scholarly journals Intra-abdominal bleeding in a horse: not always of traumatic origin

2019 ◽  
Vol 88 (1) ◽  
pp. 34-38
Author(s):  
L. De Lange ◽  
A. Dufourni ◽  
L. Lefère ◽  
L. Sonck ◽  
G. Van Loon
Keyword(s):  
Abdominal Cavity ◽  
Clinical Signs ◽  
Pelvic Mass ◽  
Pelvic Cavity ◽  
Neoplastic Cells ◽  
Presumptive Diagnosis ◽  
Abdominal Bleeding ◽  
Neoplastic Process ◽  
Traumatic Origin ◽  
Von Willebrand

A nine-year-old warmblood mare was presented with clinical signs of mild colic and fever. On percutaneous ultrasound of the abdomen, a mass was identified on the left side of the abdomen between the spleen and the stomach. During examination the following day, intra-abdominal blood was observed. On rectal examination, a mass was palpated in the pelvis. The presumptive diagnosis of hematoma with intra-abdominal bleeding was made. On consecutive ultrasounds and radiographs, the mass evolved in shape and other masses were identified in the liver and the lungs. No change was noticed in the pelvic mass. Cytology and histology of a tru-cut liver biopsy revealed abnormal, most likely neoplastic cells, whereas cytology of the abdominal and thoracic fluid did not reveal any neoplastic cells. Due to the presence of several rapidly growing masses, a neoplastic process was most likely. Because of the malignant character of the disease and the persistence of the clinical signs, euthanasia was suggested but refused by the owner. Supportive treatment was instituted. Initially, the general condition remained stable, after which the horse suddenly collapsed and died. Post-mortem examination revealed a primary neoplasm located in the pelvic cavity, as well as multiple disseminated masses within several tissues. The mass found in the liver had ruptured with loss of probably 50 liters hemorrhagic fluid within the abdominal cavity. Based on gross pathology, cytological and histological findings, a hemangiosarcoma was suspected. This diagnosis was confirmed using immunohistochemistry for von Willebrand factor. In this case report, the importance of differentiating hematoma from hemangiosarcoma in the horse is highlighted.

scholarly journals MIGRATION OF THE INTRAUTERINE DEVICE TO THE ABDOMINAL CAVITY

2017 ◽  
Vol 25 (2) ◽  
pp. 247-262
Author(s):  
D. A. Rahmonov ◽  
F. Sh. Rashidov ◽  
E. L. Kalmykov ◽  
M. M. Marizoeva ◽  
O. B. Bobdjonova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Uterine Cavity ◽  
Pain Syndrome ◽  
Pregnant Patient ◽  
Pelvic Cavity ◽  
And Migration ◽  
Laparoscopic Removal

The aim: demonstration of our experience of surgical treatment of patients with migrated intrauterine device (IUD) into the abdominal cavity. The results of surgical treatment of migrated IUDs in the pelvic cavity are summarized in 17 women. The average age of the patients was 33,23,4 years. The timing of implantation of the IUDs varied from 10 days to 24 months. In all cases, the intra operational finding was T-shaped a copper device. The reason behind the women's consultation was an increase in pain syndrome in the lesser pelvis (n=15), dysuric phenomenon (n=1) and the onset of pregnancy (n=1). Perforation of the uterus and migration of the spiral occurred from 10 days to 2 years after its implantation. All patients were operated laparoscopicaly. The average duration of operations was 45,510,5 minutes. In the postoperative period there were no complications from the pelvic organs and postoperative wounds. The period of hospitalization of patients was 3,50,7 days. In all cases there was a regression of clinical signs and recovery. In one pregnant patient (gestation period 5-6 weeks) the pregnancy proceeded without particular pathological abnormalities and resulted in the birth of a full-term child. Laparoscopic removal of the IUD migrating from the uterine cavity to the abdominal cavity is the method of choice in the treatment of this group of patients, avoiding development of intra- and postoperative complications and a shorter length of stay in the hospital. The effectiveness of the procedure reaches 100%. The most common cause of complication of the IUD is the perforation of the uterus during its implantation.

scholarly journals Total prostatectomy combined with urethral anastomosis in a dog: a case report

2019 ◽  
Vol 64 (No. 6) ◽  
pp. 280-286
Author(s):  
P Przadka ◽  
B Liszka ◽  
A Piatek ◽  
P Skrzypczak ◽  
S Dzimira ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Abdominal Cavity ◽  
Prostate Gland ◽  
Companion Animals ◽  
Clinical Signs ◽  
Skeletal System ◽  
Malignant Tumours ◽  
Neoplastic Process ◽  
Laparotomy Wound ◽  
Total Prostatectomy

Prostate cancer is the most common prostate disease diagnosed in castrated dogs. However, prostate cancer is considered to be quite rare in dog population. The presence of prostate tumours can lead to urethral obstruction. Other clinical signs include asymmetric, painful, hard growths on rectal examination, neurological deficit or lameness of the pelvic limbs and general symptoms such as anorexia, weight loss or difficult urination. The neoplastic process may spread to the neighbouring organs and give metastases to the lymph nodes, lungs and skeletal system. Patient with histopathologically confirmed prostate cancer should be examined for metastases. The prognosis is usually unfavourable because of late diagnosis and the presence of metastases. Therapeutic options include surgery, chemotherapy and radiotherapy. Complete prostatectomy carries with it many complications and often requires osteotomy of pelvic fusions. For that reason, total prostatectomy is not commonly performed in companion animals; however, it should be considered in cases of early detection with the absence of metastases. This report presents the procedure of a complete prostatectomy in a dog with a pre-pubic anastomosis of the urethra, without osteotomy of the pelvic septum. The anastomosis of the urinary tract was placed outside the abdominal cavity, caudally from the laparotomy wound. The presented technique seems to be appropriate for the treatment of malignant tumours of the prostate gland in dogs.

A case of spontaneous splenic rupture in pregnancy

2014 ◽  
Vol 63 (4) ◽  
pp. 69-73
Author(s):  
Yevgeniy Sergeyevich Mikhaylin ◽  
Lada Anatolyevna Ivanova ◽  
Aleksey Gennadyevich Savitskiy ◽  
Sergey Georgiyevich Kucheryavyy ◽  
Roman Anatolyevich Krasnolobov ◽  
...  
Keyword(s):  
Splenic Rupture ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Expectant Management ◽  
Well Being ◽  
Spontaneous Splenic Rupture ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Abdominal Bleeding ◽  
In Pregnancy

The article provides an observation case of spontaneous splenic rupture in 33/34 weeks of pregnancy. The patient was under active-expectant management, because of premature rupture of membranes at term of 33 weeks. Suddenly, against a background of well-being, emerged clinical signs of massive intra-abdominal bleeding. During the revision of the abdominal cavity the rupture of the capsule of the spleen was detect. Cesarean section and splenectomy were performed. The postoperative period was uncomplicated, the patient was discharged home with the baby.

scholarly journals RESULTS OF ENDOSCOPIC DIAGNOSIS OF BLEEDING AFTER ABDOMINAL SURGICAL OPERATIONS

2021 ◽  
Vol 21 (3) ◽  
pp. 129-134
Author(s):  
I. A. Yusubov ◽  
N. A. Gasimov ◽  
E. Y. Sharifov
Keyword(s):  
Blood Pressure ◽  
Gastrointestinal Bleeding ◽  
Postoperative Period ◽  
Abdominal Cavity ◽  
Postoperative Bleeding ◽  
Clinical Signs ◽  
Control Group ◽  
Laboratory Findings ◽  
Abdominal Bleeding ◽  
Surgical Methods

The aim of the study is to conduct a comparative analysis of the effectiveness of endovidiosurgical diagnosis techniques to detect gastrointestinal and intra-abdominal bleeding, which may occur after abdominal operations. Materials and methods. The main group included patients (n=408), whose condition was controlled by the endovideosurgical techniques. The control group included patients (n=102) who were controlled by using conventional surgical methods to correct bleeding that may occurred after similar surgical interventions. Gastrointestinal bleeding was observed in 323 patients, and intra-abdominal bleeding was observed in 85 patients. In all cases, endoscopic haemostasis was performed by clipping (n=57), submucosal infiltration (n=32), electrocoagulation (n=29), argon-plasma coagulation (n=74), and combined techniques (n=54). Results and discussion. 408 patients with clinical signs of bleeding in the early postoperative period were examined by endoscopic techniques. Patients with alarming clinical and laboratory findings underwent ultrasound examination, which revealed the presence of free fluid in one or more parts of the abdominal cavity. Laparoscopy was performed in the first hours of the postoperative period in 17 cases (n=17); on the first day of the postoperative period (n=36), on the second day (n=19), on the third (n=8), on the fifth (n=3), and on the sixth day (n=2). Complications were excluded in 7 (16.0%) patients, despite a decrease in blood pressure and haemoglobin levels. The volume of blood found in the abdominal cavity, including clots, ranged from 30 ml to 2000 ml. Signs of ongoing bleeding (the predominance of a large amount of liquid blood with a small number of clots) were found in 49 (57.6%) cases, and signs of arrested bleeding (the presence of a large number of clots with a small amount of liquid blood) was detected in 29 (34.1%) cases. Haemostasis was provided by electrocoagulation (n=35), clipping (n=15), suturing (n=12) and tamponade from a mini-laporatomic incision (n=9). Gastrointestinal bleeding was observed in 323 patients, and intra-abdominal bleeding in 85 patients. In 8.4% (n=27) of cases, the suspicious cases of postoperative complication were excluded by endoscopic examinations. In 91.6% (n=296) of clinical cases, early postoperative bleeding or signs of unstable haemostasis with the risk of repeated bleeding were confirmed. In cases of alarming clinical and laboratory findings indicating intra-abdominal bleeding, diagnostic laparoscopy enables to exclude complications in 16.0% of patients, despite a decrease in blood pressure and haemoglobin levels.

scholarly journals A Rare Pelvic “Mass-Querader”: Acute Urinary Retention Secondary to Hematocolpos in a Preadolescent Patient

2020 ◽  
Vol 185 (11-12) ◽  
pp. 2171-2172
Author(s):  
Laurie Bezjian Wallace ◽  
Patrick Wallace ◽  
Joel Herness
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Abdominal Cavity ◽  
Foley Catheter ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Sexual History ◽  
Pelvic Cavity ◽  
Renal Ultrasound ◽  
Imperforate Hymen

ABSTRACT We report a case of acute urinary retention in an adolescent female secondary to hematocolpos. A 13-year-old female presented to the emergency department with acute urinary retention and suprapubic abdominal pain for 24 hours. She denied menstruation or sexual history. Bedside bladder ultrasound scan revealed 1.2 L of retained urine and a Foley catheter was placed. A formal renal ultrasound detected a debris-filled structure in the abdomino-pelvic cavity. Follow-up computed tomography of the abdomen and pelvis revealed an 8.5 cm × 9.3 cm × 12.1 cm mass-like structure in the pelvis. No formal pelvic exam was completed and the patient was taken to the operating room for exploratory laparotomy due to concern for large pelvic mass versus tubo-ovarian abscess. However, upon entering the abdominal cavity, no mass was found. At that point, an external genital exam was performed, revealing an imperforate hymen. Hymenotomy resulted in the evacuation of 2.5 L of clotted blood from the vagina and uterus. Hematocolpos resulting in acute urinary retention is exceedingly rare; however, it is an important differential diagnosis that can be ruled in or out by physical exam findings. Although it may be uncomfortable for adolescent patients and physicians, external genital exams should be conducted in young females with acute urinary retention and amenorrhea to evaluate for imperforate hymen. This can ensure appropriate treatment and avoidance of unnecessary invasive procedures.

CASE REPORT: HEMANGIOSARCOMA OF THE MESENTERY IN A FERRET (MUSTELA PUTORUS FURO)

2016 ◽  
Vol 42 (01) ◽  
pp. 35-39 ◽  
Author(s):  
Roh-Kyum Lee ◽  
Yu-Lun Tsai ◽  
Hui-Ju Wang ◽  
Cheng-Chung Lin ◽  
Shih-Chieh Chang ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Definitive Diagnosis ◽  
Neoplastic Cells ◽  
Swallowing Reflex ◽  
Mitotic Figures

A three-year-old female intact albino ferret was presented with clinical signs of panting, hyperpnea, weakness in all four limbs, loss of the swallowing reflex, lockjaw and sudden paleness of the oral mucosa and extremities. An abdominal mass was discovered during palpation. The patient died suddenly after clinical signs were observed. At necropsy, hemoperitoneum was noted in the abdominal cavity and a [Formula: see text][Formula: see text]cm dark red moruloid mass was found in the mesentery of the ileum. Histopathological examination of the mass revealed multiple cavernous structures with significant blood accumulation. Oval to polygonal neoplastic cells with frequent mitotic figures were also noted. Furthermore, neoplastic cells were positively stained with antibodies of CD34 and Factor VIII, and had metastasized to the mesentery lymph nodes. The definitive diagnosis was visceral hemangiosarcoma in a ferret.

scholarly journals Immunohistological Evaluation of Von Willebrand Factor in the Left Atrial Endocardium and Atrial Thrombi from Cats with Cardiomyopathy

Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1240
Author(s):  
Wan-Ching Cheng ◽  
Lois Wilkie ◽  
Tsumugi Anne Kurosawa ◽  
Melanie Dobromylskyj ◽  
Simon Lawrence Priestnall ◽  
...  
Keyword(s):  
Von Willebrand Factor ◽  
Left Atrial ◽  
Thrombus Formation ◽  
Clinical Signs ◽  
Naturally Occurring ◽  
Feline Model ◽  
Von Willebrand ◽  
And Control ◽  
Endocardial Endothelium ◽  
Willebrand Factor

Aortic thromboembolism (ATE) occurs in cats with cardiomyopathy and often results in euthanasia due to poor prognosis. However, the underlying predisposing mechanisms leading to left atrial (LA) thrombus formation are not fully characterised. von Willebrand Factor (vWF) is a marker of endothelium and shows increased expression following endothelial injury. In people with poor LA function and LA remodelling, vWF has been implicated in the development of LA thrombosis. In this study we have shown (1) the expression of endocardial vWF protein detected using immunohistofluorescence was elevated in cats with cardiomyopathy, LA enlargement (LAE) and clinical signs compared to cats with subclinical cardiomyopathy and control cats; (2) vWF was present at the periphery of microthrombi and macrothrombi within the LA where they come into contact with the LA endocardium and (3) vWF was integral to the structure of the macrothrombi retrieved from the atria. These results provide evidence for damage of the endocardial endothelium in the remodelled LA and support a role for endocardial vWF as a pro-thrombotic substrate potentially contributing to the development of ATE in cats with underlying cardiomyopathy and LAE. Results from this naturally occurring feline model may inform research into human thrombogenesis.

MODERN ASPECTS OF ULTRASOUND DIAGNOSIS OF ENDOMETRIOID HETEROTOPIAS OF PELVIC CAVITY ORGANS

2020 ◽  
pp. 87-92
Author(s):  
A. S. Novikova ◽  
I. Yu. Kuzmina
Keyword(s):  
Transvaginal Ultrasound ◽  
Clinical Signs ◽  
Transvaginal Ultrasonography ◽  
Transvaginal Sonography ◽  
Pelvic Cavity ◽  
Imaging Method ◽  
Visual Methods ◽  
Timely Diagnosis ◽  
Ultrasound Diagnostics ◽  
Choice Of Treatment

Diagnosis of endometrioid heterotopias of the pelvic cavity is often complicated, because at the initial stage there are no characteristic sonographic signs of this pathology. However, transvaginal ultrasound can be used as the main imaging method in the patients with suspected endometriosis. Due to a wide variety of forms and degrees of endometriosis, the similarity of clinical signs of other diseases, frequent asymptomatic course of the disease are objective difficulties in the correct and timely diagnosis of endometrioid heterotopias of the pelvic cavity. Ultrasonography can be used both to detect and to monitor the dynamics of endometriosis. Transvaginal sonography allows a qualitative detection of endometrioid heterotopias of the pelvis and with a high probability to reveal endometrioid cysts, hydrosalpinx, hematosalpinx, peritoneal endometriosis and is considered the best method of visualization of the endometrium. There were examined 57 patients with various forms of endometrioid heterotopias of the pelvic organs by transvaginal ultrasonography, which was performed on the 5th−9th day of the menstrual cycle. Adenomyosis of various degrees has been diagnosed, which should be understood as a disease consisting of ectopic location of endometrial glands and stroma as well as muscle changes. Due to the variety of forms and degrees of endometriosis, combination with clinical signs of other diseases, often asymptomatic course of the disease, which leads to severe damage to the reproductive system, there are objective difficulties in correct and timely diagnosis of endometrioid heterotopias and pelvic cavity organs. Modern visual methods of transvaginal ultrasonography are the key to correctly determining the stage and extent of endometriosis, which will directly affect the choice of treatment. Key words: endometriosis, heterotopia, ultrasound diagnostics, pelvic cavity.

scholarly journals An afebrile heartwater-like syndrome in goats

2013 ◽  
Vol 84 (1) ◽  
Author(s):  
Rhoda Leask ◽  
Kenneth P. Pettey ◽  
Gareth F. Bath
Keyword(s):  
Clinical Signs ◽  
Control Measures ◽  
Sub Saharan Africa ◽  
Limiting Factor ◽  
Febrile Reaction ◽  
Presumptive Diagnosis ◽  
Appropriate Treatment ◽  
Sub Saharan ◽  
Characteristic Features ◽  
And Control

Heartwater is a serious limiting factor for sheep and goat production in the major endemic area of sub-Saharan Africa and therefore most knowledge, research and control methods originate from this region. Whilst the usual or common clinical presentations can be used to make a presumptive diagnosis of heartwater with a good measure of confidence, this is not always the case, and animals suffering from heartwater may be misdiagnosed because their cases do not conform to the expected syndrome, signs and lesions. One aberrant form found occasionally in the Channel Island breeds of cattle and some goats is an afebrile heartwaterlike syndrome. The most constant and characteristic features of this heartwater-like syndrome comprise normal temperature, clinical signs associated with generalised oedema, and nervous signs, especially hypersensitivity. The presumption that the disease under investigation is the afebrile heartwater-like syndrome entails a tentative diagnosis based on history and clinical signs and the response to presumed appropriate treatment (metadiagnosis). The afebrile heartwater-like syndrome presents similarly to peracute heartwater but without the febrile reaction. Peracute cases of heartwater have a high mortality rate, enabling confirmation of the disease on post-mortem examination. Recognition of the afebrile heartwater-like syndrome is important to prevent deaths and identify the need for appropriate control measures.

scholarly journals Intraoperative Tactics of Local Surgical Hemostasis in Injuries and Planned Operations on the Parenchymal Organs of the Abdominal Cavity

2020 ◽  
Vol 13 (3) ◽  
pp. 268-278
Author(s):  
Dmitriy Andreevich Severinov ◽  
Gennady Alekseevich Bondarev ◽  
Vyacheslav Alexandrovich Lipatov ◽  
Araik Rubenovich Saakyan
Keyword(s):  
Surgical Treatment ◽  
Abdominal Cavity ◽  
Structural Features ◽  
Main Indication ◽  
Anatomical Features ◽  
Abdominal Bleeding ◽  
Adhesive Compositions ◽  
Liver Injuries ◽  
Operation Techniques ◽  
Manual Skills

Currently, mortality rate in the liver and spleen injuries remains high, despite the present-day level of advances in the diagnosis and treatment of surgical diseases. Damage to parenchymal organs leads to the development of intra-abdominal bleeding. The severity of bleeding depends on the anatomical features of the blood supply to the damaged organ and the massiveness of the lesion, the type of traumatic agent. Intraoperative provision of reliable hemostasis is a significant problem in liver and spleen injuries. This paper summarizes the experience of Russian and foreign experts on surgical treatment of various types of parenchymal organ injuries. Stitching, adhesive compositions, biological and synthetic films, non-contact methods are used to achieve the final intraoperative hemostasis for parenchymal organ injuries; electrocoagulation is also very popular. Currently, the issues of surgical treatment tactics of spleen and liver injuries are not fully resolved. The search for optimal options, as well as technical advancement of organ-preserving operation techniques involving parenchymal organs, remains relevant. This depends on the structural features of these organs, availability of the methods of local hemostasis listed in this paper and surgeon's knowledge and manual skills. Moreover, at present, hemostatic application agents are widely introduced into clinical practice, parenchymal bleeding caused by superficial planar injuries of parenchymal organs being the main indication for the use of these agents.

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