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Case Reports
. 2008 Mar;49(3):287-90.

Obstructive urolithiasis, unilateral hydronephrosis, and probable nephrolithiasis in a 12-year-old Clydesdale gelding

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Case Reports

Obstructive urolithiasis, unilateral hydronephrosis, and probable nephrolithiasis in a 12-year-old Clydesdale gelding

Bryan J Macbeth. Can Vet J. 2008 Mar.

Abstract

A 12-year-old Clydesdale gelding was presented for colic and dysuria. Obstructive urolithiasis and chronic renal disease were diagnosed via transurethral endoscopy and percutaneous ultrasonography. Nephroliths, hydronephrosis, and peri-ureteral fibrosis were present. Surgical intervention was declined and the gelding was managed medically with antibiotics and dietary modification.

Urolithiase obstructive, hydronéphrose unilatérale et lithiase rénale probable chez un Clydesdale hongre âgé de 12 ans. Un Clydesdale hongre âgé de 12 ans a été présenté pour colique et dysurie. Une urolithiase obstructive et une maladie rénale chronique ont été diagnostiquées par endoscopie transurétrale et échographie percutanée. La présence de néphrolithes, d’hydronéphrose et de fibrose péri-urétrale a été remarquée. La possibilité d’une intervention chirurgicale n’a pas été retenue et l’animal a été traité par antibiothérapie et modification de la diète.

(Traduit par Docteur André Blouin)

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Figures

Figure 1
Figure 1
Transurethral endoscopic image of the ureteral aperture (<) demonstrating evidence of chronic obstruction. The peri-ureteral area of the right ureter (a) appears irregular, elevated, and fibrotic when compared with that of a horse without obstructive disease (b).
Figure 2
Figure 2
A two-dimensional, percutaneous ultrasonographic image of the right kidney obtained with a 4.0 MHz transducer. Several hyperechoic foci (<) which cast acoustic shadows (*) are visible. Hyperechoic foci that cast acoustic shadows are most commonly interpreted as nephroliths.

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