CT and surgical management of a uterine torsion associated with leiomyosarcoma in a dog

2020 ◽  
Vol 8 (3) ◽  
pp. e001103
Author(s):  
Gabriel Carbonell Rossello ◽  
Inma Ferrandis ◽  
Juan Francisco Borrego Masso ◽  
Manuel Jimenez Pelaez
Keyword(s):  
Weight Loss ◽  
Surgical Management ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Large Mass ◽  
Uterine Tissue ◽  
Intact Female ◽  
En Bloc ◽  
First Case ◽  
Uterine Torsion

An 11-year-old, 22-kg, intact female crossbred dog presented with abdominal distention and marked chronic weight loss. Abdominal ultrasound revealed a large mass (>20-cm diameter) in the mid-abdomen; its origin could not be determined. CT of the abdomen revealed three masses associated with the uterus. A 720° uterine rotation along its long axis was noted. An exploratory laparotomy and en bloc ovariohysterectomy of the twisted uterus was performed and the dog recovered uneventfully. Histopathology confirmed three leiomyosarcomas within the uterine tissue. To the authors’ knowledge, this is the first case describing a uterine torsion associated with a leiomyosarcoma in a dog and diagnosed by CT.

scholarly journals Sclerosing angiomatoid nodular transformation presend nodulartransformation presenting witha bdominal hemorrhage: First report in infancy

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Gloria Pelizzo ◽  
Vincenzo Villanacci ◽  
Luisa Lorenzi ◽  
Orietta Doria ◽  
Anna Maria Caruso ◽  
...  
Keyword(s):  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Large Mass ◽  
Sclerosing Angiomatoid Nodular Transformation ◽  
Coagulation Abnormalities ◽  
First Case ◽  
Laboratory Investigations ◽  
Intraabdominal Hemorrhage

A limited number of sclerosing Angiomatoid Nodular Transformation (SANT) have been reported in pediatric age. We describe the first case of SANT occurring in a nine-week-old female infant that was admitted to our unit for severe abdominal distension and rectal bleeding. Enlarged spleen was detected on physical examination. Laboratory investigations revealed severe anemia and coagulation abnormalities. Abdominal ultrasound and computed tomography revealed ascites and splenomegaly with a large mass at the lower medial splenic pole. A diagnosis of intraabdominal hemorrhage was presumed and an exploratory laparotomy was performed. A complete transformation of the giant splenomegaly to bossellated masses and multiple bleeding capsular ruptures without subcapsular hematoma were found and an urgent splenectomy was performed. At histology, a SANT was diagnosed (CD34, CD31, CD8 positivity). The postoperative follow up was uneventful. SANT may also occur in infancy with a potentially lifethreatening presentation. Splenectomy may represent the only treatment in severe cases.

CT diagnosis and management of mesenteric torsion in a dog

2020 ◽  
Vol 8 (3) ◽  
pp. e001102
Author(s):  
Gabriel Carbonell Rossello ◽  
Ricardo Guillem Gallach ◽  
Manuel Jimenez Pelaez
Keyword(s):  
Abdominal Pain ◽  
Medical Treatment ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Abdominal Distention ◽  
Intestinal Lumen ◽  
Ct Diagnosis ◽  
En Bloc ◽  
Diagnosis And Management ◽  
Small Intestines

An eight-year-old, 35 kg, female spayed Doberman Pincher dog was presented with peracute abdominal distention and severe abdominal pain associated with vomiting. Radiographs showed segmental gas and fluid-distended small intestines and loss of serosal detail. Abdominal ultrasound revealed segmental hypomotile, fluid distended small intestines and high amount of gas in the intestinal lumen. CT showed signs consistent with a segmental mesenteric torsion. Exploratory laparotomy and en bloc enterectomy of the torsioned necrotic segment of the jejunum (50 per cent approximately) was performed. The patient was discharged 1 week after surgery with some sporadic vomiting and diarrhoea, which resolved with medical treatment within a week.

scholarly journals Spontaneous Expulsion of Intramural Fibroid Six Weeks after Emergency Caesarean Section

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Balvinder Sagoo ◽  
Ka Ying Bonnie Ng ◽  
G. Ghaleb ◽  
Heather Brown
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Ferrous Sulphate ◽  
Abdominal Ultrasound ◽  
Large Mass ◽  
General Anesthetic ◽  
Risk Pregnancy ◽  
Emergency Cesarean ◽  
First Case ◽  
Spontaneous Expulsion

We present a thirty-six-year-old woman with a high risk pregnancy, complicated by multiple congenital anomalies, severe hyperemesis, a pulmonary embolus, and a large intramural fibroid. This fibroid grew in size during the pregnancy. At 34 + 5 weeks, there were reduced fetal movements and a pathological CTG. A live infant was delivered by an emergency cesarean section. Five weeks postpartum, she presented with abdominal pain, offensive vaginal discharge, and fevers. She was given antibiotics and ferrous sulphate. An abdominal ultrasound showed an 11 × 12 × 9 cm fibroid with a coarse degenerative appearance. Clinically, she showed signs of sepsis; a CT scan and laparotomy performed under general anesthetic did not find any collections as a source of sepsis. When stable, she was discharged. She re-presented two days later with a large mass (necrotic fibroid) in her vagina. This is the first case of spontaneous expulsion of fibroid six weeks after caesarean section. Presentation of pain and fever after the delivery may be due to red degeneration of the fibroid, caused by diminished blood supply, ischaemia, and necrosis. This case highlights the importance of considering fibroids as a cause for abdominal pain during and after pregnancy, even up to 6 weeks after delivery.

scholarly journals Malignant Ovarian Teratoma in a Red-Eared Slider (Trachemys Scripta Elegans)

2003 ◽  
Vol 15 (1) ◽  
pp. 77-81 ◽  
Author(s):  
Shelley J. Newman ◽  
Cyndi J. Brown ◽  
Amiya K. Patnaik
Keyword(s):  
Hormone Therapy ◽  
Exploratory Laparotomy ◽  
Large Mass ◽  
Trachemys Scripta ◽  
Ovarian Teratoma ◽  
Malignant Teratoma ◽  
Intact Female ◽  
Trachemys Scripta Elegans ◽  
Germ Layers ◽  
The Right

A 7-year-old intact female red-eared slider ( Trachemys scripta elegans) presented with anorexia of 2–3-weeks duration. Coelomic radiographs demonstrated 3 shelled eggs in the right cavity. Hormone therapy failed to induce oviposition. Exploratory laparotomy revealed 3 calcified eggs in the right oviduct and a large mass obliterating the left ovary. The large, multilobulate mass had scattered, firm, white nodules and weighed 450 g. Histopathology revealed a malignant teratoma composed of immature embryonal and extraembryonal elements derived from all 3 germ layers with multifocal epithelial anaplasia. This is the first report of a teratoma in chelonian gonadal tissue. Teratomas and reptilian gonadal neoplasia are reviewed.

scholarly journals Infiltrative Cutaneous Hemangiolipoma in a Goat

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Jessica R. Collier ◽  
Stacey R. Byers ◽  
Paula A. Schaffer ◽  
Deanna R. Worley ◽  
E. J. Ehrhart ◽  
...  
Keyword(s):  
Complete Blood Count ◽  
Cutaneous Lesion ◽  
Surgical Excision ◽  
Abdominal Ultrasound ◽  
Final Diagnosis ◽  
Treatment Method ◽  
En Bloc ◽  
Colorado State University ◽  
Normal Limits ◽  
First Case

An approximately 4-year-old castrated male, Saanen cross goat presented to the Colorado State University Veterinary Teaching Hospital for evaluation and removal of a 22 cm × 22 cm, dark red, thickened, and crusted cutaneous lesion along the left ventrolateral thorax. An initial incisional biopsy performed approximately 8 weeks earlier was suspicious for cutaneous hemangiosarcoma. Surgical excision was deemed to be the most appropriate treatment option for this goat. A complete physical exam, complete blood count, and chemistry profile were performed and results were within normal limits. Thoracic radiographs and abdominal ultrasound were performed to rule out metastatic disease and comorbid conditions; no metastatic lesions or other abnormalities were observed. En bloc surgical excision of the affected skin was performed and the entire tissue was submitted for histopathology. A final diagnosis of cutaneous hemangiolipoma was reached upon extensive sectioning and histologic examination of the larger tissue specimen. The goat recovered well from surgery and has had no further complications up to 9 months postoperatively. To our knowledge, this is the first case report of a hemangiolipoma in a goat and surgical excision for such lesions appears to be a viable treatment method.

Hemoperitoneum Secondary to Liver Lobe Torsion in a Cat

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Rebekah Knight ◽  
Janet Kovak McClaran
Keyword(s):  
Abdominal Pain ◽  
Surgical Management ◽  
Abdominal Ultrasound ◽  
Caudate Lobe ◽  
Successful Outcome ◽  
Liver Lobe ◽  
Fine Needle ◽  
Fine Needle Aspirates ◽  
Hepatic Mass ◽  
First Case

ABSTRACT A 5 yr old male British blue shorthair cat was presented collapsed with hypotension, hypothermia, and cranial abdominal pain. Abdominal ultrasound and abdominocentesis revealed hemoperitoneum and a suspected hepatic mass. Cytology of fine-needle aspirates of the mass was inconclusive, so exploratory celiotomy was performed for diagnostic and therapeutic purposes. An enlarged, hemorrhagic papillary process of the caudate lobe was identified, with twisting of the vasculature at the hilus, so a complete lobectomy was performed using a thoracoabdominal stapler. Histopathology was consistent with liver lobe torsion with no evidence of hepatocellular neoplasia identified. This report describes the first case of hemoperitoneum secondary to liver lobe torsion without evidence of hepatocellular neoplasia in a cat and demonstrates a successful outcome following surgical management with liver lobectomy.

scholarly journals Choledochal Cyst Coexisting with Gallbladder Carcinoma - An Uncommon Case Report

2017 ◽  
Vol 16 (4) ◽  
pp. 602-605
Author(s):  
Jahangir Hossain Bhuiyan ◽  
Mohibul Aziz ◽  
Omar Faruk ◽  
Mahbub Hasan
Keyword(s):  
Choledochal Cyst ◽  
Gallbladder Carcinoma ◽  
Medical Science ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Low Grade ◽  
College Hospital ◽  
Medical College ◽  
Operative Recovery

Choledochal Cyst is a relatively rare condition. Even rarer is a choledochal cyst in association with a gallbladder carcinoma. This study reports a rare case of choledochal cyst coexisting with gallbladder carcinoma in a Bangladeshi patient. A 35 year old lady presented at IBN Sina Medical College Hospital, Kallyanpur, Dhaka with the history of recurrent right upper quadrant abdominal pain from childhood, which became severe for last 4 days before admission. The pain was colicky in nature and radiated to the back. Episodes were associated with low-grade fever, anorexia as well as vomiting. The preoperative diagnosis was made by abdominal ultrasound and MRCP. Exploratory laparotomy, enbloc cholecystectomy with excision of the choledochal cyst and roux-en-Y hepaticojejunostomy was also done. Post operative recovery was uneventful. Patient was followed up for six months and no obvious complication was noticed. Early suspicion of this rare pancreato-billiary disease is important because surgical treatment is the only way to avoid the complications of the disease.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.602-605

scholarly journals Emergency surgical management of sub-hepatic appendicular perforation with abscess; rare presentation of a common disease: a case report

2021 ◽  
Vol 9 (11) ◽  
pp. 3478
Author(s):  
S. K. Sekendar Ali ◽  
Narendra Nath Mukhopadhyay
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Clinical Suspicion ◽  
Common Disease ◽  
Emergency Setting ◽  
Atypical Presentation ◽  
Rare Presentation ◽  
High Level

Subhepatic appendicitis is a very rare presentation that has been rarely reported, accounting for 0.01% of acute appendicitis case. It is difficult to diagnose and prime to be aware of variants, manage such challenging case in emergency setting. We present a case of 29 years male patient with subhepatic perforated appendicitis and its sequelae-abscess and peritonitis who underwent an exploratory laparotomy and appendectomy. The initial diagnosis and surgical management of such patients is challenging due to very rare and atypical presentation in emergency setting. A high level of clinical suspicion, promote decision to operate and skillful surgical approach is discussed with briefly.

Intestinal lymphoma in a Boxer breed dog – case report

2019 ◽  
Vol XXIV (142) ◽  
pp. 72-82
Author(s):  
Sayonara da Luz Ferro ◽  
Fernanda Jönck ◽  
Marta Cristina T. Heckler ◽  
Ewerton Cardoso ◽  
Mateus Rychescki ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Exploratory Laparotomy ◽  
Needle Aspiration ◽  
Free Fluid ◽  
Intestinal Lymphoma ◽  
Mesenteric Lymph Nodes ◽  
Abdominal Ultrasonography ◽  
Tissue Biopsy

Intestinal lymphoma is the second most common form of lymphoma in dogs. It is characterized by the presence of neoplastic lymphocytes in the gastrointestinal tract or mesenteric lymph nodes. The chief clinical signs are vomiting, diarrhea, anorexia and weight loss. The diagnosis is made through fine needle aspiration and cytology, or by tissue biopsy and histopathology, and chemotherapy is the treatment of choice. We report a case of intestinal lymphoma in a five years old Boxer, presented with history of hematochezia and lethargy of 7 days duration, and 20 days of anorexia and persistent weight loss. Abdominal ultrasonography revealed free fluid in the abdominal cavity, and an intestinal mass. Exploratory laparotomy was performed and a tissue biopsy was performed. Histopathology confirmed the diagnosis of intestinal lymphoma, but the patient died during the surgical procedure.

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