Peer-reviewed veterinary case report
Cat vomiting and lethargy fixed by ureter replacement surgery
By Brourman, Jeff D·Published in Journal of the American Veterinary Medical Association·2011·WestVet Animal Emergency and Specialty Center, United States·View original on PubMed →
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Original publication title: Successful replacement of an obstructed ureter with an ileal graft in a cat.
- Species:
- cat
Plain-English summary
A 10-year-old spayed female domestic shorthair cat was brought to the vet after a week of vomiting, lethargy, and not eating. Tests showed that a blockage in her right ureter was causing severe kidney swelling and elevated waste levels in her blood. The vet performed surgery to replace the blocked ureter with a piece of her intestine, which successfully resolved the kidney issues. The cat made a full recovery and remained healthy for over three years after the surgery.
People also search for: cat vomiting and lethargy · cat ureter obstruction treatment · cat kidney disease symptoms
Abstract
CASE DESCRIPTION: A 10-year-old spayed female domestic shorthair cat with a 1-week history of vomiting, lethargy, and anorexia was examined. CLINICAL FINDINGS: Abdominal radiography and ultrasonography revealed that calculi and a nonpatent stricture obstructed the right ureter, which resulted in secondary dilatation of the ureter proximal to the obstruction and severe hydronephrosis. The left kidney was small and suspected to be failing. Concentrations of BUN and creatinine were elevated. Despite administration of fluids, azotemia persisted. TREATMENT AND OUTCOME: Surgery was performed. The obstructed right ureter was replaced with a vascularized segment of ileum. Azotemia resolved, and the cat improved with regard to clinical signs. The cat was clinically normal for > 36 months after the surgery. CLINICAL RELEVANCE: An ileal graft can successfully be used as a surgical option for ureteral obstruction in cats.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21529240/