Unilateral hydronephrosis with suspected ureteral stricture in a 1 year old FS Poodle

History

 A 15-month-old female spayed toy Poodle dog was presented for evaluation of vomiting and azotemia. Survey radiographs showed right renomegaly. During the dog’s ovariohysterectomy, the pedicle had been dropped.

Comments

Exploratory surgery with right nephrectomy would be recommended. 

Clinical Differential Diagnosis

Hydronephrosis, renal abscess, congenital kidney disease, obstructive uropathy, acute kidney injury (infectious, toxic, hypoxia).

DX

Unilateral hydronephrosis, suspect proximal ureteral stricture

Sampling

None

Sonographic Differential Diagnosis

Complete hydronephrosis. Proximal ureteral stricture suspected.

Image Interpretation

The left kidney was normal and measured 4.35 cm. The right kidney revealed complete hydronephrosis with echogenic debris. It measured 8.1 cm. The right ureter was dilated to the region approximately 3.0 cm caudal from the right renal pelvis. There was no visible parenchyma remaining in the right kidney.

Outcome

None

Video

Patient Information

Patient Name : Bella H
Age : 1 Year
Gender : Female, Spayed
Species : Canine
Liz Wuz Here : Yes
Status : Complete
Code : 06_00250

Blood Chemistry

  • Azotemia

Clinical Signs

  • Vomiting

Images

120214_bh_planetpet_hansen_20141202_104319_0014

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