scholarly journals Caval foramen hernia in a cat

2020 ◽  
Vol 6 (2) ◽  
pp. 205511692096402
Author(s):  
Jia Wen Siow ◽  
QiCai Jason Hoon ◽  
Elizabeth Jenkins ◽  
Nikola Heblinski ◽  
Mariano Makara
Keyword(s):  
Diaphragmatic Hernia ◽  
Vena Cava ◽  
Clinical Signs ◽  
Diagnostic Investigation ◽  
Radiographic Findings ◽  
Case Summary ◽  
Septum Transversum ◽  
Liver Herniation ◽  
History Of ◽  
The Right

Case summary A 3-year-old neutered female domestic shorthair cat presented for a 2-week history of hyporexia, lethargy and weight loss. Aspartate aminotransferase, alanine aminotransferase and cholesterol were mildly elevated. Thoracic radiographs identified a lobulated soft tissue opacity in the caudal thorax to the right of midline, with the border effacing the caudal vena cava and broad-based towards the diaphragm. The broad base was suggestive of diaphragmatic hernia, with the other radiographic features and location suggestive of caval foramen hernia. Ultrasound confirmed diaphragmatic hernia with liver herniation. CT showed the herniation of multiple liver lobes and the gallbladder through a defect at the caval foramen. Herniorrhaphy was performed via ventral midline coeliotomy. Following this procedure, the cat’s clinical signs resolved and its weight has been regained. Relevance and novel information To our knowledge, this is the first report of successful caval foramen herniorrhaphy in a cat. Caval foramen hernia is a type of congenital diaphragmatic hernia. The authors suggest that its embryopathology involves defective septum transversum development. The case was detected during the standard diagnostic investigation of non-specific clinical signs. Its radiographic findings may easily be mistaken for a pulmonary mass. Although not seen in our case, caval foramen hernia is commonly associated with caudal vena cava obstruction, which can potentially result in Budd–Chiari-like syndrome.

Liver lobe torsion in a cat with diaphragmatic hernia

2020 ◽  
Vol 8 (2) ◽  
pp. e001113
Author(s):  
Vassiliki Tsioli ◽  
Evgenia Flouraki ◽  
Irene Mavraki ◽  
Christoforos Venieris ◽  
Theodora Zacharopoulou
Keyword(s):  
Diaphragmatic Hernia ◽  
Vena Cava ◽  
Uneventful Recovery ◽  
Liver Lobe ◽  
Thoracic Radiography ◽  
Clinically Normal ◽  
Abdominal Organs ◽  
History Of ◽  
The Right ◽  
Car Accident

A 10-year-old neutered male domestic shorthair cat was referred with a 2-week history of dyspnoea and anorexia following injury in a car accident. Thoracic radiography and ultrasonography revealed a diaphragmatic hernia. A midline coeliotomy revealed a centrally located hernia ventral to the caudal vena cava. Hernia reduction required incision of the hernia ring. Displaced organs included the duodenum; jejunum; ascending and transverse colon; and right, caudate and quadrate liver lobes. After reduction of the abdominal organs, a torsion of the right medial and quadrate liver lobes was identified. Lobectomy was performed followed by herniorrhaphy. The cat had an uneventful recovery and was clinically normal on re-examination 1, 6, 12 and 24 months following the surgery.

Chronic lung lobe torsion in a pug

2018 ◽  
Vol 6 (3) ◽  
pp. e000662
Author(s):  
Ross Christopher Elliott ◽  
Nicky Cassel
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Ct Scan ◽  
Diaphragmatic Hernia ◽  
Clinical Signs ◽  
Radiographic Findings ◽  
Lung Lobe ◽  
The Right ◽  
Lateral Thoracotomy ◽  
Referral Practice

This case report documents a chronic presentation of a lung lobe torsion involving the right cranial and right middle lung lobe in a dog and the benefit of CT in aiding in the diagnosis. The patient presented to the referral practice two weeks after clinical signs developed with minimal resting dyspnoea. The referring veterinarian suspected a diaphragmatic hernia and had been medically managing the patient prior to referral. The radiographic findings showed features more consistent with a lobar mass and no pleural effusion was noted. Signs suggestive of lung lobe torsion were seen on the CT scan, except for the absence of pleural effusion. The patient was a pug, a predisposed breed, which further supported the diagnosis. On lateral thoracotomy a lung lobe torsion of the right cranial and right middle lung lobe was found. Unfortunately the patient did not survive the surgery.

scholarly journals Novel presentation of eosinophilic granuloma complex in a cat

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691989154
Author(s):  
Kaitlin P Hopke ◽  
Sandra J Sargent
Keyword(s):  
Case Report ◽  
Eosinophilic Granuloma ◽  
Clinical Signs ◽  
Prior History ◽  
Full Thickness ◽  
Diet Change ◽  
Case Summary ◽  
History Of ◽  
The Right

Case summary A 9-year-old neutered male domestic shorthair cat was presented for multiple deep lesions on all four limbs and a nodule on the right pinna. The limb lesions ranged from nodules with necrotic surfaces to full-thickness ulcerations with exposure of muscles and tendons. The cat lived indoors only in a single-pet household and had no prior history of trauma. The owner reported that the lesions appeared abruptly and that the cat was not apparently painful or pruritic. Histopathology of the limb lesions and pinnal nodule confirmed severe lesions of the eosinophilic granuloma complex. Resolution of lesions was achieved with a combination of antibiotics, prednisolone, topical therapies, diet change and ciclosporin. Relevance and novel information This case report demonstrates a severe, aggressive presentation of eosinophilic granuloma complex. It will expose practitioners to atypical clinical signs of this commonly diagnosed disease.

scholarly journals Symptomatic hepatothorax presenting 25 years after penetrating thoracoabdominal injury

2021 ◽  
Vol 103 (1) ◽  
pp. e17-e19
Author(s):  
S Variawa ◽  
R Marais ◽  
JJP Buitendag ◽  
J Edge ◽  
E Steyn
Keyword(s):  
Single Case ◽  
Superior Vena ◽  
Treatment Options ◽  
Vena Cava ◽  
Clinical Signs ◽  
Mass Effect ◽  
Point Of Entry ◽  
Single Case Report ◽  
History Of ◽  
The Right

Hepatic herniation through the diaphragm is a rare finding. It generally occurs due to a congenital diaphragmatic abnormality or blunt trauma resulting in a diaphragmatic defect. Making the diagnosis is difficult, as there are few definitive clinical signs and chest radiograph (CXR) findings may be non-specific. To our knowledge, only a single case report exists of penetrating right diaphragm injury leading to hepatic herniation. A 42-year-old man presented to the emergency department of a regional hospital with hyperglycaemia and exertional dyspnoea. He was diagnosed with diabetes mellitus type 2. He gave a history of smoking for 15 pack-years, was negative for retroviral disease and had no history of pulmonary tuberculosis. He had no significant surgical history but reported being stabbed with a knife in 1995. The point of entry was below the level of the nipple in the right anterior axillary line. At the time, he was treated with an intercostal drain and discharged home. CXR showed a right-sided chest mass. We considered a differential diagnosis of pulmonary consolidation, diaphragm eventration or hepatothorax. Computerized tomography of the chest and abdomen demonstrated apparent intrathoracic extension of the right liver lobe and partial attenuation of the superior vena cava and right atrium due to a mass effect. The upper border of the liver abutted the aortic arch. Surgical treatment options were discussed. The patient declined surgery and will be followed up as an outpatient.

Immune-Mediated Neutropenia in a Miniature Poodle

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
Benjamin Brunson
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Aspirate ◽  
Clinical Signs ◽  
Response To Therapy ◽  
Tertiary Referral Center ◽  
Immune Mediated ◽  
Specialized Equipment ◽  
History Of ◽  
Light Sedation ◽  
The Right

ABSTRACT A 10 yr old spayed female toy poodle was presented to a tertiary referral center for a 10 day history of waxing and waning lethargy, vomiting, diarrhea, and anorexia. An immune-mediated neutropenia (IMN) was suspected to be the underlying cause of her clinical signs. A bone marrow aspirate was obtained from the chostochondral junction of the 11th and 12th ribs on the right side and provided a definitive diagnosis of IMN. A positive response to therapy and repeat blood work further confirmed the diagnosis. Obtaining bone marrow aspirates from the chostochondral junction is a safe, cheap, and reliable method of diagnosing IMN and can be performed in the private practice setting with light sedation and minimal need for specialized equipment.

scholarly journals Dynamic chronic rectal obstruction causing a severe colonic dilatation in a cat

2017 ◽  
Vol 3 (2) ◽  
pp. 205511691772522
Author(s):  
Sofia García-Pertierra ◽  
Esteban Gonzàlez-Gasch ◽  
Carmen Catalá Puyol ◽  
Jose María Closa Boixeda
Keyword(s):  
Dynamic Compression ◽  
Dynamic Nature ◽  
Referral Centre ◽  
Canal Stenosis ◽  
Case Summary ◽  
Abdominal Radiographs ◽  
History Of ◽  
Colonic Distension ◽  
The Right ◽  
Rectal Obstruction

Case summary A 5-year-old male neutered domestic shorthair cat was presented to our referral centre with a 13 month history of chronic tenesmus due to malunion of the right caudal iliac body. Constipation and pelvic canal stenosis were initially addressed by the referring veterinarian with a right femoral head and neck excision and a right acetabulectomy without observable clinical improvement. At admission, abdominal radiographs revealed severe colonic distension and a narrowed pelvic canal caused by the right proximal femur. Rectal examination and colonography revealed a dynamic compression of the rectum, which worsened with femoral abduction and improved with femoral adduction. A right hindlimb amputation was performed to relieve the obstruction. The cat defaecated 2 days postoperatively and was discharged uneventfully. Neither faecal tenesmus nor dyschaezia were observed over the following 10 months. Relevance and novel information The dynamic nature of the rectal obstruction most likely prevented the development of an irreversible colonic dilatation leading to a megacolon. This is the first report describing a chronic dynamic rectal compression, which was successfully managed with a right hindlimb amputation without the need for subtotal colectomy.

scholarly journals Otitis with Aspergillus niger in a patient with SARS-CoV-2 and multiple comorbidities

2021 ◽  
Vol 24 (3) ◽  
pp. 137-140
Author(s):  
Andreea Florentina Stoenescu ◽  
◽  
Geta Vancea ◽  
Dana Ispas ◽  
Nicoleta Voicu-Pârvu ◽  
...  
Keyword(s):  
Aspergillus Niger ◽  
Antiviral Treatment ◽  
Clinical Signs ◽  
Acute Onset ◽  
Suppurative Otitis Media ◽  
Vein Thrombosis ◽  
Significant Incidence ◽  
Lower Lung ◽  
History Of ◽  
The Right

Introduction. COVID-19 is associated with a significant incidence of bacterial and fungal superinfections and with the exacerbation of pre-existing infections, representing a diagnostic and therapeutic challenge. Case presentation. A 64-year-old woman, confirmed with COVID-19 by the SARS-CoV-2 antigen test, is hospitalized accusing fatigue, nausea, watery stools, cough and vertigo started 10 days ago, aggravated 4 days before the presentation. It also reports recurrent episodes of otalgia and otorrheic pluriantibiotic treatment in the last 2 months. From the personal pathological antecedents we remember: hypothyroidism, dyslipidemia, hypertension, ischemic heart disease, history of deep vein thrombosis (DVT) and secondary pulmonary thromboembolism, in chronic anticoagulant treatment. Pathological clinical signs at admission: bilateral basal crackling rales. Biologically, inflammatory syndrome is detected, and radiologically, interstitial-alveolar infiltrates in the lower lung fields. On day 3 of hospitalization, the patient shows purulent secretion in the right external auditory canal and the ENT consultation confirms chronic suppurative otitis media in acute onset. Bacteriological examination of otic secretion reveals Aspergillus niger. Antiviral treatment with Remdesivir is initiated, antibiotic therapy initiated at home with Azithromycin is continued for one day, then escalated to Ceftriaxone i.v. (in the context of clinical-paraclinical aggravation), systemic corticotherapy, anticoagulation with Dalteparin in the prophylactic regime of DVT, systemic treatment with Voriconazole p.o. (according to the antifungal program) and topical (local) with a slow favorable evolution. Conclusions. The association of COVID-19 with otitis with Aspergillus is a rare and particular clinical picture.

DOUBLE AORTIC ARCH

PEDIATRICS ◽  
1949 ◽  
Vol 4 (6) ◽  
pp. 751-768
Author(s):  
HERBERT E. GRISWOLD ◽  
MAURICE D. YOUNG
Keyword(s):  
Aortic Arch ◽  
Double Aortic Arch ◽  
Rare Type ◽  
Radiographic Findings ◽  
Descending Aorta ◽  
Vascular Abnormalities ◽  
History Of ◽  
The Right ◽  
The Given ◽  
Right Descending Aorta

The anatomic nature of a double aortic arch is described. Reference is made to the history of the malformation. The clinical picture and radiographic findings described by various authors are discussed. Two cases are reported which demonstrate two types of double aortic arch, One, a relatively common type, had a large right arch with a retro-esophageal component and a left descending aorta; the second, a rare type, had a large left arch with a retro-esophageal component and a right descending aorta. Further, one was an infant who had symptoms of constriction whereas the other was an adult who had no symptoms referable to the double aortic arch. Analysis is made of these cases and 47 other cases reported in the literature. This analysis reveals that: 1. There is a striking correlation between the occurrence of symptoms and the age and duration of life, but there is no correlation between the occurrence of symptoms and the type of double aortic. 2. A double aortic arch in which both components are patent throughout is more likely to produce symptoms than a double aortic arch in which one component is partially obliterated. The process of obliteration does not appear to give rise to symptoms. 3. There is considerable variation in the relative sizes of the components of a double aortic arch. The right component is usually the larger; part of the left component may be obliterated. To date, no case has been reported of obliteration of part of a persistent right Component. 4. A double aortic arch occurs more commonly with a left descending aorta than with a right descending aorta. 5. It is unusual for a double aortic arch to be associated with a malformation of the heart. The association of a double aortic arch with other vascular abnormalities is less rare. The two principal problems raised by the demonstration of a retro-esophageal vessel are discussed. The first concerns the nature of the malformation; the second concerns the advisability of operation in the given individual.

scholarly journals Unusual coexistence of first and second branchial fistulas: clinical case and review of the literature

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094430
Author(s):  
Danqing Liu ◽  
Guangqi Li ◽  
Jun Qiu ◽  
Jianyan Wang ◽  
Genwang Pei
Keyword(s):  
Clinical Signs ◽  
Preoperative Imaging ◽  
Review Of The Literature ◽  
False Positive Diagnosis ◽  
Fistula Recurrence ◽  
History Of ◽  
Physical Examinations ◽  
Missed Diagnosis ◽  
The Right

Branchial fistulas are uncommon in the clinical setting. The coexistence of first and second branchial fistulas has not been previously reported. We herein describe a 12-year-old girl who presented with a 2-year history of repeated swelling and purulence behind the right earlobe and neck. According to the patient’s physical and auxiliary examination findings, she was diagnosed with coexisting first and second branchial fistulas, both of which were completely removed by surgery. No clinical signs of fistula recurrence were present at the patient’s 20-month postoperative follow-up. Ipsilateral coexisting first and second branchial fistulas are very rare; thus, a false-positive diagnosis can easily occur if the doctor does not carefully perform specialized physical examinations. Surgery is an effective method for treating this condition. Adequate preoperative imaging preparation is imperative to ensure the most effective course of treatment. The purpose of this article is to improve clinicians’ awareness of this disease, thereby effectively reducing the rates of missed diagnosis and recurrence.

scholarly journals Hemopericardium and Cardiac Tamponade Secondary to Migrated Inferior Vena Cava Filter

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Jeet J. Mehta ◽  
Benjamin DeMarco ◽  
John P. Vavalle ◽  
Khola S. Tahir ◽  
Joseph S. Rossi
Keyword(s):  
Inferior Vena Cava ◽  
Cardiogenic Shock ◽  
Cardiac Tamponade ◽  
Inferior Vena Cava Filter ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vena Cava Filter ◽  
Filter Placement ◽  
History Of ◽  
The Right

A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with pericardiocentesis. A multidisciplinary meeting resulted in deferring further action against the embedded fractured legs of the filter with consideration of the patient’s age and comorbidities. This case report should alert clinicians to think about hemopericardium as a cause of cardiac tamponade and cardiogenic shock in a patient with a history of an inferior vena cava filter placement.

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