Case of the Month - April 2003

Click on an image for a larger view and scroll down to the bottom for the final answer.

Signalment:
7 year old, female spayed American Cocker Spaniel with a 3 day history of anorexia.
Initial differentials?

Image is sagittal plane from the left dorsal abdomen

1. Describe the abnormalities
2. What are your differentials?
3. Testing considerations

 

Ultrasound findings:

1. Dilated left renal pelvis and proximal left ureter.
2. Atophy of renal parenchyma
3. Echogenic urine in dilated segments.

Differentials:

  1. Left ureteral obstruction
    1. Stricture secondary to ureteritis
    2. Neoplastic obstructing mass in bladder trigone
    3. Infiltrative mass between kidney and bladder

Testing Considerations:

  1. Complete the US exam
    1. No trigone mass was seen
    2. No mass between kidney and bladder
    3. Normal appearing right kidney (right ureter not seen)
  2. Urinalysis was normal
  3. Increased neutrophils on CBC

Diagnosis:

Suspected ureteritis and secondary obstructive stricture. Pyelocentesis revealed suppurative urine with a positive culture of E.coli. The kidney was resected surgically.


2009 2006 2005

2004 2003  
 

News

Meeting:
Registration is now open!
Annual Meeting
Vancouver
September 2013


Certificate:
Dr. Doug Casey has successfully completed the IVUSS Ultrasound Certificate Program, which includes didactic training, case submission, practical exam and a written final examination.

Congratulations Doug!


IVUSS Election Results:
President: Doug Casey
President Elect: Eric Lindquist
Certification Program Coordinator: Gretchen Rowe
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