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    Computed tomography and nephrotomy in a Warmblood stallion with bilateral nephrolithiasis (2025)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Schlote, M.T. (WE 17)
    Drozdzewska, K. (WE 17)
    Ehrle, A. (WE 17)
    Lischer, C. (WE 17)
    Gehlen, H. (WE 17)
    Quelle
    Journal of equine veterinary science
    Heftzählung: 151
    Seiten: 105627
    ISSN: 0737-0806
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://www.sciencedirect.com/science/article/pii/S0737080625002850?via%3Dihub
    DOI: 10.1016/j.jevs.2025.105627
    Pubmed: 40505787
    Kontakt
    Pferdeklinik

    Oertzenweg 19 b
    14163 Berlin
    +49 30 838 62299 / 62300
    pferdeklinik@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    This case report describes the use of computed tomography for the diagnosis and surgical planning in a horse with bilateral nephrolithiasis.
    An adult Warmblood stallion (460 kg) was presented with chronic weight loss, hypercalcemia and azotemia. Ultrasonographic examination identified hyperechoic masses in both kidneys and dilation of the right renal pelvis. A solid mass was evident upon transrectal examination on the left side. Computed tomography (CT) of the caudal abdomen was performed and provided good quality images that facilitated exact determination of the size, position and extent of renal mineralization.
    The nephrolith of the right kidney was better demarcated when compared to the one of the left kidney and was therefore selected for nephrotomy. The horse developed a surgical site infection that led to euthanasia 3 weeks post-surgery.
    CT of the caudal abdomen in an adult horse is feasible and the three-dimensional understanding of renal mineralization provided a great advantage for the selection and planning of the most appropriate treatment option.