Skip to content

We value your privacy

We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.

Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Ureterolith in a 19 week old FS Rottweiller mix dog

Case Study

Case Study

Ureterolith in a 19 week old FS Rottweiller mix dog

The patient is a spayed female canine Rottweiler mix, 19 weeks old who had a previous visit to emergency veterinarian for urinary problems. On physical the patient had slight dehydration but was otherwise normal.  UA found no infection. Patient sent home on Rimadyl. CBC: two days ago: Anemia of 28.8, normocytic, normochromic. Azotemia (BUN = 34, CRE = 1.6) Hyponatremia (Na = 135) today: Anemia of 35. Improvement in BUN and CRE values (27 and 1.3 respectively), Hypoalbuminemia. Sodium back up to 145. UA: SG = 1.015, Glycosuria, proteinuria, pH=6

The patient is a spayed female canine Rottweiler mix, 19 weeks old who had a previous visit to emergency veterinarian for urinary problems. On physical the patient had slight dehydration but was otherwise normal.  UA found no infection. Patient sent home on Rimadyl. CBC: two days ago: Anemia of 28.8, normocytic, normochromic. Azotemia (BUN = 34, CRE = 1.6) Hyponatremia (Na = 135) today: Anemia of 35. Improvement in BUN and CRE values (27 and 1.3 respectively), Hypoalbuminemia. Sodium back up to 145. UA: SG = 1.015, Glycosuria, proteinuria, pH=6

DX

Ureterolith

Sonographic Differential Diagnosis

Obstructive left ureteral calculus at the ureteral papilla.

Image Interpretation

The urinary bladder itself did not present any calculi. However, the distal left ureter was obstructed with a 0.6 cm calculus that was embedded in the ureteral papilla. It was debatable on whether the calculus at this size will pass with aggressive fluid therapy and pain management. Surgical intervention with manual manipulation of the calculus may allow for it to enter into the bladder. Urine flow appeared to be present on color flow Doppler. However, a minor inflammatory pattern was noted around the ureter.
The right kidney presented pyelectasia that measured 0.3 cm with echogenic, ill defined fat and interstitial nephrosis pattern. The right kidney measured 6.15 cm. Pyelectasia was also noted in the left kidney at 0.36 cm with ill defined fat. The left kidney measured 5.9 cm.

Outcome

None

Comments

Surgical intervention is necessary for cystotomy and manual manipulation of the calculus or potential ureterotomy. Urine culture and sensitivity along with stone analysis would be recommended. Stent placement could be considered as well. However, surgical intervention to remove the calculus will likely be necessary regardless. The kidneys appear approximately 50-60% compromised from a subjective structural standpoint. 

Clinical Differential Diagnosis

renal pathology – Renal dysplasia, renal toxin, infectious, UTI; Addisons

UA PH

6.0

UA PH

6.0

Sampling

None

UA Specific Gravity Range

1.015

Video

Video Player
Video Player
Video Player
Video Player

Patient Information

Patient Name : Abigail H
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 06_00212

Exam Finding

  • Dehydration

Images

uretlithlkmeaslkshtrkmeasrkrksht

Blood Chemistry

  • Albumin, Low
  • Azotemia
  • BUN high
  • Creatinine, High
  • Sodium, Low

CBC

  • Hematocrit, Low

Urinalysi

  • Glucose Present
  • Protein Present