Veterinary Research Forum

Abstract Hydronephrosis is an uncommon condition in cats and dogs, characterized by progressive dilation of the renal pelvis and subsequent atrophy of the renal parenchyma. This report described an 8-year-old spayed female domestic longhair cat diagnosed with left-sided hydronephrosis and concurrent polycystic kidney disease after comprehensive clinical, laboratory and imaging evaluation. Because the contralateral kidney appeared functionally preserved, unilateral nephrectomy was selected as the most appropriate treatment option. During surgical manipulation, however, the affected kidney unexpectedly separated completely from its attachments before vascular ligation could be performed, without evidence of hemorrhage. The procedure was completed without complication and no intraoperative or postoperative adverse events were recorded. The patient recovered uneventfully and remained stable throughout the perioperative period. To the authors’ knowledge, this report represented the first documented case in veterinary literature regarding spontaneous renal autoavulsion occurring during nephrectomy. This unusual finding underscored the severe structural fragility that could result from chronic obstructive renal disease and advanced parenchymal destruction. In addition, it suggested that renal autoavulsion might represent a previously unrecognized end-stage manifestation of longstanding hydronephrosis, particularly when associated with concurrent renal pathology such as polycystic kidney disease. This report emphasized the importance of thorough preoperative assessment, careful surgical planning and awareness of potentially extreme anatomic alterations in chronically diseased kidneys.

Abstract Polycystic kidney disease (PKD) is a hereditary disorder characterized by progressive renal cyst formation, leading to compromised kidney function and an increased risk of chronic kidney disease (CKD). This prospective, 18-month longitudinal study evaluated diagnostic and prognostic markers in 12 PKD-affected cats, utilizing ultrasound imaging alongside biochemical analysis. The study documented a 14.00% increase in cyst volume, a 7.00% enlargement in kidney length, and significant elevations in plasma creatinine, phosphorus, and blood urea nitrogen levels, underscoring their correlation with disease progression. Hematological analysis revealed progressive anemia associated with advanced CKD stages, further outlining the systemic impact of PKD. These findings emphasize the progressive nature of CKD in cats with PKD, despite diligent care provided by pet owners and veterinarians. Also, the importance of routine sonographic evaluation along with hematological and biochemical assessments is highlighted in our study to enhance early detection and improve outcomes in feline PKD. Future longitudinal studies with expanded cohorts are essential to validate these findings and refine diagnostic criteria for PKD-associated CKD.

Abstract Ultrasonography is an accurate and accessible method for detecting polycystic kidney disease (PKD), an inherited autosomal dominant disease, and other urinary tract diseases. The present work is a preliminary study of PKD and urinary tract abnormalities using ultrasonography in Persian and other long hair cats in Iran. This study was conducted on 83 cats including 68 Persian cats and 15 Persian related cats from December 2013 to March 2015. The age of cats ranged 3 to 72 months. Cats were classified as PKD-positive when at least one renal cyst was observed. Other urinary system abnormalities were recorded ultrasono-graphically. Association of personal and nutritional characteristics with PKD and other urinary tract disease detected by ultrasonography was statistically analyzed. The prevalence of PKD among Persian cats and in the total population was 33.80% and 31.30%, respectively. PKD was more prevalent among male cats compared to those in female cats. PKD occurrence was significantly more among cats fed by commercial dry foods compared to those fed by homemade foods. There was no significant association between PKD and age, hair color, eye color, related clinical signs and other kidney abnormalities in ultrasonographic findings. The prevalence of renal calculi, urine sediments and bladder calculus were 2.40%, 32.80% and 3.60%, respectively. Urine sediments were significantly raised with increasing age. Screening program is essential for on-time diagnosis of PKD and to plan therapeutic management and control of the disease.