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Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts

OBJECTIVES: To describe the diagnostic techniques, surgical treatments, and outcomes of two cats with recurrent pleural transudate caused by urinary ultrafiltrate. ANIMALS: Two cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts that were evaluated and t...

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Autores principales: Griffin, Maureen A., Steffey, Michele A., Phillips, Kathryn L., Mayhew, Philipp D., Woolard, Kevin D., Della Maggiore, Ann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9720303/
https://www.ncbi.nlm.nih.gov/pubmed/36478950
http://dx.doi.org/10.3389/fvets.2022.1038278
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author Griffin, Maureen A.
Steffey, Michele A.
Phillips, Kathryn L.
Mayhew, Philipp D.
Woolard, Kevin D.
Della Maggiore, Ann
author_facet Griffin, Maureen A.
Steffey, Michele A.
Phillips, Kathryn L.
Mayhew, Philipp D.
Woolard, Kevin D.
Della Maggiore, Ann
author_sort Griffin, Maureen A.
collection PubMed
description OBJECTIVES: To describe the diagnostic techniques, surgical treatments, and outcomes of two cats with recurrent pleural transudate caused by urinary ultrafiltrate. ANIMALS: Two cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts that were evaluated and treated for recurrent pleural transudate caused by urinary ultrafiltrate. STUDY DESIGN: Short case series. METHODS: Multiphase contrast CT scan revealed leakage of contrast media from the kidneys bilaterally into the retroperitoneal spaces in both cats. Renal scintigraphy performed in one cat revealed progressive accumulation of (99m)Tc diethylenetriamine penta-acetic acid (Tc-DTPA) in the pleural space. Exploratory laparotomy localized the leakage of fluid to renal capsular defects bilaterally in both cats. The retroperitoneum was incised bilaterally to promote fluid drainage into the peritoneum, and nephropexies were performed. RESULTS: One cat had long-term survival with recurrent, though decreasing volumes of, pleural effusion. The second cat was euthanized 16 days postoperatively for progressive renal disease. CONCLUSION: The diagnosis of spontaneous urinary ultrafiltrate accumulation in the pleural space of cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts has not previously been reported. The surgical correction described reduced but did not completely eliminate the rate of pleural effusion accumulation.
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spelling pubmed-97203032022-12-06 Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts Griffin, Maureen A. Steffey, Michele A. Phillips, Kathryn L. Mayhew, Philipp D. Woolard, Kevin D. Della Maggiore, Ann Front Vet Sci Veterinary Science OBJECTIVES: To describe the diagnostic techniques, surgical treatments, and outcomes of two cats with recurrent pleural transudate caused by urinary ultrafiltrate. ANIMALS: Two cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts that were evaluated and treated for recurrent pleural transudate caused by urinary ultrafiltrate. STUDY DESIGN: Short case series. METHODS: Multiphase contrast CT scan revealed leakage of contrast media from the kidneys bilaterally into the retroperitoneal spaces in both cats. Renal scintigraphy performed in one cat revealed progressive accumulation of (99m)Tc diethylenetriamine penta-acetic acid (Tc-DTPA) in the pleural space. Exploratory laparotomy localized the leakage of fluid to renal capsular defects bilaterally in both cats. The retroperitoneum was incised bilaterally to promote fluid drainage into the peritoneum, and nephropexies were performed. RESULTS: One cat had long-term survival with recurrent, though decreasing volumes of, pleural effusion. The second cat was euthanized 16 days postoperatively for progressive renal disease. CONCLUSION: The diagnosis of spontaneous urinary ultrafiltrate accumulation in the pleural space of cats without evidence of trauma, urinary tract obstruction, or concurrent perinephric pseudocysts has not previously been reported. The surgical correction described reduced but did not completely eliminate the rate of pleural effusion accumulation. Frontiers Media S.A. 2022-11-21 /pmc/articles/PMC9720303/ /pubmed/36478950 http://dx.doi.org/10.3389/fvets.2022.1038278 Text en Copyright © 2022 Griffin, Steffey, Phillips, Mayhew, Woolard and Della Maggiore. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Veterinary Science
Griffin, Maureen A.
Steffey, Michele A.
Phillips, Kathryn L.
Mayhew, Philipp D.
Woolard, Kevin D.
Della Maggiore, Ann
Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_full Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_fullStr Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_full_unstemmed Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_short Case series: Pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
title_sort case series: pleural effusion caused by urinary ultrafiltrate in two cats without evidence of urinary obstruction, trauma, or simultaneous perinephric pseudocysts
topic Veterinary Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9720303/
https://www.ncbi.nlm.nih.gov/pubmed/36478950
http://dx.doi.org/10.3389/fvets.2022.1038278
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