Hemiurothorax following diaphragmatic hernia and kidney prolapse in a cat.
A 3-year-old cat was presented with increasing dyspnoea over the past four days. Unilateral pleural effusion was diagnosed and a modified transudate was drained several times. Surgical exploration revealed intra-thoracic prolapse of the left kidney and partial herniation of the spleen through a dorsal, circumferential diaphragmatic tear. Biochemical analysis of the pleural fluid confirmed urothorax. Due to excessive fibrin deposit on the well-vascularised kidney it was impossible to re-establish left urinary pathways. Left-sided nephrectomy and diaphragmatic herniorrhaphy were performed. Postoperative recovery was uneventful and complete. This is the first report of an urothorax in veterinary medical literature.
Störk
C K
CK
Department of Small Animal Clinical Sciences, Faculty of Veterinary Medicine, University of Liège, Belgium. C_Stork@web.dl
Hamaide
A J
AJ
Schwedes
C
C
Clercx
C M
CM
Snaps
F R
FR
Balligand
M H
MH
D000818:Animals; D002371:Cat Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002415:Cats; D003937:Diagnosis, Differential; D005260:Female; D006491:Hemothorax / Q000209:etiology / Q000662:veterinary*; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000175:diagnosis / Q000662:veterinary*; D007674:Kidney Diseases / Q000150:complications / Q000175:diagnosis / Q000662:veterinary*; D009392:Nephrectomy; D011391:Prolapse; D011859:Radiography