Surgical Treatment of a Perinephric Pseudocyst in a Five-Month-Old Female Cat

Abstract

Introduction: A perinephric pseudocyst is characterized by the accumulation of fluid within fibrous sacs surrounding one or both kidneys, typically located in the sub-capsular or extracapsular areas. Histologically, these cysts lack an epithelial lining, thus earning the term "pseudocyst." This condition is uncommon in cats and is often associated with chronic kidney disease, particularly in older animals. Diagnosis relies heavily on imaging modalities, and prognosis varies based on the severity of renal impairment. The present case report aimed to detail the diagnosis and treatment of a rare perinephric pseudocyst in a 5-month-old female domestic short-haired cat. Case report: A left perinephric pseudocyst was diagnosed in a 5-month-old female domestic short-haired cat weighing 4.7 kg, presented to Guilan Pet Hospital, Guilan, Iran in January 2021 with a history of abdominal distention and anorexia. Physical examination revealed distension on the left side of the abdomen without any other significant findings. Complete blood count was within normal limits, while the biochemical profile showed elevated blood urea nitrogen (BUN) and serum creatinine (Cr) levels at the upper limits of the reference range, along with elevated glucose and alkaline phosphatase (ALP) levels above the reference range. Plain radiography revealed a large mass on the left side of the abdomen, and ultrasonography confirmed the presence of anechoic fluid surrounding the left kidney. Subsequently, a unilateral nephrectomy was performed. Following surgery, the cat owner reported satisfaction with the outcome, and the cat showed no signs of illness during follow-up examinations over the next six months. Both complete blood count and biochemical profiles remained within normal ranges. Conclusion: While perinephric pseudocyst is rare in young cats, it should be considered in cases of abdominal distention and renomegaly. Utilizing imaging is crucial for diagnosis, and nephrectomy proves to be a reliable treatment, ensuring both owner satisfaction and positive results for the cat's health.