“…Renal tubular abnormalities, including hyaline droplet degeneration, cellular swelling and vacuolization, basement membrane thickening, and accumulation of a lipofuscin-like pigment, have been reported in studies 4,19 of dogs with pyometra. They may all play a role in the development of PU-PD in dogs with pyometra, but studies with control dogs of comparable age are lacking.…”