A 1.6-year-old male neutered domestic shorthair cat was presented after a road traffic accident with lethargy, anorexia, abdominal pain and inability to jump. On physical examination, a space-occupying lesion in the left flank was detected. Investigations demonstrated a cavitated fluid-filled structure in the left retroperitoneal space consistent with a paraureteral pseudocyst (urinoma) secondary to left ureteral rupture. Ventral midline exploratory laparotomy was completed. The urinoma was drained, the damaged ureter ligated and a subcutaneous ureteral bypass (SUB) device was placed under fluoroscopy guidance. On re-examination at five and nine weeks postoperatively, investigations revealed patency of the device and normal renal function. The use of a SUB allowed ureteral bypass and preserved the injured kidney.
- Urinary tract
- Small animals
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