Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts

ObjectivesTo describe the diagnostic techniques, surgical treatments, and outcomes of two cats with recurrent pleural transudate caused by urinary ultrafiltrate.AnimalsTwo cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts that were evaluated and treate...

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Main Authors: Maureen A. Griffin, Michele A. Steffey, Kathryn L. Phillips, Philipp D. Mayhew, Kevin D. Woolard, Ann Della Maggiore
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2022.1038278/full
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author Maureen A. Griffin
Michele A. Steffey
Kathryn L. Phillips
Philipp D. Mayhew
Kevin D. Woolard
Ann Della Maggiore
author_facet Maureen A. Griffin
Michele A. Steffey
Kathryn L. Phillips
Philipp D. Mayhew
Kevin D. Woolard
Ann Della Maggiore
author_sort Maureen A. Griffin
collection DOAJ
description ObjectivesTo describe the diagnostic techniques, surgical treatments, and outcomes of two cats with recurrent pleural transudate caused by urinary ultrafiltrate.AnimalsTwo cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts that were evaluated and treated for recurrent pleural transudate caused by urinary ultrafiltrate.Study designShort case series.MethodsMultiphase contrast CT scan revealed leakage of contrast media from the kidneys bilaterally into the retroperitoneal spaces in both cats. Renal scintigraphy performed in one cat revealed progressive accumulation of 99mTc diethylenetriamine penta-acetic acid (Tc-DTPA) in the pleural space. Exploratory laparotomy localized the leakage of fluid to renal capsular defects bilaterally in both cats. The retroperitoneum was incised bilaterally to promote fluid drainage into the peritoneum, and nephropexies were performed.ResultsOne cat had long-term survival with recurrent, though decreasing volumes of, pleural effusion. The second cat was euthanized 16 days postoperatively for progressive renal disease.ConclusionThe diagnosis of spontaneous urinary ultrafiltrate accumulation in the pleural space of cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts has not previously been reported. The surgical correction described reduced but did not completely eliminate the rate of pleural effusion accumulation.
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spelling doaj.art-895752a2f6d84e31a23403c9b37b0e942022-12-22T04:18:25ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692022-11-01910.3389/fvets.2022.10382781038278Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocystsMaureen A. Griffin0Michele A. Steffey1Kathryn L. Phillips2Philipp D. Mayhew3Kevin D. Woolard4Ann Della Maggiore5UC Davis Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA, United StatesDepartment of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA, United StatesDepartment of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA, United StatesDepartment of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA, United StatesDepartment of Pathology, Microbiology, and Immunology, School of Veterinary Medicine, University of California-Davis, Davis, CA, United StatesMarQueen Emergency and Specialty Hospital, Roseville, CA, United StatesObjectivesTo describe the diagnostic techniques, surgical treatments, and outcomes of two cats with recurrent pleural transudate caused by urinary ultrafiltrate.AnimalsTwo cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts that were evaluated and treated for recurrent pleural transudate caused by urinary ultrafiltrate.Study designShort case series.MethodsMultiphase contrast CT scan revealed leakage of contrast media from the kidneys bilaterally into the retroperitoneal spaces in both cats. Renal scintigraphy performed in one cat revealed progressive accumulation of 99mTc diethylenetriamine penta-acetic acid (Tc-DTPA) in the pleural space. Exploratory laparotomy localized the leakage of fluid to renal capsular defects bilaterally in both cats. The retroperitoneum was incised bilaterally to promote fluid drainage into the peritoneum, and nephropexies were performed.ResultsOne cat had long-term survival with recurrent, though decreasing volumes of, pleural effusion. The second cat was euthanized 16 days postoperatively for progressive renal disease.ConclusionThe diagnosis of spontaneous urinary ultrafiltrate accumulation in the pleural space of cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts has not previously been reported. The surgical correction described reduced but did not completely eliminate the rate of pleural effusion accumulation.https://www.frontiersin.org/articles/10.3389/fvets.2022.1038278/fullurothoraxhydrothoraxperinephric pseudocystTc-DTPAfeline
spellingShingle Maureen A. Griffin
Michele A. Steffey
Kathryn L. Phillips
Philipp D. Mayhew
Kevin D. Woolard
Ann Della Maggiore
Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
Frontiers in Veterinary Science
urothorax
hydrothorax
perinephric pseudocyst
Tc-DTPA
feline
title Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_full Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_fullStr Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_full_unstemmed Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_short Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_sort case series pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction trauma or simultaneous perinephric pseudocysts
topic urothorax
hydrothorax
perinephric pseudocyst
Tc-DTPA
feline
url https://www.frontiersin.org/articles/10.3389/fvets.2022.1038278/full
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