Abstract
Objective - To determine clinical, clinicopathologic, radiographic, and ultrasonographic abnormalities in cats with ureteral calculi. Design - Retrospective study. Animals - 163 client-owned cats. Procedure - Medical records were reviewed, and information on signalment, history, clinical signs, and results of clinicopathologic testing and diagnostic imaging was obtained. Results - The number of cats in which ureterolithiasis was diagnosed each year increased progressively during the study period. Clinical signs tended to be non-specific and included inappetence, vomiting, lethargy, and weight loss. A combination of survey radiography and abdominal ultrasonography revealed ureteral calculi in 66 of 73 (90%) cats in which the diagnosis was confirmed at surgery or necropsy. Ultrasonography revealed that ureteral calculi were causing ureteral obstruction in 143 of 155 (92%) cats. One hundred thirty-four of 162 (83%) cats had azotemia, 84 of 156 (54%) had hyperphosphatemia, and 22 of 152 (14%) had hypercalcemia. Urinary tract infection was documented in 10 of 119 (8%). Fifty-eight of 76 (76%) cats with unilateral ureterolithiasis had azotemia and 33 (43%) had hyperphosphatemia, indicating impairment of renal function in the contralateral kidney or prerenal azotemia. Ultrasonographic imaging of the contralateral kidney in cats with unilateral ureteral calculi suggested that preexisting renal parenchymal disease was common in cats with ureterolithiasis. Ninety-one of 93 (98%) ureteral calculi contained calcium oxalate. Conclusions and Clinical Relevance - Results suggest that abdominal imaging should be performed in all cats with chronic nonspecific signs or with acute or chronic renal failure to rule out ureterolithiasis. Preexisting renal disease may be common in cats with ureteral calculi.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 932-936 |
| Number of pages | 5 |
| Journal | Journal of the American Veterinary Medical Association |
| Volume | 226 |
| Issue number | 6 |
| DOIs | |
| State | Published - Mar 15 2005 |
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- veterinary(all)
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Clinical, clinicopathologic, radiographic, and ultrasonographic abnormalities in cats with ureteral calculi : 163 Cases (1984-2002). / Kyles, Andrew E.; Hardie, Elizabeth M.; Wooden, Brent G.; Adin, Christopher A.; Stone, Elizabeth A.; Gregory, Clare R.; Mathews, Kyle G.; Cowgill, Larry D; Vaden, Shelly; Nyland, Thomas G.; Ling, Gerald V.
In: Journal of the American Veterinary Medical Association, Vol. 226, No. 6, 15.03.2005, p. 932-936.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical, clinicopathologic, radiographic, and ultrasonographic abnormalities in cats with ureteral calculi
T2 - 163 Cases (1984-2002)
AU - Kyles, Andrew E.
AU - Hardie, Elizabeth M.
AU - Wooden, Brent G.
AU - Adin, Christopher A.
AU - Stone, Elizabeth A.
AU - Gregory, Clare R.
AU - Mathews, Kyle G.
AU - Cowgill, Larry D
AU - Vaden, Shelly
AU - Nyland, Thomas G.
AU - Ling, Gerald V.
PY - 2005/3/15
Y1 - 2005/3/15
N2 - Objective - To determine clinical, clinicopathologic, radiographic, and ultrasonographic abnormalities in cats with ureteral calculi. Design - Retrospective study. Animals - 163 client-owned cats. Procedure - Medical records were reviewed, and information on signalment, history, clinical signs, and results of clinicopathologic testing and diagnostic imaging was obtained. Results - The number of cats in which ureterolithiasis was diagnosed each year increased progressively during the study period. Clinical signs tended to be non-specific and included inappetence, vomiting, lethargy, and weight loss. A combination of survey radiography and abdominal ultrasonography revealed ureteral calculi in 66 of 73 (90%) cats in which the diagnosis was confirmed at surgery or necropsy. Ultrasonography revealed that ureteral calculi were causing ureteral obstruction in 143 of 155 (92%) cats. One hundred thirty-four of 162 (83%) cats had azotemia, 84 of 156 (54%) had hyperphosphatemia, and 22 of 152 (14%) had hypercalcemia. Urinary tract infection was documented in 10 of 119 (8%). Fifty-eight of 76 (76%) cats with unilateral ureterolithiasis had azotemia and 33 (43%) had hyperphosphatemia, indicating impairment of renal function in the contralateral kidney or prerenal azotemia. Ultrasonographic imaging of the contralateral kidney in cats with unilateral ureteral calculi suggested that preexisting renal parenchymal disease was common in cats with ureterolithiasis. Ninety-one of 93 (98%) ureteral calculi contained calcium oxalate. Conclusions and Clinical Relevance - Results suggest that abdominal imaging should be performed in all cats with chronic nonspecific signs or with acute or chronic renal failure to rule out ureterolithiasis. Preexisting renal disease may be common in cats with ureteral calculi.
AB - Objective - To determine clinical, clinicopathologic, radiographic, and ultrasonographic abnormalities in cats with ureteral calculi. Design - Retrospective study. Animals - 163 client-owned cats. Procedure - Medical records were reviewed, and information on signalment, history, clinical signs, and results of clinicopathologic testing and diagnostic imaging was obtained. Results - The number of cats in which ureterolithiasis was diagnosed each year increased progressively during the study period. Clinical signs tended to be non-specific and included inappetence, vomiting, lethargy, and weight loss. A combination of survey radiography and abdominal ultrasonography revealed ureteral calculi in 66 of 73 (90%) cats in which the diagnosis was confirmed at surgery or necropsy. Ultrasonography revealed that ureteral calculi were causing ureteral obstruction in 143 of 155 (92%) cats. One hundred thirty-four of 162 (83%) cats had azotemia, 84 of 156 (54%) had hyperphosphatemia, and 22 of 152 (14%) had hypercalcemia. Urinary tract infection was documented in 10 of 119 (8%). Fifty-eight of 76 (76%) cats with unilateral ureterolithiasis had azotemia and 33 (43%) had hyperphosphatemia, indicating impairment of renal function in the contralateral kidney or prerenal azotemia. Ultrasonographic imaging of the contralateral kidney in cats with unilateral ureteral calculi suggested that preexisting renal parenchymal disease was common in cats with ureterolithiasis. Ninety-one of 93 (98%) ureteral calculi contained calcium oxalate. Conclusions and Clinical Relevance - Results suggest that abdominal imaging should be performed in all cats with chronic nonspecific signs or with acute or chronic renal failure to rule out ureterolithiasis. Preexisting renal disease may be common in cats with ureteral calculi.
UR - http://www.scopus.com/inward/record.url?scp=20144364630&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=20144364630&partnerID=8YFLogxK
U2 - 10.2460/javma.2005.226.932
DO - 10.2460/javma.2005.226.932
M3 - Article
C2 - 15786996
AN - SCOPUS:20144364630
VL - 226
SP - 932
EP - 936
JO - Journal of the American Veterinary Medical Association
JF - Journal of the American Veterinary Medical Association
SN - 0003-1488
IS - 6
ER -