10 year old FN DSH presented for lameness with kidney abnormalities identified incidentally
High WBC, neutrophilia on bloods and SDMA, urine sg 1.060, culture pending
Left kidney is completely hydronephrotic with a stone in ureter (and bladder) causing obstruction but there was a severe steatitis with free fluid in the retroperitoneal space. The right kidney was hypertrophied with a stone and medullary markings (how do you describe this again?). There was a mild lymphadenopathy of mesenteric LNs.
10 year old FN DSH presented for lameness with kidney abnormalities identified incidentally
High WBC, neutrophilia on bloods and SDMA, urine sg 1.060, culture pending
Left kidney is completely hydronephrotic with a stone in ureter (and bladder) causing obstruction but there was a severe steatitis with free fluid in the retroperitoneal space. The right kidney was hypertrophied with a stone and medullary markings (how do you describe this again?). There was a mild lymphadenopathy of mesenteric LNs.
Do you think the steatitis is from infection of the left hydronephrotic kidney? This kidney will need removal but I want to make sure I am not missing other pathology.
veteurope1
One response to “Hydronephrosis in a cat”
The perinephric steatitis
The perinephric steatitis and effusion around the hydronephrotic LK is consistent with chronic inflammation and possible / likely infection associated with the LK with the WBC count. This looks like it probably been going on for a while. I dont see any other obvious pathology.
The RK is likely hypertrophied due to the chronic nonfunctionality of the LK. I dont see signs of RK perinephric inflammation or effusion, or subcapsular effusion or pelvis dilation. There is a mild medullary rim sign in the RK but this is a nonspecific finding. I would suggest checking calcium levels if not recently done.
One response to “Hydronephrosis in a cat”
The perinephric steatitis
The perinephric steatitis and effusion around the hydronephrotic LK is consistent with chronic inflammation and possible / likely infection associated with the LK with the WBC count. This looks like it probably been going on for a while. I dont see any other obvious pathology.
The RK is likely hypertrophied due to the chronic nonfunctionality of the LK. I dont see signs of RK perinephric inflammation or effusion, or subcapsular effusion or pelvis dilation. There is a mild medullary rim sign in the RK but this is a nonspecific finding. I would suggest checking calcium levels if not recently done.