Sinem ÜLGEN SAKA, ÖZGE ERDOĞAN BAMAÇ, UTKU BAKIREL

Perirenal Pseudocyst in Consequence of Disorders of Several Interdependent Organ Systems in a Cat

Perirenal Pseudocyst formation is a relatively uncommon disease in cats. This paper presents a rare case of pseudocyst formation in cat because of multiple interdependent systems pathology. A 17-years-old Siberian cat suffering from hyperthyroidism for four years was presented to the Veterinary Teaching Hospital of Istanbul University with a history of anorexia, respiratory distress, and abdominal enlargement due to fluid accumulation. Hypertrophic cardiomyopathy and unilateral perirenal pseudocyst were diagnosed by echocardiography and abdominal ultrasonography, respectively. Abdominal fluid drained percutaneously was aseptic exudate with no signs of any type of neoplasia. Abdominal effusion developed after one month, and right sided nephrectomy was performed. Interstitial nephritis was diagnosed by histopathological examination. It was concluded that multiple system involvement in the form of hypertrophic cardiomyopathy, hyperthyroidism, and interstitial nephritis coupled with increasing age contributed toward formation of this perirenal pseudocyst in the cat.

Bir Kedide Birbirlerine Bağlı Çeşitli Organ Sistemlerinin Bozulması Sonucunda Gelişen Perirenal Psöydokist Olgusu

Perirenal psöydokist oluşumu kedilerde nadir görülür. Bu makalede bir kedide birbiriyle bağlantılı multisistemik bozukluklar sonucu ortaya çıkan perirenal psöydokist olgusu sunuldu. Anoreksi, solunum problemi, ve abdominal boşlukta sıvı birikimi şikayeti ile 17 yaşlı Sibirya kedisi İstanbul Üniversitesi Veteriner Fakültesi Araştırma hastanesine getirildi. Ekokardiyografik ve abdominal ultrasonografik incelemeler sonucunda hipertrofik kardiyomiyopati ve unilateral perirenal psöydokist varlığı tespit edildi. Direne edilen abdominal sıvı histopatolojik incelemesi neticesinde neoplazi bulgusu içermeyen aseptik eksudat olduğu tespit edildi. 1 ay sonra abdominal efüzyon nüksetti ve sağ taraflı nefrektomi uygulandı. Histopatolojik muayene neticesinde interstisyel nefritis teşhis edildi. Hipertrofik kardiyomiyopati, hipertiroidizm ve interstisyel nefrit şeklinde çoklu sistem tutulumunun artan yaşla birlikte perirenal psödokist oluşumuna katkıda bulunduğu sonucuna varıldı.

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Beck, J. A., Bellenger, C. R., Lamb, W. A., Churcher, R. K., Hunt, G. B., Nicoll, R. G., Malik, R., 2000. Perirenal pseudocysts in 26 cats. Australian Veterinary Journal 78, 166-171. [CrossRef]

Chastain, C. B., Grier, R. L., 1975. Bilateral retroperitoneal perirenal cysts in a cat. Feline Practice Journal 5, 51-53.

Coles, E. H., 1986. Diagnostic cytology, synovial fluid and miscellaneous fluids. In: E.H. COLES (éd.): Veterinary Clinical Pathology, Saunders, Philadelphia pp. 3-28.

Chetboul, V., Sampedrano, C. C., Tissier, R., 2006. Quantitative assesment of velocities of the annulus of the left atrioventricular valve and left ventricular free wall in healty cats by use of two dimensional color tissue doppler imaging. American Journal Veterinary Research 67:250-258. [CrossRef]

DiBartola, S. P., Westropp, J., 1987. Perinephric pseudocyst. In JR AUGUST(éd.): Consultations in feline medicine 3, Saunders, Philadelphia, 1997, 341-344.

Essman, S. C., Drost, W. T., Hoover, J. P., Lemire, T. D., Chalman, J. A., 2000. Imaging of a cat with perirenal pseudocysts. Veterinary Radiology & Ultrasound 41(4), 329-334. [CrossRef]

Fossum, T. H., 2002. Surgery of the Kidney and Ureter. In: T.H. FOSSUM(ed): Small Animal Surgery, Mosby, Missouri pp. 549-571.

Hill, T. P., Odesnik, B. J., 2000. Omentalisation of perinephric pseudocysts in a cat. Journal of Small Animal Practise 41: 115-118. [CrossRef]

Holloway, A., O’brien, R., 2007. Perirenal effusion in dogs and cats with acute renal failure. Veterinary Radiology & Ultrasound 48, 574-579. [CrossRef]

Lemire, T. D., Read, W. K., 1998. Macroscopic and microscopic characterization of a uriniferous perirenal pseudocyst in a domestic short hair cat. Veterinary Pathology 35, 68-70. [CrossRef]

McCord, K., Steyn, P. F., Lunn, K. F., 2008. Unilateral improvement in glomerular filtration rate after permanent drainage of a perinephric pseudocyst in a cat. Journal of Feline Medicine and Surgery 10: 280- 283. [CrossRef]

Moise, N., Dietze, A., Mezza, L., 1986. Echocardiography, electrocardigraphy and radigraphy of cats with dilation cardiomyopathy, hypertrophic cardiomyopathy, and hyperthyroidism. American Journal Veterinary Research 47, 1476-1486.

Morrow, B. L., 2005. Clinical exposures: A perinephric pseudocyst in a cat. Journal of Veterinary Medicine 100, 353-355.

Ochoa, V. B., DiBartola, S. P., Chew, D. J., Westropp, J., Carothers, M., Biller, D., 1999. Perinephric pseudocysts in the cat: a retrospective study and review of the literature. Journal of Veterinary Internal Medicine 13, 47-55. [CrossRef]

Raffan, E., Kipar, A., Barber, P. J., Freeman, AI.,2008. Transitional cell carcinoma forming a perirenal cyst in a cat. Journal of Small Animal Practise 49, 144-147. [CrossRef]

Rishniw, M., Weidman, J., Hornof, W. J., 1998. Hydrothorax secondary to a perinephric pseudocyst in a cat. Veterinary Radiology & Ultrasound 39, 193-196. [CrossRef]

Zwingenberger, A., Wisner E., 2008. Neck. In: D Penninck and Ma D’anjou (ed). Atlas of Small Animal Ultrasongraphy, Blackwell, Iowa pp.91-117.