Resolution of a Left Ureteral Stone Using Electrohydraulic Lithotripsy in a Thoroughbred Colt

Lynn D. Rodger, Gary Carlson, Michael E. Moran, Tom B. Yarbrough, John Pascoe, Jay A. Reynolds

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

A 3‐year‐old Thoroughbred colt was presented for evaluation of azotemia and anorexia. Physical examination revealed a ureterolith in the left ureter, approximately 10 cm from the bladder, which was thought to obstruct urine flow by approximately 90% when viewed cystoscopically. Ultrasonographic examination of both kidneys revealed indistinct corticomedullary junctions, and the right kidney was more hyperechoic. A percutaneous biopsy of the right kidney revealed chronic interstitial nephritis with marked interstitial medullary fibrosis. Medical therapy consisting of IV fluids, sodium chloride PO, and ammonium chloride PO was initiated. Ureteroscopic electrohydraulic lithotripsy via a perineal urethrostomy was used to successfully remove the stone. Klebsiella oxytoca, which responded to oral enrofloxacin therapy, was cultured from the urine after surgery. Azotemia resolved and the horse resumed training.

Original languageEnglish (US)
Pages (from-to)280-282
Number of pages3
JournalJournal of Veterinary Internal Medicine
Volume9
Issue number4
DOIs
StatePublished - Jan 1 1995

ASJC Scopus subject areas

  • veterinary(all)

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