scholarly journals Clinical and pathological aspects of gossypiboma in a dog: case report

2019 ◽  
Vol 71 (1) ◽  
pp. 102-108
Author(s):  
R. Oliveira ◽  
A. Matsui ◽  
J.O. Ribeiro ◽  
G. Simionato ◽  
A.C. Simamura ◽  
...  
Keyword(s):  
Exploratory Laparotomy ◽  
Urgent Care ◽  
Severe Reaction ◽  
High Morbidity ◽  
Pathological Findings ◽  
Granulomatous Reaction ◽  
Exterior Surface ◽  
Necrotic Region ◽  
Surface Microscopy ◽  
Veterinary Hospital

ABSTRACT A female dog was treated at the Veterinary Hospital Governador Laudo Natel for symptomscaused by an intra-abdominal gossypiboma (gossypium: cotton; boma: place of hiding). Showing high morbidity and mortality, the gossypiboma is a granulomatous reaction that is formed in response to exposure to a textile matrix. The objective of this report is to describe the clinical and pathological findings of an intra-abdominal gossypiboma in a female dog. This patient arrived at urgent care showing increased abdominal volume, pain, and cachexia. Ultrasonography showed a regular contour formation that could not be completely delimited. The patient underwent exploratory laparotomy and died in the postoperative period. The gossypiboma had a smooth, firm, and purple-gray exterior surface. Microscopy revealed a severe reaction of desmoplasia around the necrotic region, residual textile material, and adipose tissue. Negligence by veterinarians leading to this condition can result in patients’ death as well as causing psychological damage to owners.

Proximal Duodenal Perforation in Three Dogs Following Deracoxib Administration

2010 ◽  
Vol 46 (4) ◽  
pp. 255-258 ◽  
Author(s):  
J. Brad Case ◽  
Jennifer L. Fick ◽  
Matthew B. Rooney
Keyword(s):  
Gastrointestinal Disease ◽  
Case Series ◽  
Exploratory Laparotomy ◽  
Clinical Findings ◽  
Duodenal Perforation ◽  
Pathological Findings ◽  
Duodenal Papilla ◽  
Major Duodenal Papilla ◽  
Septic Peritonitis ◽  
Duodenal Perforations

The purpose of this study was to describe the clinical and gross pathological findings, treatment, and outcome in three dogs receiving deracoxib that developed proximal duodenal perforation and subsequent septic peritonitis. Clinical findings were acute vomiting and anorexia following initiation of deracoxib therapy. Deracoxib dosages ranged from 2 to 3 mg/kg per os q 24 hours. In each dog, exploratory laparotomy revealed duodenal perforations approximately 1 cm orad to the major duodenal papilla. Two out of three dogs survived following exploratory laparotomy. Two of three dogs in the present case series received the approved deracoxib dosage. Dogs receiving deracoxib, even at labeled dosages, should be monitored judiciously for signs of gastrointestinal disease.

scholarly journals Splenic lesions observed in 71 splenectomized dogs: a retrospective study

2016 ◽  
Vol 37 (5) ◽  
pp. 3181
Author(s):  
Elisângela Olegário da Silva ◽  
Giovana Wingeter Di Santis ◽  
Selwyn Arlington Headley ◽  
Ana Paula Frederico Rodrigues Loureiro Bracarense
Keyword(s):  
Retrospective Study ◽  
Exploratory Laparotomy ◽  
Histopathological Diagnosis ◽  
Pathological Findings ◽  
Clinical Methods ◽  
High Incidence ◽  
Neoplastic Lesions ◽  
Nodular Hyperplasia ◽  
Total Splenectomy ◽  
Benign Disorders

The spleen of dogs is frequently affected by disorders that vary from local and systemic origin. The difficulty in associating clinical and gross findings contributes for the choice of total splenectomy as the main treatment, leading to an impairment of the immune and hematopoietic functions. The aim of this study was to evaluate the pathological findings in the spleen of splenectomized dogs during 2008 to 2014 at a Veterinary Teaching Hospital. From the 71 cases analyzed, 97% (69/71) of the dogs were submitted to total splenectomy and 3% (2/71) to partial splenectomy. In 45 (63.4%) of these cases, the histopathological diagnosis was non-neoplastic alterations; only 36.6% (26/71) had a splenic neoplasia. The main non-neoplastic lesions observed were nodular hyperplasia 24.4% (11/45), infarction 22.3% (10/45), and hematoma 20% (9/45). The most frequent tumors were hemangiosarcoma 50% (13/26), histiocytic sarcoma 23% (6/26), and lymphoma 11.5% (3/26). The clinical methods used to diagnose splenic lesions were ultrasonography 88% (63/71), radiography 2.8% (2/71) and exploratory laparotomy 4.2% (3/71). In 4.2% (3/71) the spleen changes were observed during the therapeutic ovariohysterectomy. The results of the present study showed a prevalence of benign disorders in the spleen of splenectomized dogs associated with a high incidence of total splenectomy performed, indicating a difficulty in recognizing the different lesions that can affect the spleen by the veterinarian medical.

scholarly journals Treatment of duodenal peptic ulcer perforation by endoscopic clips: A novel approach

2017 ◽  
Vol 08 (01) ◽  
pp. 24-26 ◽  
Author(s):  
Mohan Achyut Joshi ◽  
Minakshi Gadhire ◽  
Ashwini Arun Paranjpe
Keyword(s):  
Young Patients ◽  
Case Series ◽  
Exploratory Laparotomy ◽  
Duodenal Perforation ◽  
High Morbidity ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation ◽  
Full Diet ◽  
Endoscopic Clips ◽  
Endoscopic Clipping

Abstract Aims and Objectives: In an attempt to avoid the high morbidity and mortality associated with exploratory laparotomy in a patient of duodenal ulcer perforation (DUP), an attempt was made to treat patients with spontaneous DUP with endoscopic clips. Background: DUP is a common cause of surgical emergency. Traditional form of treatment includes nasogastric decompression, fluid resuscitation, and exploratory laparotomy or laparoscopy for repair. Considering the compromised state of such patients, endoscopic treatment and avoiding surgery will play a great role in preventing the further stress caused by surgery and facilitate quicker recovery. On thorough review of literature, we found few articles stating successful endoscopic clipping of iatrogenic duodenal perforation occurred during upper endoscopy. Our case series appears to be first of its kind reporting the use of endoclips for treating spontaneous (noniatrogenic) DUP. Materials and Methods: Three young male patients presenting with a short duration history of abdominal pain and vomiting and chest radiograph suggesting pneumoperitoneum were selected for endoscopic clipping. All of them were hemodynamically stable with near normal blood pressure and pulse rate. Under local anesthetic spray and mild sedation, endoscopic clipping was carried out along with supportive treatment. Postoperatively, patients were monitored clinically and radiographically and discharged after they could tolerate full diet. Results and Conclusion: We recommend that in selected group of young patients of DUP who have presented early and are hemodynamically stable, endoclips may be applied to approximate mucosa. With supportive conservative treatment offered, thereafter healing of perforation occurs without the need for laparotomy or laparoscopy for suturing the same.

scholarly journals Ocorrência de Lesão Pulmonar Aguda relacionada à Transfusão em Hospital de Referência do Ceará: Relato de Caso / Occurrence of Transfusion-related Acute Lung Injury in a Reference Hospital of Ceará: Case Report

2021 ◽  
Vol 15 (58) ◽  
pp. 410-426
Author(s):  
Hermínia Moreira Coelho da Costa
Keyword(s):  
Acute Lung Injury ◽  
Case Report ◽  
Blood Transfusion ◽  
Lung Injury ◽  
Health Professionals ◽  
Case Reports ◽  
Ventilatory Support ◽  
Exploratory Laparotomy ◽  
High Morbidity ◽  
Reference Hospital

Lesão pulmonar aguda relacionada à transfusão (TRALI –Transfusion Related Acute Lung Injury) é uma complicação grave da transfusão sanguínea que cursa essencialmente com desconforto respiratório durante ou dentro de 6 horas depois de completada a transfusão. Apesar de ser considerada rara e a lesão pulmonar ser geralmente transitória, traz preocupação aos profissionais da área da saúde, visto que está associada à alta morbidade dos pacientes que necessitaram de suporte ventilatório, assim como a alta mortalidade. Sua incidência não está bem estabelecida, muito devido à falta de preparo para identificar os casos suspeitos. Assim, os relatos de casos ganham relevância tanto para contribuir que o diagnóstico desta patologia seja alcançado com mais facilidade quanto para estimular que os casos sejam notificados. O presente relato descreve a ocorrência de TRALI em paciente no segundo dia de pós-operatório de cesárea por pré- eclâmpsia e síndrome Hellp que evoluiu com suspeita de hemoperitônio sendo submetida a laparotomia exploratória (LE).---Transfusion related acute lung injury (TRALI) is a serious complication of blood transfusion that evolves mainly with respiratory distress during or within 6 hours after transfusion. Although considered rare and is usually transient lung injury, she brings concern to health professionals, as it is associated with high morbidity of patients requiring ventilatory support, as well as the high mortality. Its incidence is not well established, much due to lack of preparation to identify suspected cases. Thus, case reports gain relevance to contribute to the diagnosis of this condition is more easily achieved as to stimulate the cases are reported. This report describes the occurrence of TRALI in a patient on the second day after surgery by cesarean preeclampsia and HELLP syndrome who developed suspected hemoperitoneum and underwent exploratory laparotomy (LE).

scholarly journals Acute Limb Ischemia in a Cancer Patient Has High Morbidity, High Mortality, and Atypical Presentation: A Tertiary Cancer Center’s Retrospective Study

2021 ◽  
Author(s):  
Yolanda Bryce ◽  
Emmanuel Jnr Amoateng ◽  
Christopher Agrusa ◽  
Etay Ziv ◽  
Christopher Harnain ◽  
...  
Keyword(s):  
Cancer Patient ◽  
Cancer Patients ◽  
Adverse Outcome ◽  
Significant Risk ◽  
Limb Ischemia ◽  
Urgent Care ◽  
High Morbidity ◽  
Acute Limb Ischemia ◽  
Heparin Administration ◽  
Increased Risk

Abstract Background Acute Limb Ischemia (ALI) carries a high morbidity and mortality rate that is compounded in the cancer patient. Though it is a relatively uncommon event, it is of extremely high adverse impact and carries poor awareness among clinicians. Methods Cancer patients presenting with acute limb ischemia (ALI) to the tertiary cancer center’s urgent care center or as inpatient between January 1, 2014 and January 1, 2020 were reviewed. Results Out of the 29 cancer patients with ALI, 12 (41%) died within 3 month and 9 (31%) patients died within 1 months of ALI diagnosis. 65% had long term adverse outcome after ALI – 31% with death in 1 month, 2 (7%) with an amputation, 5 (17%) with lifestyle-limiting claudication, and 3 (10%) with subsequent wound ulceration or gangrene. Patients not eligible for standard of care (12 patients, 41%) (RR 2.3333 95% CI [1.2743–4.2724], p = 0.0022) and heparin administration ≥ 6 hours from presentation (19 patients, 65%) (RR 2.8070 [1.0677–7.3795], p = 0.0364) were at increased risk of adverse outcome. Atypical/confounded presentation of ALI (13 patients, 45%) (RR 1.8367 95% CI [1.0266–3.2862], p = 0.0405), pulse exam not documented (12 patients, 41.4%) (RR 1.9479 [95% CI [1.1439–3.3169], p = 0.0141), and patients with services other than a vascular specialist initially consulted (8 patients, 27.6%) (RR 1.9091 95% CI [1.2698–2.8703], p = 0.0019) were significant risk factors for heparin administered ≥ 6 hours from presentation. Conclusions ALI is devastating in cancer patients, with a high number presenting with atypical/confounded signs and symptoms which delays treatment. Heparin administered ≥ 6 hours from presentation is associated with adverse outcome.

scholarly journals Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Maurício Veloso Brun ◽  
Paula Cristina Basso ◽  
Marília Teresa de Oliveira ◽  
Fabíola Dalmolin ◽  
Saulo Tadeu Lemos Pinto-Filho ◽  
...  
Keyword(s):  
Surgical Complication ◽  
Laparoscopic Approach ◽  
Exploratory Laparotomy ◽  
Diagnosis And Treatment ◽  
Blunt Dissection ◽  
Case Presentation ◽  
Chronic Fistula ◽  
Bipolar Electrocoagulation ◽  
Veterinary Hospital ◽  
Fibrous Tissues

Introduction. Gossypiboma is a rare surgical complication in small animals. The authors reported the laparoscopic diagnosis and treatment of an abdominal gossypiboma and chronic draining fistula postopen ovariohysterectomy (OVH) unresponsive to medical treatment in a bitch. Case Presentation. The patient had undergone OVH and exploratory laparotomy in other veterinary practice 3 years previously. The animal, presenting a chronic fistula, was then referred to UFSM Veterinary Hospital. Ultrasonographic examination revealed a structure compatible with a granuloma. For the laparoscopic procedure, a 3-port (two at 11 mm; one at 6 mm) access was used. Adhesiolysis and mass removal were performed by blunt dissection and bipolar electrocoagulation. The fistula was treated by mobilising the omentum through it. There were no intra- or postoperative complications. The chronic wound showed first intention healing. The mass was composed of fibrous tissues surrounding one surgical gauze. Discussion and Conclusion. The removal of a retained surgical gauze in the abdomen by laparoscopy has already been described in medicine. However, a laparoscopic approach for treating a fistulous draining tract due to a gossypiboma has not been previously reported in dogs. Laparoscopic exploration of the fistula allowed the use of a pedicled omental flap through infected sites to control chronic infection. Laparoscopic surgery can be used to identify and treat abdominal gossypiboma in dogs, including those with chronic abdominal sinus.

scholarly journals Spontaneous Common Bile Duct Perforation in Full Term Pregnancy: A Rare Case Report and Review of Literature

2020 ◽  
Author(s):  
Matiullah Masroor ◽  
Mohammad Arif Sarwari
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Adult Population ◽  
Exploratory Laparotomy ◽  
Interesting Case ◽  
High Morbidity ◽  
Rare Presentation ◽  
Generalize Peritonitis ◽  
Diffuse Abdominal Pain ◽  
Rare Case Report

Abstract Background: Spontaneous biliary system perforation is a rare presentation in clinical practice. It is even rare in adult population than infants. The condition is rarely suspected and diagnosed preoperatively because of small number of cases, vague sign and symptoms and ambiguous presentation.Case presentation: we are presenting an interesting case of spontaneous perforation of common bile duct in a 16 years old lady presented a week after her first delivery to the emergency department with complain of diffuse abdominal pain, abdominal distention, fever, vomiting and constipation. She was having generalize peritonitis but the cause of peritonitis was unknown despite of all available investigations performed. She underwent exploratory laparotomy and a perforation in the supra duodenal region of common bile duct was found intraoperatively. Common bile duct repair over T-tube and cholecystectomy performed and patient recovered.Conclusion: Spontaneous biliary perforation is a rare cause of acute abdomen in adults and extremely rare in pregnancy and its belated diagnoses and management is leading to high morbidity and mortality. All physicians especially surgeons should be aware of its possibility and consider it a cause of peritonitis on differential diagnosis especially when there is no apparent etiology available for the presentation.

scholarly journals Hemorrhagic shock secondary to button battery ingestion

2014 ◽  
Vol 132 (3) ◽  
pp. 184-188 ◽  
Author(s):  
Naomi Andreia Takesaki ◽  
Marcelo Conrado dos Reis ◽  
Maria Luisa Ferreira de Miranda ◽  
Emílio Carlos Elias Baracat
Keyword(s):  
Emergency Service ◽  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
Easy Access ◽  
High Morbidity ◽  
Cardiorespiratory Arrest ◽  
Button Battery ◽  
X Ray ◽  
Severe Hypotension ◽  
High Level

CONTEXT:Button battery ingestion is a frequent pediatric complaint. The serious complications resulting from accidental ingestion have increased significantly over the last two decades due to easy access to gadgets and electronic toys. Over recent years, the increasing use of lithium batteries of diameter 20 mm has brought new challenges, because these are more detrimental to the mucosa, compared with other types, with high morbidity and mortality. The clinical complaints, which are often nonspecific, may lead to delayed diagnosis, thereby increasing the risk of severe complications.CASE REPORT:A five-year-old boy who had been complaining of abdominal pain for ten days, was brought to the emergency service with a clinical condition of hematemesis that started two hours earlier. On admission, he presented pallor, tachycardia and hypotension. A plain abdominal x-ray produced an image suggestive of a button battery. Digestive endoscopy showed a deep ulcerated lesion in the esophagus without active bleeding. After this procedure, the patient presented profuse hematemesis and severe hypotension, followed by cardiorespiratory arrest, which was reversed. He then underwent emergency exploratory laparotomy and presented a new episode of cardiorespiratory arrest, which he did not survive. The battery was removed through rectal exploration.CONCLUSION:This case describes a fatal evolution of button battery ingestion with late diagnosis and severe associated injury of the digestive mucosa. A high level of clinical suspicion is essential for preventing this evolution. Preventive strategies are required, as well as health education, with warnings to parents, caregivers and healthcare professionals.

scholarly journals Prevalence and clinico-pathological parameters of PPR infected goats and their response to antibiotic treatment at Panchlaish, Chittagong, Bangladesh

2016 ◽  
Vol 4 (2) ◽  
pp. 1-7 ◽  
Author(s):  
M Naznin ◽  
M Ahaduzzaman ◽  
S Chowdhury ◽  
PK Biswas
Keyword(s):  
Antibiotic Treatment ◽  
Neutrophil Count ◽  
Recovery Rate ◽  
Hematological Parameters ◽  
Clinical Signs ◽  
Natural Sciences ◽  
Peste Des Petits Ruminants ◽  
Pathological Findings ◽  
Significant Difference ◽  
Veterinary Hospital

The present study was conducted in the Panchlaish Upazilla Veterinary Hospital of Chittagong district during the period of July to September, 2013 to find out the prevalence and clinico-pathological findings of Peste des petits ruminants (PPR) in goats, and to observe the response of PPR-goats to different treatments. During the course of study 202 goats were examined of which 98 were PPR positive. Diagnosis of a PPR case was made following the clinical examinations. The results showes that the median age of PPR-goats was higher compared with the healthy ones. The median per-rectum temperature, heart and respiratory rates were also higher in the the PPR-postive goats. No significant difference was seen on its prevalence in goats belonging to Black Bengal or Jamunapari breeds. Its occurence was also evenly seen in each of the three months-July, August and September. But, prevalence of PPR was significantly higher in the non-vaccinated goats. Some hematological parameters except neutrophil count was lower in PPR goats. The recovery rate from clinical signs was higher in goats treated with parenteral administration of oxytetracycline.International Journal of Natural Sciences (2014), 4(2) 1-7

scholarly journals Spontaneous common bile duct perforation in full term pregnancy: a rare case report and review of literature

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Matiullah Masroor ◽  
Mohammad Arif Sarwari
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Exploratory Laparotomy ◽  
Interesting Case ◽  
High Morbidity ◽  
Rare Presentation ◽  
Diffuse Abdominal Pain ◽  
Generalized Peritonitis ◽  
Rare Case Report ◽  
The Common

Abstract Background Spontaneous biliary system perforation is a rare presentation in clinical practice especially in adults. It is rarely suspected and diagnosed preoperatively due to small number of cases, vague sign and symptoms, and ambiguous presentation. Case presentation We describe an interesting case of spontaneous perforation of the common bile duct in a 16 year-old female who presented a week after her first birth to the emergency department with complaints of diffuse abdominal pain, abdominal distention, fever, vomiting, and constipation. She was having generalized peritonitis but the etiology was unclear despite a thorough workup. She underwent exploratory laparotomy, and a perforation in the supra duodenal region of the common bile duct was found intraoperatively. The common bile duct was repaired over T-tube, and cholecystectomy was performed; the patient was recovered uneventfully. Conclusion Spontaneous biliary perforation is a rare cause of acute abdomen in adults and extremely rare in pregnancy. Its delayed diagnoses and management can lead to a high morbidity and mortality. All physicians, especially surgeons, should be aware of this possibility and consider it a cause of peritonitis on differential diagnosis particularly when there is no apparent etiology available for presentation.

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