Imaging Diagnosis — Use Of Multiphase Computed Tomographic Urography In The Diagnosis Of Ureteral Tear In A 6-Day-Old Foal

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Beccati F, Cercone M, Angeli G, et al.

Veterinary Radiology & Ultrasound 2016;57:E10-E15.

A 6-day-old foal was evaluated for depression and inappetence. After initial stabilization, the filly developed a hypochloremic metabolic alkalosis and persistent hypercreatinemia. Abdominal ultrasound revealed fluid accumulation around the left kidney and a well-defined rounded fluid filled structure dorsal to the urinary bladder. Computed tomography revealed a partial tear of the left ureter with distension of the retroperitoneal membrane. Exploratory celiotomy was performed to allow left kidney nephrectomy. At 6 months follow-up, the filly was growing normally without complications. Ultrasound and CT imaging in this case provided an accurate diagnosis and a presurgical aid to select the appropriate therapeutic approach.