The Tragedy

Lily Rose had not been well for the last few days when she came in. There was a purulent discharge from her vulva. Lily Rose was not sterilised and we initially assumed she had a pyometra which is an infection of the uterus.

She had been on heat only a month before and her vulva was very swollen. Her blood test was completely normal. Even the white blood cells were not elevated. We weren’t expecting anything too serious. This seemed like a simple uncomplicated pyometra that we see every day of the week……….

The Prognosis

We performed an ultrasound. There was a large tortuous cylindrical organ containing pus that looked like a uterine horn it was so large. Everything pointed towards a pyometra. We prepared for surgery.

In surgery we discovered the large pus-filled organ was a ureter from the kidney to the bladder that was the thickness of your wrist. The ureter was remarkable dilated. We have never seen anything like this. The ureter was almost completely obstructed and had been pushing urine so hard for many years that it had become dilated and thickened and had a peristaltic motion like an intestine.

The kidney had hydronephrosis and was completely destroyed. Her other kidney had been compensating and had been filtering the blood so well that her blood test was completely normal and did not raise any suspicion of kidney disease.

Dr Rob had to perform a nephrectomy and dissect the diseased ureter away from its attachments to the body wall and find the connection to the bladder and remove and close it. This was a marathon surgery over many hours.

The Miracle

Lily Rose recovered uneventfully and was eating the next morning. She was immediately well in fact. Removing her dead kidney and the infected pus-filled ureter gave her a new lease on life. Lily Rose recovered uneventfully and she has never looked back.

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