A rare case of renal eventration in a domestic cat.

Topics in companion animal medicine Pub Date : 2025-01-01 Epub Date: 2024-12-06 DOI:10.1016/j.tcam.2024.100932
Yury Carantino Costa Andrade, Cicera Paloma de Sousa, Lara Vilela Soares, Ana Paula Prueza de Almeida Luna Alves, Anne Karoline Mendes da Silva, Ana Beatriz de Castro Lima, Thamara Barrozo Sampaio, Ana Luiza Teixeira Amado Jorge, André Eduardo Schlemper, Natani Silva Reis, Sofia Borin-Crivellenti, Leandro Zuccolotto Crivellenti
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Abstract

This case report discusses a unique case of renal eventration in a cat resulting from a lumbar hernia possibly of traumatic origin. A two-year-old indoor/outdoor male neutered domestic shorthair was evaluated for a rapidly growing mass noted in the right lumbar region. Initial physical examination revealed a firm, circular and slightly mobile mass in the lumbar region, along with pain and tenderness on palpation. Abdominal ultrasound revealed muscle discontinuity in the lumbar region consistent with a hernia, with eventration of the right kidney possibly caused by abdominal trauma. A paralumbar celiotomy was performed over the area of increased volume, revealing the right kidney with a hematoma on its surface and partial rupture of the renal capsule. The muscular defect was identified, and the kidney replaced in its anatomical location. The patient recovered quickly and was discharged from hospital 46 h later, with no reported complications. Recheck 2 months post-operatively confirmed unremarkable biochemical assessment (creatinine, urea and USG within normal limits) and abdominal ultrasound findings, and 2 years post procedure the patient remained clinically well. This unusual case emphasizes the importance of including renal eventration in the differential diagnosis for acutely presenting masses in the lumbar region of cats.

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家猫肾脏渗漏罕见病例。
本病例报告讨论了一个独特的情况下,肾脏evevation在猫造成腰疝可能的创伤性起源。我们对一只两岁的室内/室外雄性绝育家养短毛犬进行了评估,因为它在右腰椎区域发现了一个快速增长的肿块。最初的体格检查显示腰椎区域有一个坚固的圆形轻微可移动的肿块,并伴有触诊疼痛和压痛。腹部超声显示腰部肌肉不连续,与疝气一致,右肾外翻可能由腹部创伤引起。在体积增大的区域行腹旁腹腔切开术,发现右肾表面有血肿,肾包膜部分破裂。肌肉缺陷被确定,肾脏在其解剖位置上被替换。患者恢复迅速,46小时后出院,无并发症报告。术后2个月复查生化指标(肌酐、尿素、USG正常值)及腹部超声检查无明显变化,术后2年临床表现良好。这个不寻常的病例强调了在猫腰部急性表现肿块的鉴别诊断中包括肾脏渗漏的重要性。
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