Jaydee had been traveling around the country for 6 months, but she was off colour since returning home.
On examination, Mark noticed a large firm swelling bulging from her right abdominal wall. It was the size of an orange. X-rays show a large well described mass in the abdomen.
A full blood count and biochemistry profile was normal.
We placed Jaydee on an IV drip then anaesthetised her with Alfaxan followed by Isoflurane gas. Mark made an incision into Jaydee's abdomen to find a very large irregular shaped right kidney.
The mass was adhered to the descending colon and pancreas, but did not involve these organs. By very careful blunt dissection, Mark freed up the kidney so it was only attached by its blood vessels (renal artery and vein) and the ureter (which sends urine from the kidney to the bladder).
The renal artery and vein were clamped using 3 forceps right next to the caudal vena cava (the large vein carrying oxygen poor blood from the lower 1/2 of the body to the heart). The ureter was also clamped and tied off.
We flushed the abdomen with saline and inspected the liver and other ogans one more time to make sure there was no spread of the tumour.
Jaydee was given an antibiotic injection (Clavulox) and a pain killer injection (Butorphanol). The IV drip was continued overnight.
She made a good recovery and was sent home late the next day. At checkup 2 days later, Jaydee's appetite had greatly improved and she was wanting to go outside for a walk in the garden.
A pathology report found the mass was a renal adenocarcinoma. Up to 50% of these type of tumours spread to local lymph nodes and/or adjacent porgans e.g. liver.