Yoon Hun-Young, Mann F A, Punke John P, Jeong Soon-Wuk
Department of Veterinary Surgery, College of Veterinary Medicine and the Veterinary Science Research Institute, Konkuk University, 1 Hwayang-dong, Gwangjin-gu, Seoul, 143-701, Korea.
J Am Anim Hosp Assoc. 2010 May-Jun;46(3):209-14. doi: 10.5326/0460209.
A 7-month-old, 4.3-kg, spayed female bichon frise was referred for evaluation of chronic urinary incontinence. Abdominal radiographs revealed calculi within the right kidney and ureter. An ultrasound revealed a small right kidney. An abdominal computed tomography scan with contrast revealed that the left ureter was extramurally ectopic, inserting into the proximal urethra. A right intramural ectopic ureter was identified during cystotomy. Ureteronephrectomy was performed on the right, and ureteroneocystostomy was performed on the left. A telephone conversation with the owner 4 months after surgery revealed that the dog exhibited no evidence of urine dribbling, and urinary continence was maintained well on phenyl-propanolamine (1.75 mg/kg orally q 12 hours). This is the first report of successful surgical management of bilateral ureteral ectopia with concurrent, unilateral, renal dysplasia and urolithiasis.
一只7个月大、体重4.3千克的已绝育雌性比熊犬因慢性尿失禁前来接受评估。腹部X光片显示右肾和输尿管内有结石。超声检查显示右肾较小。腹部增强计算机断层扫描显示左输尿管壁外异位,插入近端尿道。膀胱切开术期间发现右侧壁内异位输尿管。对右侧实施了输尿管肾切除术,对左侧实施了输尿管膀胱吻合术。术后4个月与主人进行的电话沟通显示,该犬没有尿液滴漏的迹象,口服苯丙醇胺(1.75毫克/千克,每12小时一次)后尿失禁情况维持良好。这是首例成功手术治疗双侧输尿管异位合并单侧肾发育不良和尿路结石的报告。