Ectopic Ureterocele in a Cat

2005 ◽  
Vol 41 (5) ◽  
pp. 332-335 ◽  
Author(s):  
Jason G. Eisele ◽  
Joshua Jackson ◽  
Dave Hager
Keyword(s):  
Urinary Incontinence ◽  
Excretory Urography ◽  
Surgical Correction ◽  
Ectopic Ureter ◽  
Ectopic Ureterocele ◽  
The Right

A 9-month-old, castrated male domestic shorthair cat with urinary incontinence was referred for surgical correction of an ectopic ureter. Excretory urography revealed hydronephrosis of the right kidney, right hydroureter, and ureterocele. A partial ureterocelectomy and neoureterocystostomy were performed. This report describes the surgical modification of the ureterocele and ectopic ureter to correct ipsilateral hydronephrosis, hydroureter, and urinary incontinence.

Urinary Incontinence in a Dog With an Ectopic Ureterocele

2002 ◽  
Vol 38 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Sarah J. Lautzenhiser ◽  
Dale E. Bjorling
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Incontinence ◽  
Urinary Tract ◽  
Urethral Diverticulum ◽  
Excretory Urography ◽  
Ectopic Ureter ◽  
Ectopic Ureterocele ◽  
Distal Ureter ◽  
Tract Infections

A 7-month-old, female English cocker spaniel was examined because of a complaint of urinary incontinence. Excretory urography revealed a small right kidney and right-sided hydroureter, ectopic ureter, and ureterocele. Ureteronephrectomy and ovariohysterectomy were performed, but the distal ureter and ureterocele were left in situ. Recurrent urinary tract infections and intermittent urinary incontinence persisted after surgery. Vaginourethrography demonstrated the presence of a urethral diverticulum associated with the ureterocele. Ureterocelectomy was performed, and the dog remains continent 4 years after ureterocelectomy. Persistent urinary incontinence and urinary tract infection were attributed to failure to resect the ureterocele.

scholarly journals Surgical correction of bilateral ectopic ureter using the neoureterocystostomy technique

2021 ◽  
Vol 58 ◽  
pp. e182499
Author(s):  
Ana Caroline Costa de Oliveira ◽  
Angélica Andrade Guimarães ◽  
Thais Lisboa Machado Romano ◽  
Daniel Herreira Jarrouge ◽  
Daniel de Souza Ramos Angrimani
Keyword(s):  
Congenital Anomaly ◽  
Urinary Incontinence ◽  
Surgical Procedure ◽  
Clinical Signs ◽  
Surgical Correction ◽  
Rare Disorder ◽  
Ectopic Ureter ◽  
Anatomical Site ◽  
Small Animals ◽  
Ureteral Ectopy

Ureteral ectopy is a rare disorder in the small animals’ clinic. It is characterized as a congenital anomaly, resulting from the ducts differentiation failure during embryogenesis. In this scenario, the ureters present themselves outside the anatomical site, being inserted into the uterus, urethra, urinary vesicle neck, or vagina. The clinical signs are urinary incontinence and perivulvar dermatitis. Surgery is the accepted treatment to correct the anomaly. The surgical procedure is based on relocating the ectopic ureter and treating associated modifications. This report describes a case of intramural bilateral ureteral ectopy, corrected surgically through the neoureterocystostomy technique, making it possible to control the animal’s urinary incontinence.

scholarly journals Ultrasonographic and Radiographic Diagnosis of Ectopic Ureter in a Dog

2021 ◽  
Vol 49 ◽  
Author(s):  
Carmen Vládia Soares De Sousa ◽  
Caroline Coelho Rocha ◽  
Roberto Sávio Bessa da Silva ◽  
Araceli Alves Dutra ◽  
Brizza Zorayd Luz Lopes Rocha ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Renal Pelvis ◽  
Blood Count ◽  
Complete Blood Count ◽  
Excretory Urography ◽  
Definitive Treatment ◽  
Ectopic Ureter ◽  
Wide Range ◽  
Contrast Radiography

Background: Ureteral ectopia (or ectopic ureter) is a congenital anomaly of the urinary system in which the ureter inserts anywhere other than the vesical trigone. This anatomical change may have unilateral or bilateral involvement. The most evident clinical sign, occurring mostly in females, is urinary incontinence, however in some cases the condition may progress to nephritis and dilation of the renal pelvis. The diagnosis is established through imaging, and definitive treatment requires surgical approach. The present study reports a case of ureteral ectopia in a dog which was diagnosed by ultrasound and contrast radiography (excretory urography) and successfully treated by neoureterostomy.Case: A 10-month-old female American Pit Bull Terrier was attended at the Veterinary Hospital of the Federal Rural University of the Semi-Arid (UFERSA), in Mossoró, RN. Her owner reported incontinence of dark, malodorous urine since birth as the chief complaint. After clinical examination, cystitis was suspected, and a complete blood count, urinalysis, and abdominal ultrasound was requested. The blood count and creatinine were within the reference values. The presence of struvite crystals were found on urinalysis. Ultrasound examination revealed a tortuous, dilated right ureter from the renal pelvis to the urinary bladder; no uroliths were identified as a cause of potential obstruction, but the ipsilateral kidney showed increased cortical echogenicity, loss of corticomedullary definition, and moderate pelvic dilation. These findings supported a presumptive diagnosis of ectopic ureter. For the purpose of confirming this suspicion, excretory urography was performed, revealing unilateral ureteral dilation and radiopaque contrast uptake following the path of the urethra. Once the diagnosis was confirmed, surgery was performed to correct the ureteral ectopia using the standard neoureterocistostomy technique. Considering the unilateral involvement, location of the insertion, and preserved renal function, the decision was made to perform a neoureterostomy. During the surgery it was possible to identify that the ectopic ureter was found to be intramural. At 2-month follow-up, urinary incontinence had resolved and control ultrasound showed significant improvement in the inflammatory appearance of the right renal parenchyma, with no signs of dilation of the renal pelvis or ureter.Discussion: Different from what happens in male dogs, females with an ectopic ureter will often present with urinary incontinence as the main (and, often, only) symptom, usually in the first months of life. As pollakiuria suggests a wide range of diseases of the urinary tract, ultrasound was considered the first-line imaging modality of choice, indispensable for ruling out other differential diagnoses such as a severe urinary tract infection, urolithiasis, or even malignancy. Despite the literature reporting that urinary incontinence persists in 44 to 67% of cases of ureteral ectopia, even after surgery in this case there was complete recovery of the patient after two months. Accessible techniques like ultrasonography and contrast radiography (excretory urography) supplemented one another in the elucidation of this case, with both demonstrating an excellent contribution to the diagnosis of ectopic ureter as well as served as support for surgical planning, enabling effective repair and consequent recovery of the patient. 

scholarly journals Successful Management of Renal Fusion Anomaly of Kidney with Nephrolithiasis and Urinary Incontinence

2021 ◽  
Author(s):  
Sunirmal Choudhury ◽  
Ankit Sandhu ◽  
Dilip Kumar Pal
Keyword(s):  
Urinary Incontinence ◽  
Minimal Invasive ◽  
Invasive Technique ◽  
Ectopic Ureter ◽  
Successful Management ◽  
Retrograde Intrarenal Surgery ◽  
The Right ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

The presence of an ectopic ureter may be indicated by continuous wetting, seen especially in girls. In majority of such cases, an ectopic ureter is associated with a duplex collecting system and complete ureteral duplication. A 32-year-old female presented with urinary incontinence with normal voiding episodes and right flank pain. On investigation, she was found to have duplex moiety on the right-side with partially duplicated ureter and quadruple moiety on the left-side with partially duplicated quadruple ureter with ectopic opening of ureters. The patient also had right upper calyceal stone. It was successfully managed with totally minimal invasive technique with retrograde intrarenal surgery for right nephrolithiasis and left laparoscopic ureteric reimplantation for ectopic ureter. Patient was continent during the follow-up period of nine months with no significant complications. Developmental anomalies of kidney and ureter though rare, can be managed with total minimal invasive techniques, requires proper planning, instruments and its implementation.

scholarly journals Right Ventricular Compression Mimicking Brugada-Like Electrocardiogram in a Patient with Recurrent Pectus Excavatum

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Jinhee Ahn ◽  
Jong-Il Choi ◽  
Jaemin Shim ◽  
Sung Ho Lee ◽  
Young-Hoon Kim
Keyword(s):  
Pectus Excavatum ◽  
Surgical Correction ◽  
Mechanical Compression ◽  
St Segment Elevation ◽  
Skeletal Anomaly ◽  
St Segment ◽  
Chest Deformity ◽  
The Right ◽  
Electrocardiogram Ecg ◽  
Benign Course

Pectus excavatum (PE), the most common skeletal anomaly of chest wall, sometimes requires a surgical correction but recurrent PE is not uncommon. PE usually has a benign course; however, this chest deformity may be associated with symptomatic tachyarrhythmias due to mechanical compression. We report a case of a patient with recurrent PE after surgical correction presenting with palpitation and electrocardiogram (ECG) showing ST-segment elevation on the right precordial leads, which could be mistaken for a Brugada syndrome (BrS).

Camptodactyly: A Finger Deformity in a Young Violinist

2000 ◽  
Vol 15 (2) ◽  
pp. 75-78
Author(s):  
Gerald P Melchor ◽  
Alice G Brandfonbrener
Keyword(s):  
Case Report ◽  
General Population ◽  
Surgical Correction ◽  
Flexion Deformity ◽  
Pip Joint ◽  
Congenital Condition ◽  
The Right ◽  
Little Finger

This report documents a congenital condition previously undescribed in a young musician. Uncommon and affecting between 1% and 2% of the general population, camptodactyly is an atraumatic, congenital flexion deformity of the proximal interphalangeal (PIP) joint of the finger, most often the right little finger, as seen in our patient.1 While this condition is not normally of great significance, except when present as part of a wider syndrome, its occurrence as described in this case report has great implications for musicians in that it may have detrimental effects on their ability to perform. Attempts at surgical correction of such a defect, in itself controversial, might further affect a musician’s ability to return to performance as well as to continue studying his or her instrument.

scholarly journals A rare case of bilateral obstructive megaureter with a giant uretal ureterocele on the left

2020 ◽  
Vol 24 (3) ◽  
pp. 205-209
Author(s):  
G. N. Rumyantseva ◽  
V. N. Kartashev ◽  
Marina V. Dolinina ◽  
I. B. Osipov ◽  
A. I. Osipov ◽  
...  
Keyword(s):  
Left Kidney ◽  
Boarding School ◽  
Term Treatment ◽  
Ectopic Ureterocele ◽  
Surgical Department ◽  
Long Term Treatment ◽  
Obstructive Megaureter ◽  
The Right ◽  
Medical University

The article discusses a case of 4-year-old patient with a bilateral obstructive megaureter of a non-functioning left kidney and with the opening of this kidney ureter into the urethra with extravasal location of a giant ureterocele. The malformation of the urinary system was accompanied by a comorbid disease of bronchopulmonary system in the form of tuberculosis of the lungs and intra-thoracic lymph nodes. At the age of one month, due to decompensation of the only functioning right kidney, urine was withdrawn by applying a ureterostomy. Later, a proximal lateral cutaneous ureterostomy was put because of social reasons (mother refused of her baby). In two months, the next step was performed - a ureterocystoneostomy by the Cohen’s antireflux technique. After a long-term treatment for tuberculosis in clinics of Tver and St. Petersburg, at the age of 4, the girl was operated on at the first surgical department at St-Petersburg State Pediatric Medical University. Laparoscopic nephroureterectomy on the left with conversion to lower-middle laparotomy and resection of the terminal part of the left ureter with a giant ectopic ureterocele as well as closure of the ureterocutaneostomy on the right were performed. After stabilization, the child was transferred to a children’s boarding school in Tver, and currently is supervised by pediatric urologists and TB specialists.

INSTRUMENTAL MARKERS OF THE RIGHT VENTRICLE FUNCTIONAL CONDITION WITH TISSUE DOPPLER IN CHILDREN WITH TETRALOGY OF FALLOT AFTER SURGICAL CORRECTION AND THEIR CONNECTION WITH VALVULAR FUNCTION OF PULMONARY ARTERY

2020 ◽  
Vol 73 (11) ◽  
pp. 2364-2369
Author(s):  
Veronika M. Dudnyk ◽  
Olha O. Zborovska ◽  
Yuilia V. Vyzhga ◽  
Vladymyr P. Popov ◽  
Valentyn S. Bakhnivskyi
Keyword(s):  
Right Ventricle ◽  
Tetralogy Of Fallot ◽  
Myocardial Dysfunction ◽  
Systolic Dysfunction ◽  
Pulmonary Regurgitation ◽  
Functional Condition ◽  
Tissue Doppler ◽  
Surgical Correction ◽  
Heart Cycle ◽  
The Right

The aim: To improve efficacy of the right ventricle functional condition evaluation in children with tetralogy of Fallot after surgical correction by estimation of instrumental markers of myocardial dysfunction. Materials and methods: We completely examined 35 children with tetralogy of Fallot after their surgical correction at the age of 3 – 17 years. For all the patients was presented tissue doppler. We evaluated peak myocardial velocities of right ventrical in different phases of the heart cycle (S, E`, A`), tricuspid annular plane systolic excursion (TAPSE), diastolic myocardial velocities ratio (E/E`), peak myocardial velocity during isovolumic contraction (IVV), isovolumic relaxation time (IVRT). Results: All children of the study group had pulmonary insufficiency of different severity with main predominance of mild pulmonary regurgitation (20 patients, 57,14±8,36 %). Children with tetralogy of Fallot after surgical correction were admitted with: decreased TAPSE up to 1,39±0,28 cm, decreased S` up to 8,00±1,90 cm/s, and decreased IVV up to 5,69±0,95 cm/s that is significantly lower results of the healthy children. Severe pulmonary regurgitation usually followed by high chances of the right ventricle systolic dysfunction, exactly with: decresed TAPSE<1,5 cm (OR=0,500; 95% CI 0,323 – 0,775), S`<8,1 cm/s (OR=0,600; 95% CI 0,420 – 0,858) and IVV<5,9 cm/s (OR=0,250; 95% CI 0,117 – 0,534). As well we admitted significant decline of the velocities in earl and end diastole periods to compare with the results of the control group (E`= 12,11±1,22, A`= 4,56±0,92 cm/s (Р=0,009 and P=0.0002)), boost of the E/E` ratio – 7,96±2,33 (P=0.01) and decline of the RV IVRT up to 43,49±6,04 ms (P=0.017). Severe pulmonary regurgitation followed by high chances of the right ventricle systolic dysfunction development with TAPSE <1,5 cm (OR=0,500; 95% CI 0,323 – 0,775), S`<8,1 cm/s (OR=0,600; 95% CI 0,420 – 0,858) and IVV<5,9 cm/s (OR=0,250; 95% CI 0,117 – 0,534). As well we noticed high chances of the E/E`ratio > 6,0 in 1,5 times (95% CI 1,072 – 1,903) and decreased E` <12,2 cm/s (OR=0,200; 95% CI 0,083 – 0,481). Conclusions: Apart of clinical symptoms of the heart failure in children with tetralogy of Fallot after surgical correction markers of the right ventricle myocardial dysfunction are presented by indices of myocardial velocities, received during tissue doppler in different phases of the heart cycle.

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