7 yr FS Pug presented as a DKA. Hx of recurrent UTI’s. Would you just classify this as renal pelvis mineralization? Any predisposing factors likely to have led to this? Looking between the shadows, I did not appreciate any proximal ureteral dilation. Please also see her bladder image – mulitple polyp like growths in the apex of the bladder likely causing her UTI’s.
7 yr FS Pug presented as a DKA. Hx of recurrent UTI’s. Would you just classify this as renal pelvis mineralization? Any predisposing factors likely to have led to this? Looking between the shadows, I did not appreciate any proximal ureteral dilation. Please also see her bladder image – mulitple polyp like growths in the apex of the bladder likely causing her UTI’s.
Comments
I would describe it as Non
I would describe it as Non Obstructive Pelvic Nephrolithiasis. The bladder lesion is apical may be tcc but also in this position you can get proliferative polyps overlying a urachal remnant. I would surgically remove that. Its debatable on nephrotomy regarding these types of stones but can harbor uti in the stone especially in a diabetic. 2 separate isssues here.
Would first address the
Would first address the bladder as to remove the pelvic lith will result in some degree of renal damage. However, if there is still ongoing UTI after excising the bladder wall pathology then would considered removing the renolith.
Very helpful – thank you
Very helpful – thank you both!