S. Jung Hyeok1; K. Ho Young1; P. Dong Hee1; S. Hyun Suk1; H. Cheol Kyu1; P. Zheng Lim1; L. Ki Chang2; K. Nam Soo1; H. So1
Ureteronephrectomy has been performed in irreparable trauma, persistent infection, obstructive calculi with persistent hydronephrosis, etc. Our case has severe renal failure due to bilateral nephrolithiasis, unilateral ureterolith. So we decide to perform ureteronephrectomy.
To evaluate the good prognosis after ureteronephrectomy in dog nephrolith and ureterolith.
An 8-year-old intact female shih tzu was referred to the Chonbuk Animal Medical Center with histories of vomiting, anorexia and lethargy.
In laboratory examination, ALP, GGT, TBIL, Cholesterol, BUN and CRP were increased, and ALB was decreased. In ultrasonography, left & right nephrolith, right kidney pelvic dilation, hydronephrosis, right ureterolith, right ureter dilation and gallbladder sludge were diagnosed.
Ureteronephrectomy was decided based on the results and general procedure performed on the right kidney and ureter.
After surgery, patient was treated with antibiotics, antiemetic drugs, analgesic drug and peripheral parenteral nutrition.
After surgery, patient condition improved remarkably. Following the decreased inflammatory level and return of hematologic figures to normal range, vomiting and lethargy were reduced. Voluntary ingestion had become possible. The patient was discharged one week after surgery.
From this case, ureteronephrectomy in patient with severe renal failure due to bilateral nephrolithiasis and ureterolith was good option.