Calcium Oxalate Dihydrate
Calcium oxalate dihydrate crystals typically are colorless squares whose corners are connected by intersecting lines (resembling an envelope). They can occur in urine of any pH. The crystals vary in size from quite large to very small. In some cases, large numbers of tiny oxalates may appear as amorphous unless examined at high magnification.

These crystals are often seen in normal urine from domestic animals and can also be an artifact of storage (they can develop in stored urine), emphasizing the need to perform a urinalysis on fresh urine samples.

Urolithiasis due to calcium oxalate has been reported in both dogs and cats. In some cases, they occur secondary to abnortmal calcium (increased) excretion due to disorders of calcium metabolism (e.g. hyperparathyroidism). Miniature Schnauzers are predisposed to calcium oxalate urolithiasis, despite no abnormalities in urinary calcium excretion.

Calcium oxalate dihydrate crystals can also be seen in cases of ethylene glycol intoxication, although the picket-shaped form of calcium oxalate monohydrate are pathognumonic. If seen in large numbers in the urine of a dog or cat with acute renal failure and other appropriate clinical signs, consideration should be given to this diagnosis.

© Cornell University