scholarly journals Severe muscle fasciculations and tremor in a cat with hypochloraemic metabolic alkalosis secondary to duodenal obstruction

2017 ◽  
Vol 3 (1) ◽  
pp. 205511691668642
Author(s):  
Alison Jukes ◽  
Marcus Gunew ◽  
Rhett Marshall
Keyword(s):  
Foreign Body ◽  
Intestinal Obstruction ◽  
Duodenal Obstruction ◽  
Metabolic Alkalosis ◽  
Clinical Signs ◽  
Complete Recovery ◽  
Acid Base ◽  
Case Summary ◽  
Cerebellar Diseases ◽  
History Of

Case summary An 18-month-old, female spayed, Australian Mist cat presented with a 24 h history of muscle tremors and inappetence progressing to collapse with generalised muscle fasciculations. The cat was diagnosed with a hypochloraemic metabolic alkalosis due to a duodenal foreign body found to be a trichobezoar at coeliotomy. The cat made a complete recovery after enterotomy to remove the trichobezoar, with cessation of neuromuscular clinical signs and normalisation of its electrolyte and acid–base imbalances. Relevance and novel information Muscle fasciculations and tremors in cats can be caused by intoxications, metabolic derangements, encephalomyelitis, feline hyperaesthesia syndrome and cerebellar diseases. The presenting clinical signs of severe muscle fasciculations and tremors have not previously been reported in association with an intestinal obstruction in the cat.

scholarly journals Acute Pancreatitis Associated With Peritoneal Migration of Grass Awn in Two Dogs

2017 ◽  
Vol 67 (4) ◽  
pp. 587-592 ◽  
Author(s):  
Simonetta Citi ◽  
Tommaso Mannucci ◽  
Francesca Pedala’ ◽  
Iacopo Vannozzi ◽  
Massimo Vignoli
Keyword(s):  
Acute Pancreatitis ◽  
Foreign Body ◽  
Clinical Signs ◽  
Blood Analysis ◽  
Full Resolution ◽  
History Of ◽  
Right Lobe ◽  
One Year ◽  
Grass Awn

AbstractA 12 year old male Fox Terrier (case 1) and a one year old female Poodle (case 2) were presented with a history of dysorexia and vomiting, and case 2 also with distress associated with eating. Both dogs were diagnosed with acute pancreatitis based on clinical signs, blood analysis and ultrasonography which revealed the presence of a vegetable foreign body in the proximity of the pancreatic right lobe. Laparatomy enabled the gramineae awns to be removed which led to full resolution of clinical signs. We believe that these are the first reported cases of acute pancreatitis due to grass awns.

scholarly journals Hypertrophic osteopathy associated with a bronchial foreign body (grass awn) in a dog: a case report

2012 ◽  
Vol 57 (No. 11) ◽  
pp. 618-621 ◽  
Author(s):  
A. Palumbo Piccionello ◽  
F. Dini ◽  
AM Tambella ◽  
M. Cerquetella ◽  
C. Vullo
Keyword(s):  
Foreign Body ◽  
Bone Lesion ◽  
Clinical Signs ◽  
Bone Apposition ◽  
Foreign Body Removal ◽  
Clinically Normal ◽  
History Of ◽  
The Right ◽  
Grass Awn

A five-year-old dog was referred with a five-month history of lethargy, decreased appetite, cough and intermittent forelimb lameness. Radiographs revealed an intra-thoracic lesion and a marked periosteal bone apposition of the second digit on the left forelimb. As it was palisading and circumferential, the latter appeared typical of hypertrophic osteopathy (HO). A grass awn in a sub-lobar ramification of the right caudal bronchus was identified and removed by bronchoscopy. At three months follow-up, the digit appeared clinically normal. On radiographs the periosteal bone reaction had decreased, indicative of resolving hypertrophic osteopathy. Thoracic radiographs showed no abnormalities five months after foreign body removal and the bone lesion on the digit had disappeared. Successful treatment of the pulmonary foreign body abscess led to spontaneous regression of HO and eventually to complete resolution of clinical signs. To the authors’ knowledge, this is the first reported case of HO secondary to a bronchial-pulmonary grass an abscess.

scholarly journals Unusual Complication following a Myomectomy: Colic Migration of a Forgotten Abdominal Swab

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Boyodi Tchangai ◽  
Fousseni Alassani ◽  
Mazamesso Tchaou
Keyword(s):  
Foreign Body ◽  
Female Patient ◽  
Foreign Bodies ◽  
Enterocutaneous Fistula ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Unusual Complication ◽  
History Of

Surgical sponges are the most common retained foreign bodies following surgery. The morbidity of this condition is illustrated herein with the case of a 36-year-old female patient with a history of myomectomy 5 months before her admission into our unit for enterocutaneous fistula. Although imaging and etiological investigations were made, diagnosis was carried out only by laparotomy. The foreign body found was an abdominal swab that migrated from abdominal cavity to the colon causing several intestinal injuries. The lack of specific clinical signs and the death of the patient raise the necessity of preventing these complications that involve the surgeon liability.

scholarly journals Diagnostic challenges in paediatric foreign body aspiration: a case report

2020 ◽  
Vol 49 (2) ◽  
Author(s):  
Inês Morais ◽  
Inês Sousa ◽  
Carolina Terra ◽  
Ana Martins ◽  
Tiago Pereira ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Previous History ◽  
Bronchial Hyperresponsiveness ◽  
Clinical Signs ◽  
Paediatric Population ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Multidisciplinary Communication ◽  
History Of

Introduction: Foreign body aspiration (FBA) is a potentially fatal paediatric emergency. Our objective was to highlight the importance of a multidisciplinary approach to difficult/doubtful diagnosis. Case Report: 34-month-old girl referred for urgent rigid bronchoscopy after suspected metallic blade ingestion (found chewing on it). She had a previous recurrent history of wheezing. The physical examination revealed face/lip wounds, traces of powder on her teeth but no breathing difficulty. The plain X-Ray revealed radiopaque images of the upper pulmonary field and gastric chamber. In the absence of FBA clinical signs but considering a previous history of bronchial hyperresponsiveness, a direct digital radiographic study was performed. There were no images compatible with foreign bodies: the results were interpreted as artefacts and no bronchoscopy was performed. Conclusions: A careful pre-anaesthetic evaluation, a high level of suspicion and excellent multidisciplinary communication led to the recognition of false radiologic findings. A conservative approach was followed and invasive procedures in a remote location, with high anaesthetic risk for the paediatric population were avoided.

scholarly journals Identifying hydric, electrolytic and acid-base imbalances through traditional and quantitative approaches in dogs with hemorrhagic gastroenteritis

2020 ◽  
Vol 72 (1) ◽  
pp. 93-101
Author(s):  
A.L. Hasuda ◽  
K.K.M.C. Flaiban ◽  
J.A.N. Lisbôa ◽  
L.A. Gomes ◽  
I.G. Polizelli ◽  
...  
Keyword(s):  
Metabolic Acidosis ◽  
Metabolic Alkalosis ◽  
Complete Blood Count ◽  
Traditional Approach ◽  
Clinical Signs ◽  
Quantitative Approach ◽  
Acid Base ◽  
Plasma Protein Concentration ◽  
Total Plasma Protein ◽  
Quantitative Approaches

ABSTRACT Vomiting and diarrhea are two important clinical signs that can cause significant electrolytic and acid-base imbalances. The purposes of this study were to characterize hydric, electrolytic and acid-base disorders presented by puppies with hemorrhagic gastroenteritis and to compare the traditional and quantitative approaches to acid-base status interpretation. Sixty-one animals with a history of vomiting and/or diarrhea were used in this study and the following tests were performed: complete blood count, total plasma protein concentration and hemogasometry. Mean, standard deviation and Kappa values were calculated. The imbalances characterized by both approaches were: 42 (69%) animals without imbalance, 17 (28%) with metabolic alkalosis and 2 (3%) with metabolic acidosis by the traditional approach and 17 (28%) dogs without imbalance, 26 (43%) with metabolic alkalosis and 18 (29%) with metabolic acidosis by the quantitative approach. The agreement calculated between two approaches coincide in 28 cases, with a moderate Kappa value equivalent to 0.459. The most found imbalances were metabolic alkalosis, hypokalemia, and mild dehydration. Most of acid-base disturbances were not identified by the traditional approach, whereas by the quantitative approach, they were easily determined. Thus quantitative approach proved to be superior in identification of possible acid-base imbalances.

scholarly journals A vaginal fornix foreign body in a bitch: a case report

2014 ◽  
Vol 59 (No. 9) ◽  
pp. 457-460 ◽  
Author(s):  
M. Fabbi ◽  
S. Manfredi ◽  
F. Di Ianni ◽  
C. Bresciani ◽  
AM Cantoni ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Staphylococcus Epidermidis ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Abdominal Ultrasound ◽  
Intact Female ◽  
History Of ◽  
Grass Awn

A six-year-old intact female Lagotto Romagnolo was referred with a two-day history of purulent vulvar discharge associated with fever, lethargy, polyuria, polydipsia and signs of abdominal pain. Abdominal ultrasound revealed a grass awn foreign body in the vaginal fornix. Culture swabs obtained from the vagina revealed the presence of Staphylococcus epidermidis as the preponderant organism. Ovariohysterectomy was performed, and the presence of the grass awn was confirmed. A chronic-active vaginitis was found at histological examination. The dog recovered with resolution of all clinical signs.  Differential diagnoses for acute vulvar discharge in bitches should include retention of vaginal foreign bodies. To the authors’ knowledge, this is the first reported case of a grass awn foreign body in the vaginal fornix of a dog.  

scholarly journals Conventional treatment of a metaldehyde-intoxicated cat with additional use of low-dose intravenous lipid emulsion

2020 ◽  
Vol 6 (2) ◽  
pp. 205511692094017
Author(s):  
Ilaria Bergamini ◽  
Clara Mattavelli ◽  
Giorgio Grossi ◽  
Ilaria Magagnoli ◽  
Massimo Giunti
Keyword(s):  
Lipid Emulsion ◽  
Low Dose ◽  
Clinical Signs ◽  
Complete Recovery ◽  
Acute Onset ◽  
Pupillary Light ◽  
Case Summary ◽  
Bilateral Absence ◽  
Constant Rate ◽  
Rate Infusion

Case summary An adult male intact domestic shorthair cat was presented for acute onset of generalised tremors, stupor, horizontal nystagmus, anisocoria and bilateral absence of pupillary light and palpebral reflexes. Response to intravenous (IV) administration of benzodiazepines was minimal; thus, the induction of general anaesthesia with propofol, midazolam and dexmedetomidine was necessary to control clinical signs. Following a clinical suspicion of neurotoxicosis, a low-dose constant rate infusion (CRI) of IV lipid emulsion (ILE) was started. Phenobarbital and a low-dose CRI of ketamine were also used for neuroprotective purposes. Metaldehyde intoxication was confirmed by qualitative faecal toxicological analysis after discharge. Anaesthetic drugs were progressively tapered and stopped after 28 h and extubation was possible after 44 h. The cat was discharged 8 days after admission with a complete recovery of the clinical signs. Relevance and novel information To the authors’ knowledge, this is the first report to describe a case of metaldehyde toxicosis in a cat treated with intensive supportive care and an additional low-dose CRI of ILE.

scholarly journals Management of oesophageal foreign bodies in pediatric patients: our experience

2021 ◽  
Vol 7 (7) ◽  
pp. 1164
Author(s):  
Manit M. Mandal ◽  
Ajay J. Panchal ◽  
Rakesh Kumar ◽  
Parth B. Kapadia ◽  
Vipul Valiya ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Demographic Data ◽  
Complete Recovery ◽  
Clinical Problem ◽  
Tertiary Hospital ◽  
Battery Cell ◽  
Presenting Symptoms ◽  
History Of

<p class="abstract"><strong>Background:</strong> Amongst pediatric patients, oesophageal foreign bodies (OFBs) are relatively common clinical problem. Majority pass harmlessly through gastrointestinal tract, some can cause complications or morbidities. Our study considered and reviewed our experience in managing OFBs in pediatric patients, with emphasis on the management and outcomes of complicated cases.</p><p class="abstract"><strong>Methods:</strong> 77 cases of OFBs (diagnosis established), upto 12 years of age admitted at our tertiary hospital between January 2015 to December 2020 (duration of 6 years) were reviewed and analysed. On the basis of our analysis accounting demographic data, presenting symptoms, workup investigation, management, complications and outcomes, results and conclusions were derived.</p><p class="abstract"><strong>Results:</strong> Amongst cases, 43 were male and 34 female. Mean age for our cases was 5.4 years. 56 cases (72.7%) cases presented in the hospital within first 24 hours. Commonest foreign body found in 64 cases (83.1%) was coin. Most cases had history of witnessed ingestion. Commonest presentation was asymptomatic (with history of witnessed ingestion), followed by complaint of vomiting and drooling of saliva. Most patients were discharged within 48 hours post-operatively except for 2 patients who presented intra-operatively with edematous inflamed mucosa with slight charring on oesophagoscopy where foreign body was button battery (cell). Follow-up period ranged from 2 to 8 months and all patients had complete recovery without any sequelae.</p><p class="abstract"><strong>Conclusions:</strong> Our experience of 6 years with 77 pediatric patients with OFBs having various presentations have been reviewed, analysed and concluded here. All the patients had complete recovery without any sequelae.</p>

scholarly journals Evaluation of demographic, clinical and paraclinical characteristics of children with acute disseminated encephalomyelitis

2020 ◽  
Vol 7 (1) ◽  
pp. e08-e08
Author(s):  
Ahad Ghazavi ◽  
Ezatolah Abbasi ◽  
Hashem Mahmodzadeh ◽  
Tohid Nasiri
Keyword(s):  
Clinical Signs ◽  
Complete Recovery ◽  
Acute Disseminated Encephalomyelitis ◽  
Recent Infection ◽  
Demyelinating Disorder ◽  
Epidemiological Features ◽  
Previous Infection ◽  
History Of ◽  
And Gender ◽  
Common Clinical Finding

Introduction: Acute disseminated encephalomyelitis (ADEM) is an immunologically mediated inflammatory demyelinating disorder that commonly occurs following a viral infection or vaccination. Objectives: This study aimed to evaluate the demographic, clinical and paraclinical characteristics of children with ADEM. Patients and Methods: In a retrospective study, all children who had a definite diagnosis of ADEM were included in the study. Demographic information (including age and gender), epidemiological features (season of onset, history of previous vaccination and previous infection), clinical signs of ADEM, paraclinical features and also clinical outcomes were extracted from patients’ records and entered into a researcher-made checklist. All data were collected, classified and entered into SPSS version 21 for statistical analysis. Results: A total of 27 patients with ADEM were studied out of which, 16 (59.3%) were male and 11 (40.7%) were female. The mean age of patients was 5.21 ± 4.37 years, the youngest of which was three months and the oldest patient had 13 years old. The highest incidence (33.3%) was observed in autumn and 66.7% of patients had a history of recent infection. Electroencephalographic (EEG) findings were abnormal in 55.6% of patients. The most common clinical finding of abnormal EEG was motor disorders (51.8%). Among those who conducted MRI, 71.4% of them had cortical lesions in the brain. In the majority of cases (51.9%), the treatment achieved with intravenous immunoglobulin (IVIG) alone and complete recovery. Conclusion: The ADEM in this region has relatively similar epidemiological features to those studied worldwide and the favorable treatment of our cases has led to a satisfactory percentage of complete clinical recovery.

scholarly journals Retained surgical sponge presenting as a case of intestinal obstruction

2021 ◽  
Vol 10 (3) ◽  
pp. 412-416
Author(s):  
Chiemelu Dickson Emegoakor ◽  
Henry Chukwuka Nzeako ◽  
Kenneth Oluchukwu Ugwuanyi ◽  
Celestine Ifeanacho Okafor ◽  
Arinze Chukwuma Ijezie
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Intestinal Obstruction ◽  
Private Hospital ◽  
The Body ◽  
Abdominal Distention ◽  
Surgical Sponge ◽  
Retained Surgical Sponge ◽  
Retained Foreign Body ◽  
History Of

Retained surgical sponge or gossypiboma is a term used to describe a retained swab in the body after operation. There are different surgical materials that can be left in the abdomen during operation such as sponge, artery forceps, scissors, and pieces of broken instrument. Mop is the most commonly retained foreign body. Inadvertent retention of foreign body in the abdomen often requires another operation, increasing the morbidity and mortality in these patients. Despite the complications associated with this condition, they are rarely published because of medicolegal implications. We report a case of 28-year-old woman who presented on account of 9 months history of colicky abdominal pain, abdominal distention and mass following open myomectomy in a private hospital.

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