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Hand-assisted laparoscopic removal of a nephroblastoma in a horse.

Abstract: A 3-year-old Thoroughbred was presented for evaluation of hematuria post exercise. On physical examination, an enlarged kidney was identified, as well as serum biochemical abnormalities such as an elevated creatine kinase (CK) and hypoalbuminemia. The kidney was removed laparoscopically and a nephroblastoma was identified. Un Thoroughbred âgé de 3 ans est présenté pour évaluation de l’hématurie après l’effort. À l’examen physique, un rein enflé est identifié ainsi que des anomalies biochimiques sériques comme une créatine kinase (CK) élevée et l’hypoalbuminémie. Le rein a été enlevé par laparoscopie et une néphroblastomie a été identifiée. (Traduit par Isabelle Vallières)
Publication Date: 2010-09-03 PubMed ID: 20808577PubMed Central: PMC2871363
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  • Case Reports
  • Journal Article

Summary

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This study reports on a case where a 3-year-old horse underwent a successful removal of a kidney tumor (nephroblastoma) with laparoscopic assistance, presenting an innovative approach to managing kidney problems in horses.

Introduction

  • The research focuses on a case study involving a 3-year-old Thoroughbred horse that was brought for examination due to blood in its urine (hematuria) post-exercise.

Initial Examination

  • During the physical examination, the horse was observed to have an unusually large kidney. This was accompanied by certain irregularities detected in its blood biochemistry.
  • Specifically, elevated levels of creatine kinase (an enzyme linked with cell damage) were found, along with low albumin levels (hypoalbuminemia). Albumin is a primary protein in blood plasma and low levels could indicate potential issues in the kidney or other parts of the body, such as the liver.

Laparoscopic Procedure

  • After the initial examination and diagnosis, the decision was made to remove the affected kidney surgically via a laparoscopic procedure. This minimally invasive surgical technique involves small incisions and specialized tools.
  • Through the laparoscopic procedure, the team identified the nephroblastoma. This form of tumor is predominantly found in children and affects the kidneys. The presence of this condition in a horse made the examination noteworthy.

Conclusion

  • The report chronicles a successful case of hand-assisted laparoscopic removal of the nephroblastoma in the horse that can potentially provide a template for other similar veterinary procedures in future.

Cite This Article

APA
Romero A, Rodgerson DH, Fontaine GL. (2010). Hand-assisted laparoscopic removal of a nephroblastoma in a horse. Can Vet J, 51(6), 637-639.

Publication

ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 51
Issue: 6
Pages: 637-639

Researcher Affiliations

Romero, Alfredo
  • The Davidson Surgery Center, Hagyard Equine Medical Institute, Lexington, Kentucky 40505, USA. Romeroae@gmail.com
Rodgerson, Dwayne H
    Fontaine, Genevieve L

      MeSH Terms

      • Animals
      • Creatine Kinase / blood
      • Horse Diseases / blood
      • Horse Diseases / surgery
      • Horses
      • Hypoalbuminemia / etiology
      • Hypoalbuminemia / veterinary
      • Kidney Neoplasms / blood
      • Kidney Neoplasms / surgery
      • Kidney Neoplasms / veterinary
      • Laparoscopy / veterinary
      • Male
      • Treatment Outcome
      • Wilms Tumor / blood
      • Wilms Tumor / surgery
      • Wilms Tumor / veterinary

      References

      This article includes 6 references
      1. DeBowes RM. Kidneys and ureters. Equine Surgery 2nd ed. Philadelphia: Saunders; 1992. pp. 768–777.
      2. Marien T. Laparoscopic nephrectomy in the standing horse. Equine Diagnostic & Surgical Laparoscopy Philadelphia: Saunders; 2002. pp. 273–281.
      3. Keoughan CG, Rodgerson DH, Brown MP. Hand-assisted laparoscopic left nephrectomy in standing horses.. Vet Surg 2003 May-Jun;32(3):206-12.
        pubmed: 12784196doi: 10.1053/jvet.2003.50028google scholar: lookup
      4. Jardine JE, Nesbit JW. Triphasic nephroblastoma in a horse.. J Comp Pathol 1996 Feb;114(2):193-8.
        pubmed: 8920219doi: 10.1016/s0021-9975(96)80008-9google scholar: lookup
      5. Nielson SW, Moulton JE. Tumors of the urinary system. Tumors in Domestic Animals 3rd ed. Berkley, California: Univer California Pr; 1990.
      6. Röcken M, Mosel G, Stehle C, Rass J, Litzke LF. Left- and right-sided laparoscopic-assisted nephrectomy in standing horses with unilateral renal disease.. Vet Surg 2007 Aug;36(6):568-72.

      Citations

      This article has been cited 2 times.
      1. Straticò P, Guerri G, Palozzo A, Varasano V, Petrizzi L. Current Use of Equine Laparoscopy in Urogenital Disorders: A Scoping Review of the Literature from 2000 to 2021. Vet Sci 2022 Jan 22;9(2).
        doi: 10.3390/vetsci9020041pubmed: 35202295google scholar: lookup
      2. Hendrickson DA. A review of equine laparoscopy. ISRN Vet Sci 2012;2012:492650.
        doi: 10.5402/2012/492650pubmed: 23762585google scholar: lookup