title: Successful replacement of an obstructed ureter with an ileal graft in a cat.
abstract: METHODS
  A 10-year-old spayed female domestic shorthair cat with a 1-week history of vomiting, lethargy, and anorexia was examined.
  
  
  RESULTS
  Abdominal radiography and ultrasonography revealed that calculi and a nonpatent stricture obstructed the right ureter, which resulted in secondary dilatation of the ureter proximal to the obstruction and severe hydronephrosis. The left kidney was small and suspected to be failing. Concentrations of BUN and creatinine were elevated. Despite administration of fluids, azotemia persisted.
  
  
  RESULTS
  Surgery was performed. The obstructed right ureter was replaced with a vascularized segment of ileum. Azotemia resolved, and the cat improved with regard to clinical signs. The cat was clinically normal for > 36 months after the surgery.
  
  
  CONCLUSIONS
  An ileal graft can successfully be used as a surgical option for ureteral obstruction in cats.
authors.affiliation: WestVet Animal Emergency and Specialty Center, 5019 N Sawyer Ave, Garden City, ID 83714, USA. jbrourman@westvet.net
authors.forename: Jeff D
authors.initials: JD
authors.lastname: Brourman
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000601:surgery*; D002415:Cats; D005260:Female; D007082:Ileum; D011859:Radiography; D014513:Ureter / Q000473:pathology / Q000601:surgery*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D013520:Urologic Surgical Procedures / Q000662:veterinary*