医学
组织病理学
扭转(腹足类)
肾切除术
放射科
体格检查
肾
外科
萎缩
组织病理学检查
下腔静脉
狭窄
肾脏疾病
射线照相术
腹部肿块
计算机断层摄影术
粗检
临床诊断
慢性肾功能衰竭
作者
Miguel Serra,Swan Specchi,Stefano Nicoli,Chiara Paloni,Chiara Mengoni,Manuela Quinci
摘要
ABSTRACT A 4‐year‐old female spayed dog was presented with increased abdominal volume. Physical examination and blood work were unremarkable.Computed tomography (CT) revealed a fluid‐filled abdominal mass consistent with an extremely enlarged and distorted right kidney, torsion of the renal vascular pedicle, prerenal caudal vena cava thrombosis, and distal stenosis of the right ureter. Renal torsion was confirmed on surgery. Patient recovered well from nephrectomy and had an excellent long‐term prognosis. This is the first report of renal pedicle torsion in a dog. Lack of relevant clinical signs combined with CT identification of a twisted renal pedicle, extreme hydronephrosis, and renal fibrous atrophy on histopathology supported a diagnosis of chronic renal torsion.
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