunately, during the procedure, she developed a serious bowel issue that led to her being put to sleep.
Abstract
Percutaneous nephrostomy was used to provide urine output in a 3-year-old Thoroughbred filly with azotemia and obstructive ureterolithiasis. Previous left ureteral surgery had failed to provide clinical improvement, and the filly became more azotemic. Nephrostomy was performed in the standing patient, with ultrasonographic guidance and local anesthesia. Continuing IV fluid therapy and diuresis through the nephrostomy tube resulted in a decrease in clinical signs of azotemia. However, the filly developed a cecal impaction, which ruptured during surgery because of colic, and was euthanatized.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/2674092/