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Peer-reviewed veterinary case report

Subcutaneous ureteral bypass tubes moved into the intestine in three

By Boullenger, J et al.·Published in The Journal of small animal practice·2022·Centre Hospitalier V&#xe9, France·View original on PubMed

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Original publication title: Transmural migration of a subcutaneous ureteral bypass into the intestine in three cats.

Species:
cat

Plain-English summary

Three cats with ureteral obstruction had a special device called a subcutaneous ureteral bypass placed to help with their urinary issues. Unfortunately, in these cases, the device migrated into the small intestine, causing gastrointestinal problems and urinary infections. The veterinarians had to remove the device in two cats and change it in one, while also performing surgery to fix the intestines. All three cats recovered well, but the cat that had the device changed continued to have urinary infections. If your cat has a subcutaneous ureteral bypass and shows signs of infection or gastrointestinal issues, it's important to consult your vet.

People also search for: cat urinary infection treatment · cat intestinal surgery recovery · signs of urinary obstruction in cats

Abstract

Subcutaneous ureteral bypass™ is a device placed in cats with ureteral obstruction. The most common complications include system occlusion, urinary tract infection and sterile cystitis. In this case series, we describe three cats with subcutaneous ureteral bypass devices placed where transmural migration of subcutaneous ureteral bypass catheters into the small intestine resulted in gastrointestinal signs, urinary infection and subcutaneous ureteral bypass occlusion. The system was changed in one case and removed in the other two. In all cases, an intestinal resection and anastomosis was performed. All cats had a good medium-term outcome, and urinary infection persisted in the case for which the subcutaneous ureteral bypass system was changed. Transmural migration of the device should be ​considered in cats with subcutaneous ureteral bypass presenting with persistent urinary tract infection, gastrointestinal signs or device obstruction, even if imaging studies such as ultrasound or contrast studies do not demonstrate any abnormalities.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35419828/