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IMAGING DIAGNOSIS—AORTIC ANEURYSM AND URETERAL OBSTRUCTION SECONDARY TO UMBILICAL ARTERY ABSCESSATION IN A 5‐WEEK‐OLD FOAL
Authors:Nora Nogradi  K Gary Magdesian  Mary Beth Whitcomb  Molly Church  Mathieu Spriet
Institution:1. William R. Pritchard Veterinary Medical Teaching Hospital, , Davis, CA, 95616;2. Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, , Davis, CA, 95616;3. Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, , Davis, CA, 95616
Abstract:A 5‐week‐old foal was evaluated for fever and hematuria of 3 days duration. Cystoscopy localized the blood to be originating from the left ureter. Abdominal ultrasonography revealed left hydronephrosis, hydroureter, and omphaloarteritis of the left umbilical artery with abscess formation that communicated with an arterial structure. Computed tomography (CT) revealed a large aortic aneurysm within the center of the abscess. An exploratory celiotomy was performed and the infection was nonresectable. The prognosis for life was grave; therefore the colt was euthanized. Necropsy findings confirmed the antemortem diagnosis. Ultrasound and CT imaging in this case provided an accurate antemortem diagnosis.
Keywords:aneurysm  computed tomography  hematuria  omphalitis  ultrasound  umbilicus
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