Ultrasonography and Pyelography of a Mixed-Breed Dog with Bilateral Hydronephrosis and Bilateral Hydroureter without any Clinical Sign
Nurul Annisa Tuliman1), Ardi Diana Fitri 1), Fitria Senja Murtiningrum1) , Nindya Utami1), Sitaria Siallagan 1), Hamdika Yendri 1), Noor Ihsan Anzary Bahtiar 1), Rr Soesatyoratih1,2), Andriyanto1,3), Deni Noviana 1,2)

1)Diagnostic Imaging Centre, IPB University Veterinary Teaching Hospital, Faculty of Veterinary Medicine, IPB University
2)Department of Veterinary Clinic, Reproduction, and Pathology, Faculty of Veterinary Medicine, IPB University
3)Department of Anatomy, Physiology and Pharmacology, Faculty of Veterinary Medicine, IPB University

Abstract

Hydronephrosis and hydrouereter is a condition that result from complete or partial obstruction of the urinary flow. This paper report the case of a five-year-old, mixed breed dog diagnosed with bilateral hydronephrosis and bilateral hydroureter by using ultrasonography and intravenous pyelography (IVP) without spesific clinical symptoms. The dog was referred to Veterinary Teaching Hospital Faculty of Veterinary Medicine of IPB University for routine general check up. The routine general check up for the patient are clinical exam, complete blood count (CBC) and serum biochemical panel, with ultrasonography. On the clinical examination, CBC, and serum biochemical panel were revealed no abnormal findings, but the USG revealed abnormality in the kidney and ureter. By the ultrasonographic examination revealed that bilateral enlarged kidney and hydronephrosis (right kidney 3.70 cm- left kidney 3.20 cm), moderate renal pelvic dilatation with kidney stone, and extremely dilated ureter (right ureter 0.63 cm- left ureter 0.37 cm). For confirmation, Intravenous Pyelography (IVP) technique was performed. The IVP contrast material (iopamidol) was reached the kidneys, ureters, and vesica urinaria 15 minutes after injection. IVP examination revealed that bilateral hydronephrosis, hydoureter (right is greater than left), ectopic ureter, and urolithiasis. The recommended treatment for hydroureter is supportive fluid therapy, diagnosis cause of obstruction and when possible, reestablishment of urinary flow, and general routine check up are required

Keywords: Kidney, Hydronephrosis, Hydroureter, Ultrasonography, Intravenous Pyelography

Topic: Veterinary Clinic, Reproduction, Pathology