Use of computed tomography in the diagnosis of caecal inversion in a dog and a cat

2019 ◽  
Vol 7 (2) ◽  
pp. e000839
Author(s):  
William Bertram Phipps ◽  
Jeremy Raphael Mortier ◽  
Malcolm Booth ◽  
Matteo Rossanese
Keyword(s):  
Rectal Prolapse ◽  
Physical Examination ◽  
Gastrointestinal Disease ◽  
Abdominal Mass ◽  
Small Animal ◽  
Exploratory Laparotomy ◽  
Chronic Diarrhoea ◽  
Abdominal Ct ◽  
Laboratory Findings ◽  
History Of

Case 1: A nine-month-old entire male beagle presented with a history of chronic diarrhoea, intermittent haematochezia and rectal prolapse. An exploratory laparotomy performed prior to presentation reported visualisation of a suspected caecocolic intussusception. Physical examination revealed a non-painful, mid-abdominal mass and laboratory findings were consistent with non-specific gastrointestinal disease. Abdominal CT identified intraluminal inversion of the caecum into the ascending colon. Intraoperatively, the inversion was unreducible and a colotomy followed by stapled typhlectomy was performed.Case 2: An eight-year-old neutered male domestic shorthair presented with a history of chronic haematochezia and intermittent partial rectal prolapse. Physical examination and laboratory findings were unremarkable. Abdominal CT revealed a caecal inversion. A midline coeliotomy followed by manual correction of the inversion and a stapled typhlectomy were performed.In both animals, CT allowed an accurate diagnosis and appropriate management of caecal inversion, a rarely reported small animal large intestinal disease.

scholarly journals Herpes Zoster pada Anak – Laporan Kasus

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Thigita A. Pandaleke ◽  
Herry E. J. Pandaleke ◽  
Ratna I. Susanti ◽  
Julieta D. P. Dotulong
Keyword(s):  
Herpes Zoster ◽  
Physical Examination ◽  
Primary Infection ◽  
Giant Cells ◽  
Lumbar Region ◽  
Sensory Ganglia ◽  
Laboratory Findings ◽  
Varicella Zoster ◽  
History Of ◽  
The Right

Abstract: Herpes zoster (HZ) is an acute vesicular eruption caused by latent varicella zoster virus (VVZ) reactivation in sensory ganglia after primary infection. Its incidence increases with age and it is rarely found in children. We reported a case of 10-year-old male with blisters on the right side of his stomach and back 3 days ago. The patient was suffered from fever, common cold, and cough a week before, and had a history of varicella at 5 years old. Dermatologic status showed multiple vesicles on erythematous base at the anterior dan posterior sides of his right lumbar region. The Tzank test showed multinucletaed giant cells. Acyclovir resulted in significant improvement after 7- day therapy. Conclusion: Diagnosis of herpes zoster was based on anamnesis, physical examination, and laboratory findings. Antiviral drugs was aimed to reduce complications and viral shedding.Keywords: Herpes zoster, childAbstrak: Herpes zoster (HZ) merupakan erupsi vesikuler akut yang disebabkan oleh reaktivasi dari virus varisela zoster (VVZ) laten pada ganglia sensoris yang sebelumnya terpajan dengan infeksi primer varisela. Insiden HZ meningkat seiring pertambahan usia dan jarang ditemukan pada anak-anak. Kami melaporkan kasus seorang anak laki-laki, 10 tahun, dengan bintil-bintil berair di perut dan punggung sebelah kanan sejak 3 hari lalu. Riwayat demam, batuk dan pilek 1 minggu sebelum timbul lesi. Riwayat varisela pada usia 5 tahun. Status dermatologis ditemukan vesikel multipel berisi cairan jernih yang tersusun bergerombol di atas kulit yang eritema di regio lumbar dekstra anterior dan posterior. Tes Tzank memperlihatkan sel raksasa berinti banyak. Pasien diterapi dengan asiklovir oral selama 7 hari dan menunjukkan perbaikan yang bermakna. Simpulan: Anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang kasus ini khas untuk herpes zoster. Pemberian obat antiviral bertujuan untuk mengurangi komplikasi dan menurunkan viral shedding.Kata kunci: herpes zoster, anak

scholarly journals Transvaginal uterine evisceration during labor in a Bengal queen

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691987230
Author(s):  
Mila Freire ◽  
Mouhamadou Diaw
Keyword(s):  
Physical Examination ◽  
Surgical Intervention ◽  
Patient Survival ◽  
Uterine Prolapse ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Rapid Identification ◽  
Urethral Catheterization ◽  
Case Summary ◽  
History Of

Case summary A 2.5-year-old Bengal queen was admitted with a 12-h history of a mass protruding from the vulva during labor. At that time, three healthy kittens had already been delivered. Physical examination identified the mass as a portion of the uterus that was eviscerated without eversion of the mucosa. Exploratory laparotomy revealed a vaginal vault rupture with a large portion of the uterus herniated through the tear and eviscerated through the vulva. Ovariohysterectomy was performed, and a dead fetus was removed with the uterus. Reconstruction of the vaginal rupture required careful dissection and urethral catheterization. The queen recovered without complications. Relevance and novel information Uterine evisceration through a vaginal tear is a very rare condition that sometimes is erroneously referred to as ‘prolapse’. Uterine prolapse and uterine evisceration may have similar presenting signs; however, proper identification and surgical correction is key when the uterus is eviscerated. This case highlights the importance of differentiating these two conditions and of rapid identification and surgical intervention for successful patient survival.

scholarly journals Septic arthritis is a mimicker of rheumatic fever

Mediscope ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 41-43
Author(s):  
KZ Hossain ◽  
MN Islam
Keyword(s):  
Soft Tissue ◽  
Physical Examination ◽  
Septic Arthritis ◽  
Acute Inflammation ◽  
Plain Radiograph ◽  
Knee Joints ◽  
Fluid Accumulation ◽  
Laboratory Findings ◽  
Soft Tissue Swelling ◽  
History Of

Septic arthritis is an uncommon form of arthritis in children. A five years old boy presented with pain and swelling of both knee joints for 7 days. His joints swellings were disproportionate to pain. He had no history of trauma to the joints. On examination, there was soft tissue swelling of both knee joints. Investigation showed features of acute inflammation. Plain radiograph showed soft tissue swelling. Ultrasonography showed fluid accumulation in joints space. After 7 days of antistaphylococcal therapy, the child improved significantly. Physicians treating the children need to be aware of taking proper history and doing physical examination and checking laboratory findings of the children with septic arthritis for appropriate case management. Mediscope Vol. 6, No. 1: Jan 2019, Page 41-43

Hand-foot lesion in old age asthmatic women

2015 ◽  
Vol 3 (1) ◽  
pp. 314-317
Keyword(s):  
Oral Cavity ◽  
Physical Examination ◽  
Old Age ◽  
Past History ◽  
Laboratory Findings ◽  
Normal Limits ◽  
History Of ◽  
Complete Blood Counts

papulovesicular eruption on the hands which had begun to appear on the palms of her hands 2 days previously and which progressed to the soles, and dorsum of the feet. He had past history of asthma for more than 30-years and was taking bronchodilator and steroid medications. Physical examination revealed multiple erythematous papules on the palms, soles. The oral cavity and other areas such as face and trunk were spared. Laboratory findings, including complete blood counts and blood chemistries, were within normal limits. After 3 1/2 weeks he was commenced on oral aciclovir 200 mg five times daily, with subsequent resolution of all lesions within 5 days.

Chronic primary splenic torsion with peritoneal adhesions in a dog: case report and literature review

2000 ◽  
Vol 36 (5) ◽  
pp. 390-394 ◽  
Author(s):  
NA Weber
Keyword(s):  
Case Report ◽  
Complete Resolution ◽  
Abdominal Mass ◽  
Clinical Signs ◽  
Exploratory Laparotomy ◽  
Splenic Torsion ◽  
Peritoneal Adhesions ◽  
Chronic Form ◽  
History Of ◽  
Diaphragmatic Hernia Repair

Primary splenic torsion in dogs is uncommon and can occur in acute or chronic form. The chronic form is difficult to diagnose because the clinical signs are vague and sometimes intermittent. A dog with a history of diaphragmatic hernia repair two years previously presented with chronic, vague clinical signs and an abdominal mass. The mass was revealed to be spleen on ultrasonography. On exploratory laparotomy, the dog was found to have a splenic torsion of approximately 180 degrees with mature, fibrous adhesions retaining the spleen in a torsed position. A splenectomy was performed, and the dog recovered uneventfully with complete resolution of prior clinical signs. Prognosis for dogs with splenic torsion is good, although complications are relatively common.

scholarly journals Frequency of pleural effusion in acute bronchiolitis and its effect on prognosis

2019 ◽  
Vol 6 ◽  
Author(s):  
Ayse E. Yilmaz ◽  
Aslı Koktener ◽  
Nurullah Celik ◽  
Halise Akca ◽  
Meki Bilici ◽  
...  
Keyword(s):  
Risk Factors ◽  
Vitamin D ◽  
Pleural Effusion ◽  
Physical Examination ◽  
Disease Process ◽  
Breastfeeding Duration ◽  
Smoking History ◽  
Acute Bronchiolitis ◽  
Laboratory Findings ◽  
History Of

Aim: To analyze the frequency of pleural effusion and theeffect on prognosis in children with acute bronchiolitis. Methods: A total of 69 infants aged 1-24 months with acute bronchiolitis were studied between September 2009 and December 2010. All patients’age, sex, breastfeeding duration, exposure to smoking, history of using vitamin D, symptoms duration, physical examination and laboratory findings were recorded. Bronchiolitis score and predisposing factors that influence the disease process were determined. Thorax ultrasonography was carried out in all patients, who were evaluated on the 3rd and 7th day of the treatment. Results: Mean age of patients (43 boys, 26 girls) was 11.97 ± 0.69 months (median 11 months). Breastfeeding duration was 8.26 ± 0.56 months (median 8 months). According to bronchiolitis score, 52 patients (75.4%) had mild and moderate bronchiolitis and 17 (24.6%) had severe bronchiolitis; 34 patients (49.2%) had pleural effusion. There was no relation between pleural effusion and symptoms. Frequency of pleural effusion was significantly higher in patients with risk factors. Conclusions: This study demonstrated that most of the acute bronchiolitis cases in the infants studied were accompanied by pleural effusion. Pleural effusion in acute bronchiolitis had no effects on prognosis.

Myxosarcoma Associated with the Kidney in a Cat: Case Report

2020 ◽  
Vol 56 (2) ◽  
Author(s):  
Brittany Champagne Madere ◽  
Andrea Dedeaux ◽  
Tatiane Terumi Negrao Watanabe ◽  
Nobuko Wakamatsu ◽  
Lorrie Gaschen ◽  
...  
Keyword(s):  
Case Report ◽  
Renal Mass ◽  
Abdominal Mass ◽  
Vena Cava ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
History Of ◽  
Pendulous Abdomen ◽  
Disease Free ◽  
Abdominal Hemorrhage

ABSTRACT A 12 yr old spayed female domestic shorthair with a history of lethargy, anorexia, and a pendulous abdomen was referred after a cranial abdominal mass was palpated on physical examination. Thoracic radiographs and an abdominal ultrasound revealed a mass associated with the kidney and moderate hemoperitoneum. Exploratory laparotomy revealed abdominal hemorrhage originating from a right renal mass that was adhered to the caudal vena cava. Following a right nephrectomy, histopathology diagnosed the mass as a perirenal/renal myxosarcoma. Based upon thoracic radiographs and abdominal ultrasound, the patient remains disease free at 14 mo postoperatively.

scholarly journals A rare case of uterine myxoid leiomyosarcoma

2021 ◽  
Vol 10 (12) ◽  
pp. 4599
Author(s):  
Shirish S. Dulewad ◽  
Varsha Narayana Bhat ◽  
Prachi V. Koli
Keyword(s):  
Abdominal Mass ◽  
Exploratory Laparotomy ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Vascular Tumour ◽  
Debulking Surgery ◽  
Post Operative Period ◽  
History Of ◽  
Abdominal Examination ◽  
Uterine Adenocarcinoma

Myxoid leiomyosarcoma is an uncommon tumour and in most cases, it is recognised only after the surgery. A 65 years old female patient got admitted at our hospital with history of rapidly growing abdominal mass with pain in abdomen since last 3 months. During abdominal examination 32 weeks huge mass was noted and on prevaginal examination mass couldn’t be separated from uterus. LDH was elevated, USG suggestive of vascular tumour of with neoplastic etiology of ovarain origin. CECT was done and findings suggestive of uterine adenocarcinoma with peritoneal carcinomatosis. Exploratory laparotomy with total abdominal hysterectomy with bilateral salphingoopherectomy with omentectomy with debulking surgery was performed. HPR reports suggestive of myxoid leiomyosarcoma with mitotic index of 10 with tumour cell necrosis suggestive of poor prognosis. Post-operative period patient had developed sudden myocardial infarction and shifted to ICU where she died due to ventricular fibrillation. 

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

Hepatic brucelloma: a rare complication of a common zoonotic disease

2020 ◽  
Vol 13 (12) ◽  
pp. e237076
Author(s):  
George Vatidis ◽  
Eirini I Rigopoulou ◽  
Konstantinos Tepetes ◽  
George N Dalekos
Keyword(s):  
Rare Complication ◽  
Surgical Excision ◽  
Coombs Test ◽  
Inflammation Markers ◽  
Laboratory Findings ◽  
Ct Guided ◽  
Rare Manifestation ◽  
Bone Marrow Cultures ◽  
History Of ◽  
The Right

Hepatic brucelloma (HB), a rare manifestation of brucellosis, refers to liver involvement in the form of abscess. A 35-year-old woman stockbreeder was admitted due to 1-month history of evening fever, sweating and weight loss, while she was on 3-week course of rifampicin/doxycycline for suspected brucellosis. On admission, she had hepatosplenomegaly and a systolic murmur, while cholestasis, increased inflammation markers and a strong-positive Wright-Coombs test were the main laboratory findings. As blood and bone marrow cultures were unrevealing, further investigation with CT imaging showed a central liver calcification surrounded by heterogeneous hypodense area being compatible with HB. Material from CT-guided drainage tested negative for Brucella spp. After failure to improve on a 10-week triple regiment, surgical excision was decided and Brucella spp were identified by PCR. Our case highlights challenges in establishing HB diagnosis, which should be considered on the right epidemiological context and when serological and radiological evidence favour its diagnosis.

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