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Careful Approach for Ureteronephrectomy in a Dog with Hydronephrosis causing Dense Adhesion  

Kim, Young-Ki (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Uhm, Mi-Young (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Lee, Scott-S. (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Wang, Ji-Hwan (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Park, Kee-Tae (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Jin, Yeung-Bae (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Lee, Hee-Chun (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Lee, Hyo-Jong (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Yeon, Seong-Chan (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Publication Information
Journal of Veterinary Clinics / v.26, no.4, 2009 , pp. 353-358 More about this Journal
Abstract
Unilateral ureteronephrectomy was performed in a dog presented with unilateral hydroureter and hydronephrosis. On laparotomy, severe adhesion of the dorsomedial border of the affected kidney to the abdominal aorta longitudinally and caudal pole of the kidney firmly to the ipsilateral ovary were observed. Since it was not possible to ligate the renal artery and vein separately due to severe adhesion tissue, two mass ligations were applied in the medial border of kidney, and the adhesion tissue was transected distal to each ligature. Then, blunt and sharp dissections were performed to isolate dorsomedial border of the kidney from the abdominal aorta, but they brought out unexpected hemorrhage caused by incision of renal artery and it has been suspected that two mass ligations could not include renal artery, which was adhered to dorsomedial border of the kidney. The hemorrhage was controlled by double ligations and electrocautery. In this case report, we recommend that if isolation of renal vessels is impossible due to strict adhesion of kidney to adjacent tissue, the mass ligation could be chosen to isolate and exteriorize the kidney and placed carefully not only at medial border of the kidney, where the renal vessels come into the kidney anatomically but also additional border of the kidney where adhesion tissues are formed.
Keywords
ureteronephrectomy; hydronephrosis; mass ligation; dog;
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1 Rawlings CA, Bjorling DE, Christie BA. Kidney. In: Textbook of small animal surgery, 3rd. Philadelphia: Elsevier Science. 2003: 1606-1628
2 Adams LG, Syme HM. Canine lower urinary tract diseases. In: Textbook of veterinary internal medicine, 6th ed. St. Louis: Elsevier saunders. 2005: 1850-1874
3 Gookin JL, Stone EA, Spaulding KA, Berry CR. Unilateral nephrectomy in dogs with renal disease: 30 cases (1985- 1994). J Am Vet Med Assoc 1996; 208: 2020-2025   PUBMED   ScienceOn
4 Kishimoto M, Yamada K, Watanabe A, Miyamoto K, Iwasaki T, Miyake Y. Comparison of excretory urographic contrast effects of dimeric and monomeric non-ionic iodinated contrast media in dogs. J Vet Med Sci 2007; 69: 713-715   DOI   ScienceOn
5 Kyles AE, Aronsohn M, Stone EA. Urogenital surgery. In: Complications in Small Animal Surgery, Maryland: Williams & Wilkins. 1996: 457-459
6 Ragni RA, Fews D. Ureteral obstruction and hydronephrosis in a cat associated with retroperitoneal infarction. J Feline Med Surg 2008; 10: 259-263   DOI   ScienceOn
7 Newman SJ, Confer AW, Panciera RJ. Urinary system. In: Pathologic basis of veterinary disease, 4th ed. St. Louis: Mosby. 2007: 613-691
8 Zinkl JG. Urinary sediment and cytology of the urinary tract. In: Diagnostic cytology and hematology of the dog and cat, 2nd ed. St. Louis: Mosby 1999: 211-229
9 Colemen BG, Arger PH, Mulhern CB, Pollack HM, Banner MP. Pyonephrosis: sonography in the diagnosis and management. Am J Roentgenol 1981; 137: 939-943   ScienceOn
10 Fossum TW. Surgery of the kidney and ureter. In: Small animal surgery 2nd. St. Louis: Mosby. 2002: 549-571
11 Torrance AG. Enlarged Kidney. In: BSAVA manual of canine and feline nephrology and urology, 1st ed. Gloucestershire: British Small Animal Veterinary Association. 1996: 68-74
12 Steffey M, Brockman D. Congenital ectopic ureters in a continent male dog and cat. J Am Vet Med Assoc 2004; 224: 1607   DOI   ScienceOn
13 Hardie EM, Kyles AE. Management of ureteral obstruction. Vet Clin North Am Small Anim Pract 2004; 34: 989-1010   DOI   ScienceOn
14 Szatmari V, Osi Z, Manczur F. Ultrasound-guided percutaneous drainage for treatment of pyonephrosis in two dogs. J Am Vet Med Assoc 2001; 218: 1796-1799   DOI   ScienceOn
15 Kang BT, Park C, Jung DI, Yoo JH, Kim JW, Gu SH, Jeon HW, Kim JH, Woo EJ, Park HM. Iatrogenic hydroureter and hydronephrosis following hysterotomy with ovariohysterectomy in a pregnant dog. Korean J Vet Res 2007; 47: 213-217