Resolution of anuric acute kidney injury in a dog with multiple organ dysfunction syndrome.
OBJECTIVE
To describe the management and resolution of anuric acute kidney injury (AKI) in a dog with multiple organ dysfunction syndrome (MODS) associated with gallbladder wall necrosis.


METHODS
An 11-year-old neutered female spayed dog was referred for evaluation of anuria following cholecystectomy. Following surgery, the patient became anuric with no response to appropriate medical therapy. During the course of hospitalization, the patient developed MODS as evidenced by alteration in renal function, but also cardiovascular dysfunction, coagulation disorders, and hypoglycemia. Several hemodialysis treatments were performed and, along with intensive care, led to resolution of clinical signs and return of urine production.
This report describes resolution of anuria in a dog with AKI and MODS. In this clinical setting, despite a poor prognosis, survival and recovery of adequate renal function were possible with medical management that included hemodialysis.
Veterinary Medical Teaching Hospital (Hoareau, Ybarra); School of Veterinary Medicine, University of California-Davis, Davis, CA, 95616.
Guillaume L
GL
Hoareau
Steven E
SE
Epstein
Carrie
C
Palm
Winnie
W
Ybarra
Karl E
KE
Jandrey
Larry D
LD
Cowgill
D058186:Acute Kidney Injury / Q000150:complications / Q000628:therapy / Q000662:veterinary*; D000818:Animals; D003937:Diagnosis, Differential; D004283:Dog Diseases / Q000097:blood / Q000628:therapy*; D004285:Dogs; D005260:Female; D005704:Gallbladder / Q000473:pathology; D005705:Gallbladder Diseases / Q000150:complications / Q000628:therapy / Q000662:veterinary*; D009102:Multiple Organ Failure / Q000150:complications / Q000628:therapy / Q000662:veterinary*; D009336:Necrosis / Q000473:pathology; D006435:Renal Dialysis / Q000662:veterinary
SIRS; acute renal failure; canine; hemodialysis; sepsis