Implante de duplo j em cão com uretero litíase–relato de caso

Abstract

Uroliths,more commonlyreferred to as urinarystones,are formed from the combinationofcrystalspresentintheurinarysystem andcanbefoundinthe kidneys,ureters,bladder,andurethra.Theoccurrenceofthesestonescancause partialortotalobstructionsoftheurethraandureters,leadingtovarioussystemic andlocalclinicalsigns.Theyshouldbeconsideredasaconditionresultingfrom acquired,congenital,orhereditarydiseases,andnotmerelyasanisolatedcause.The clinicalsignsarebasedonthelocation,size,andquantityofthestones.When presentinthekidneysandureters,theclinicalsignsareoftensystemic,suchas vomiting,lethargy,anorexia,polyuria,andpolydipsia.Diagnosisisbasedonclinical signs,radiography,ultrasonography,andlaboratorytests.Whenurolithsarepresent intheureterscausingpartialortotalobstruction,thetreatmentmustbesurgicaland emergent,asthelongertheobstruction,thegreatertherenalinjury.Thisstudyaimed toreportacaseofdouble-Jcatheterimplantationinacaninepatientwithobstructive ureterolithiasis.A7-year-oldfemaleShih-Tzu,notspayed,presentedwithhyporexia, archedback,andprostrationfor4days.Afterphysicalevaluation,laboratorytests, andultrasonography,aurolithwasidentifiedintheleftureter.Ureterotomyand double-Jcatheterimplantationwereperformedtopreservetheleftkidney,improve healing,andpreventureteralstenosis.Priortotheremovalofthedouble-Jcatheter, anultrasoundrevealedthepresenceofsmallstonesinthebladder,andtreatment withprazosinwasusedtoeliminatethem throughurination.Thedouble-Jcatheter wasremovedafter40daysviacystoscopy.Itwasconcludedthatearlydiagnosisand treatmentprevented renalfunction from being compromised,and despite the successofthesurgery,thepatientwasdiagnosedwithbladderurolithsandstill requiresfrequentfollow-up.