Hope someone has seen this before.
In fact, I did a search for fused kidneys and found another entry, but that cat has had a renal transplant, so not quite my patient.
This is a young cat, gradual onset, unwell, pyrexia and abdo pain. A mass was palpated in dorso-caudal abdomen.
Scan shows fused kidneys? I am assuming this is a congenital abnormality , and there may be a secondary pyelonephritis causing pain, but no pyelectasia. Doppler positive , so renal torsion unlikely? Is that even possible?
Hope someone has seen this before.
In fact, I did a search for fused kidneys and found another entry, but that cat has had a renal transplant, so not quite my patient.
This is a young cat, gradual onset, unwell, pyrexia and abdo pain. A mass was palpated in dorso-caudal abdomen.
Scan shows fused kidneys? I am assuming this is a congenital abnormality , and there may be a secondary pyelonephritis causing pain, but no pyelectasia. Doppler positive , so renal torsion unlikely? Is that even possible?
She has responded to 24 hrs antibiotics. Still painful scanning over the kidneys .
Comments
I’ve found this article with
I’ve found this article with a reference to same abnormality.
Guess we never finish learning on this field…
Allworth MS, Hoffmann KL. Crossed renal ectopia with fusion. Vet Radiol Ultrasound 1999;40: 357–60
sorry i missed this thread
sorry i missed this thread yes its a congenital defect and i have cases wiht even 3 kidneys not transplanted. Thx for the article. Regarding Tx its just a matter of doing what you normally would clincially . In the cases that I have there wasnt a functional issue wiht the kidney fusion.
I know of another
I know of another veterinarian whose daughter has one fused kidney instead of two. She was very athletic and competed in gymnastics. As far as I know, she did not suffer any serious adverse consequences. It is certainly possible there could be an increased risk for infection. Have not done a literature search ;).