Persistent Hematuria as a Result of Chronic Renal Hypertension Secondary to Nephritis in a Stallion |
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Authors: | Luis Alfonso Gracia-Calvo María Esther DuránMaría Martín-Cuervo DVM MS Verónica VieítezJoaquín Jiménez DVM PhD Luis Javier Ezquerra DVM PhD dip ECVS |
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Institution: | Departamento de Medicina Animal, Facultad de Veterinaria, Universidad de Extremadura, 10003 Cáceres, Spain |
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Abstract: | A 13-year-old Lusitano stallion was referred to our institution with a history of severe hematuria for 8.5 months. The origin of the hematuria was determined to be the left kidney. The diagnostic workup failed to identify obstructive, infectious, or neoplastic conditions. The history and ultrasonographic examination suggested a chronic condition. The stallion was subjected to left nephrectomy because of the persistent hematuria and anemia. A histopathological examination detected lesions, which were compatible with chronic nephritis and vascular renal hypertension. It is hypothesized that changes in the normal parenchymal architecture produced a vascular aberration that led to renal hypertension, with subsequent blood extravasation and hematuria. The horse recovered completely after nephrectomy. |
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Keywords: | Equidae Hematuria Nephrectomy nephritis Vascular lesion |
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