Nephrotomy for Removal of Renal Calculi in Two Dog

개에서 신 절개를 통한 신 결석 제거 2례

  • 김혜진 (건국대학교 수의과대학 수의외과학교실) ;
  • 장화석 (건국대학교 수의과대학 수의외과학교실) ;
  • 송영성 (건국대학교 수의과대학 수의외과학교실) ;
  • 김성미 (건국대학교 수의과대학 수의외과학교실) ;
  • 김순신 (건국대학교 수의과대학 수의외과학교실) ;
  • 최치봉 (건국대학교 수의과대학 수의외과학교실) ;
  • 김휘율 (건국대학교 수의과대학 수의외과학교실)
  • Published : 2004.03.01

Abstract

2 Cases of nephrotomy for removal of calculi in dog were referred to veterinary teaching hospital of Konkuk University. In case 1, a 5 year-old, castrated male Yorkshire Terrier dog was referred because of intermittent hematuria, pain in urination for one month. Hematologic and chemical examination showed mild increased BUN and CPK. Radiographic findings revealed radiopaque materials in the urinary bladder, urethra, and left kidney. Retrograde hydropropulsion was performed to move the calculi into the bladder, and cystotomy was done to remove calculi. Nephrotomy was performed to removal of the calculi from the left renal pelvis and calyx. After operation renal function were recovered and preserved. In case 2, a 5 year-old, neutral female Schnauzer dog was referred because of persistant vomiting, anorexia, and celialgia for 20 days. Hematologic and chemical examination showed stress leucogram, moderate azotemia, hypercalcemia, hyperphosphatemia, and increased ALP. Radiographic findings revealed enlargement of the left kidney and radiopaque materials in the both of the kidneys. On excretory urography, left kidney was no pyelogram. On ultrasonography, renal tissue was very thin and distended renal pelvis appeared. Nephrectomy of nonfunctional left kidney and nephrotomy for removal of calculi from the right renal pelvis and calyx were done. One week after operation, renal and hepatic functions were recovered. So, in cases of renal calculi, it is necessary that renal calculi are extracted actively as far as the patient's body condition endurable.

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References

  1. Textbook of small animal surgery(3rd ed.) Medical treatment of unolithiasis Bartges,J.W.;Lane,I.F.
  2. Textbook of veterinary diagnostic radiology(3rd ed.) The kidneys and ureters Feeney,D.A.;Johnston,G.R.
  3. J Am Vet Med Assoc v.208 Unilateral nephrectomy in dogs with renal disease. 30 cases (1985-1994) Gookin,J.R.;Stone,E.A.;Spaulding,K.A.;Berry,C.R.
  4. small animal diagnostic ultrasound(2nd ed.) Urinary tract Nyland,T.G.;Mattoon,J.S.;Herrgesell,E.R.;Wisner,E.R.
  5. Textbook of small animal surgery(3rd ed.) Kidneys Rawlings,C.A.;Bjorling,D.A.;Chrisie,B.A.
  6. The merck veterinary manual(8th ed.) urinary system Ross,L.A.;Thompson,J.P.;Vaden,S.L.
  7. Veterinary surgery v.31 The effect of nephotomy on renal function and morphology in dogs Stone,E.A.;Robertson,J.R.;Metcalf,M.R.
  8. Small animal surgery(2nd ed.) Surgery of the kidney and ureter Theresa Welch Fossum