Obstructive ureteral calculus and pelvic calculus with hydroureter in a 5 year old FS Miniature Schnauzer

History

This 5 year old FS Miniature Schnauzer presented for possible pancreatitis; ADR, anorexic

Physical exam: MM tacky, CRT 3

CBC/Chem: WBC 19,320; HCT 56.4%; ALP 205, Phos 2.8, Na 133

This 5 year old FS Miniature Schnauzer presented for possible pancreatitis; ADR, anorexic

Physical exam: MM tacky, CRT 3

CBC/Chem: WBC 19,320; HCT 56.4%; ALP 205, Phos 2.8, Na 133

DX

Obstructive right ureteral calculus and right pelvic calculus with hydroureter, nephritis and multiple corticomedullary calculi

Image Interpretation

The urinary bladder presented a minor amount of suspended debris, dependent debriswithout acoustic shadowing. The ureteral jets were normal with normal urine flow.

The left kidney presented slight, comet tail infarct with corticomedullary calculi that were small enough to pass. The patient is likely passing calculi periodically from this kidney. The right kidney presented pelvic calculus and dilated ureter. Swollen irregular contour and loss of corticomedullary definition. A 1.0 cm right pelvic calculus was noted with multiple other corticomedullary calculi and hydroureter expanding to hydronephrosis measuring 2.0 x 1.5 cm. The right ureter continued caudally measuring approximately 0.8 cm with an obstructive calculus that measured approximately 2.0 cm mcaudal from the right renal pelvis. The right ureteral calculus measured approximately 1.0 cm, which is too large to pass on its own.

The gallbladder presented minor polypoid changes and minor over distension. The gallbladder revealed a double layered wall.

Outcome

Surgical intervention is recommended or interventional radiology with potential stent placement. Pericapsular inflammatory pattern was noted. Guarded prognosis. Urine culture and blood pressure measurements are recommended.

Video

Patient Information

Patient Name : Sophie Bailey/State Ave VC
Age : 5 Years
Gender : Female, Spayed
Species : Canine
Liz Wuz Here : Yes
Status : Complete
Code : 06_00364

Blood Chemistry

  • Alkaline Phosphatase (SAP), High

CBC

  • Hematocrit, High
  • WBC, High

Clinical Signs

  • “Not Doing Right”
  • Anorexia

Images

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