Xanthine urolithiasis causing bilateral ureteral obstruction in a 10-month-old cat.

J Feline Med Surg

1Veterinary Science Research Centre (CICV), Faculty of Veterinary Medicine, Lusófona University, Lisbon, Portugal.

Published: October 2013

AI Article Synopsis

  • A 10-month-old female cat was diagnosed with xanthine urolithiasis leading to acute renal failure and bilateral ureteral obstruction.
  • Despite initial medical treatment, the cat required surgery to remove the stones, after which it showed improvement in kidney function.
  • Follow-up after one year revealed small kidney stones, raising the possibility of congenital xanthinuria due to the cat's young age.

Article Abstract

Xanthine urolithiasis was diagnosed in a 10-month-old intact female domestic shorthair cat presented with acute renal failure due to bilateral ureteral obstruction. Ultrasonography revealed the presence of multiple uroliths in both kidneys and ureters that were not detectable on previous survey radiographs. Medical management failed and ureteral obstruction persisted with no evidence of stone migration into the bladder. Bilateral ureterotomy with urolith removal was performed in order to relieve the obstruction. The cat recovered from surgery, and blood urea nitrogen and creatinine values decreased within normal limits 6 days postoperatively. Urolith analysis by infrared spectrometry determined xanthine composition, and a higher blood and urine concentration of hypoxanthine and xanthine was also found. At 1-year follow-up, the cat was free of clinical signs. However, ultrasonography of the abdomen revealed small-size calculi in both kidneys, despite the low protein diet intake. The very young age of the animal suggests a possible congenital xanthinuria.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11383152PMC
http://dx.doi.org/10.1177/1098612X13477413DOI Listing

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