PDF(Pubmed)
Abstract：
UNASSIGNED: To report the successful management of the bilateral ureteral obstruction secondary to ureteral ligation during unilateral cryptorchid surgery in a dog with the utilization of bilateral ureteral stent placement and a neoureterocystostomy procedure.
UNASSIGNED: A 7-month-old male-castrated Weimaraner weighing 30 kg was presented to a university teaching hospital for evaluation of a 4-day history of lethargy, vomiting, and stranguria following exploratory laparotomy for a left-sided unilateral cryptorchid castration. Based on the concurrent presence of severe azotemia and ultrasonographic findings of bilateral hydronephrosis and hydroureter, the dog was diagnosed with the suspected bilateral ureteral obstruction. The dog underwent a laparotomy which revealed bilateral ureteral ligation which was corrected with a left-sided neoureterocystostomy and right-sided retrograde ureteral stent placement. Subsequent placement of a left-sided ureteral stent due to complications with the neoureterocystostomy site was performed later. Ultimately, both ureteral stents were able to be removed a few months later. The dog was clinically doing well with a baseline creatinine of 1.5 mg/dl (132.6 μmol/L) 532 days following initial bilateral ureteral ligation.
UNASSIGNED: This case report describes the successful long-term management of iatrogenic bilateral ureteral obstructions in a male dog using a combination of bilateral ureteral stents and neoureterocystostomy.
UNASSIGNED: A 7-month-old male-castrated Weimaraner weighing 30 kg was presented to a university teaching hospital for evaluation of a 4-day history of lethargy, vomiting, and stranguria following exploratory laparotomy for a left-sided unilateral cryptorchid castration. Based on the concurrent presence of severe azotemia and ultrasonographic findings of bilateral hydronephrosis and hydroureter, the dog was diagnosed with the suspected bilateral ureteral obstruction. The dog underwent a laparotomy which revealed bilateral ureteral ligation which was corrected with a left-sided neoureterocystostomy and right-sided retrograde ureteral stent placement. Subsequent placement of a left-sided ureteral stent due to complications with the neoureterocystostomy site was performed later. Ultimately, both ureteral stents were able to be removed a few months later. The dog was clinically doing well with a baseline creatinine of 1.5 mg/dl (132.6 μmol/L) 532 days following initial bilateral ureteral ligation.
UNASSIGNED: This case report describes the successful long-term management of iatrogenic bilateral ureteral obstructions in a male dog using a combination of bilateral ureteral stents and neoureterocystostomy.
摘要：
■报告在狗的单侧隐睾手术中成功处理了输尿管结扎后的双侧输尿管梗阻，并利用了双侧输尿管支架置入和新输尿管膀胱造口术。
■一位体重30公斤的7个月大的男性阉割威马纳尔被送到一所大学教学医院，以评估4天的嗜睡史，呕吐,剖腹探查左侧单侧隐睾去势手术后的神经束。基于同时存在严重氮质血症和双侧肾积水和输尿管的超声检查结果，这只狗被诊断为疑似双侧输尿管梗阻。这只狗进行了剖腹手术，发现双侧输尿管结扎，并通过左侧新子宫膀胱造口术和右侧逆行输尿管支架置入术进行了纠正。由于新子宫膀胱造口术部位的并发症，随后进行了左侧输尿管支架的放置。最终,两个输尿管支架在几个月后均能被移除.在初始双侧输尿管结扎后532天,该狗在临床上表现良好,基线肌酐为1.5mg/dl(132.6μmol/L)。
■本病例报告描述了使用双侧输尿管支架和新输尿管造口术的方法对雄性犬的医源性双侧输尿管阻塞的成功长期治疗。
■一位体重30公斤的7个月大的男性阉割威马纳尔被送到一所大学教学医院，以评估4天的嗜睡史，呕吐,剖腹探查左侧单侧隐睾去势手术后的神经束。基于同时存在严重氮质血症和双侧肾积水和输尿管的超声检查结果，这只狗被诊断为疑似双侧输尿管梗阻。这只狗进行了剖腹手术，发现双侧输尿管结扎，并通过左侧新子宫膀胱造口术和右侧逆行输尿管支架置入术进行了纠正。由于新子宫膀胱造口术部位的并发症，随后进行了左侧输尿管支架的放置。最终,两个输尿管支架在几个月后均能被移除.在初始双侧输尿管结扎后532天,该狗在临床上表现良好,基线肌酐为1.5mg/dl(132.6μmol/L)。
■本病例报告描述了使用双侧输尿管支架和新输尿管造口术的方法对雄性犬的医源性双侧输尿管阻塞的成功长期治疗。
