From:
putorius@aol.com
Date: 2001-03-24 09:58:00 UTC
Subject: kidney cysts (part2)
Sorry I forgot to cc this to the FHL as well...if I recieved a reply from Dr.
Williams on this second elaboration, I may have deleted accidentally.
Thanks...
As usual Dr. Williams...thank you so much for the prompt reply to my first
post.
My fault for not mentioning that the condition is bi-lateral in nature,
although the right kidney has numerous small cysts that have remained
unchanged (plain xray) with 6 month comparison films. We do not have
ultrasound available in our rural area.
Our Q is: how can our vet distinguish simple renal cycts from PCK ? BUN and
creatinine are normal, no polydipsia or untoward lethargy. We have done one
exploratory lap and 2 percutaneous drainages about 30 days apart. In light
of the right renal cysts, we are hesitant to consider a left nephrectomy
until we have a certain diagnosis. Is it possible to pathologically
determine if the nature of the aspirate (about 20 cc each time) from the
large left renal cyst is urine or serous. We are diligently following him
around with a pan to obtain a clean urine sample...no luck so far...but we
will prevail! If the aspirate is not urine (re: your concern about
peritonitsis), is it possible to do a small wedge
resection of the recurrent left cyst? Will others arise to express
thereafter?
Thanks again
putorius and the 11 sneezing snoozles