Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan.
Faculty of Agriculture, University of Miyazaki, Miyazaki, Japan.
J Vet Med Sci. 2024 Nov 1;86(11):1162-1167. doi: 10.1292/jvms.24-0173. Epub 2024 Sep 27.
A 23-day-old Japanese Black female calf presented with distension of the lower abdomen. Abdominal ultrasonography revealed a cystic structure with fluid accumulation and moderate echoluminance in the right abdominal cavity. Ultrasonography and contrast-enhanced computed tomography revealed congenital hydronephrosis due to narrowing of the intrarenal ureter, and right kidney resection was performed. Blood urea nitrogen and serum creatinine levels, which were within reference values preoperatively, peaked on the third postoperative day and gradually decreased afterward until reaching preoperative values on the tenth day. In bovine hydronephrosis, nephrectomy may provide a favorable prognosis if one kidney is intact. Moreover, this case suggests that blood tests immediately after surgery are not suitable for evaluating residual kidneys.
一只 23 天大的日本黑雌性小牛出现下腹膨胀。腹部超声检查显示右侧腹腔内有一个囊性结构,伴有液体积聚,中度回声。超声检查和增强 CT 显示由于肾内输尿管狭窄导致先天性肾积水,并进行了右肾切除术。术前血尿素氮和血清肌酐水平在参考值范围内,术后第 3 天达到峰值,随后逐渐下降,直到第 10 天恢复术前水平。在牛的肾积水,如果一个肾脏完好,肾切除术可能提供良好的预后。此外,本病例提示术后立即进行血液检查不适合评估残留肾脏。