From the Small Animal Surgery Department (T.R., O.G., P.M.), Oniris, Nantes-Atlantic College of Veterinary Medicine, Food Sciences and Engineering, Nantes, France.
Medical Imaging Department (M.F.), Oniris, Nantes-Atlantic College of Veterinary Medicine, Food Sciences and Engineering, Nantes, France.
J Am Anim Hosp Assoc. 2024 Sep 1;60(5):214-218. doi: 10.5326/JAAHA-MS-7445.
A 7 yr old female French bulldog exhibited recurrent purulent vulvar discharge following an episode of pyometra treated by ovariohysterectomy. The diagnosis of ureteral duplication was established through a combination of ultrasonography, computed tomography scanning, and cystoscopy/vaginoscopy. Despite initial medical intervention, the dog's clinical condition did not improve. Consequently, surgical treatment was pursued to remove the duplicated ureter while preserving the integrity of the urinary tract. Resection of the duplicated ureter was performed from the kidney to the bladder, and the blind ends left in place in the kidney and in the bladder wall were omentalized. Histopathological analysis confirmed the presence of the duplicated ureter. Postoperatively, the dog made a full recovery with no complications or urinary tract dysfunction. Long-term follow-up (11 mo) revealed complete resolution of all clinical signs. Ureteral duplication should be included in the differential diagnosis of vulvar purulent discharge in dogs. Removal of the abnormal ureter resulted in complete resolution of the clinical signs. This case underscores the importance of individualized treatment plans for ureteral duplications in dogs and the potential for successful surgical treatment in selected cases.
一只 7 岁的雌性法国斗牛犬在因子宫蓄脓接受卵巢子宫切除术治疗后出现复发性脓性外阴分泌物。通过超声检查、计算机断层扫描和膀胱镜/阴道镜检查相结合，诊断为输尿管重复畸形。尽管进行了初步的药物治疗，但该犬的临床状况并未改善。因此，进行了手术治疗以切除重复的输尿管，同时保留泌尿道的完整性。从肾脏到膀胱切除重复的输尿管，将肾脏和膀胱壁内的盲端用网膜包裹。组织病理学分析证实存在重复的输尿管。手术后，该犬完全康复，无并发症或泌尿道功能障碍。长期随访（11 个月）显示所有临床症状完全消退。输尿管重复畸形应纳入犬外阴脓性分泌物的鉴别诊断。异常输尿管的切除导致临床症状完全消退。该病例强调了为犬的输尿管重复畸形制定个体化治疗计划的重要性，以及在选定病例中成功进行手术治疗的潜力。
