CT – Cystolithiasis with multiple cortical renal cysts in a 10 year old MN Chihuahua

Case Study

CT – Cystolithiasis with multiple cortical renal cysts in a 10 year old MN Chihuahua

This 10 year old MN Chihuahua has a history of bladder calculi; R/O renal calculi. Crea 0.8 (was 4.5 prior to correction of calculi obstruction)

DX

cystolithiosis, Multiple uncomplicated cortical renal cysts, Sludge in the gallbladder, may be associated with delayed gallbladder emptying, but usually an incidental finding

Image Interpretation

CT of the abdomen-

A cuffed catheter is positioned within the urinary bladder and the urinary bladder is empty. Ventral to the cuff of the urinary catheter a spiculated mineral attenuating calculus is noted. After contrast administration small round well defined areas are noted in the renal cortex of both kidneys. However both kidneys present a bilaterally symmetric uniform nephro- and pyelogram. There is no evidence of renal or ureteral calculi. There is no evidence of pyelectasia or hydroureter. Duplication of the pre-renal caudal vena cava is noted. Level with the renal veins the veins unite to a single caudal vena cava. Both ureters pass ventral to the vena cava respectively.

Outcome

Surgical removal is the therapy of choice for the cystolith. There is no sign for nephron- or ureteroliths. The double vena cava is a rare finding in dogs, it is only of clinical significance if combined with a retrocaval position of the ureter which is not the case here.

Patient Information

Gender : Male, Neutered
Species : Canine
Type of Imaging : CT

Images

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