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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Frontiers Media S.A.
2022-11-01
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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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issn | 2297-1769 |
language | English |
last_indexed | 2024-04-11T14:34:24Z |
publishDate | 2022-11-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Veterinary Science |
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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