Spontaneous Midlobar Lung Lobe Torsion in a 2-Year-Old Newfoundland

2004 ◽  
Vol 40 (3) ◽  
pp. 220-223 ◽  
Author(s):  
Andrew D. Hofeling ◽  
Andrew H. Jackson ◽  
Joel C. Alsup ◽  
Debi O’Keefe
Keyword(s):  
Differential Diagnosis ◽  
Pleural Effusion ◽  
Intact Male ◽  
Lung Lobe ◽  
Lung Lobectomy ◽  
History Of ◽  
The Right

A 2-year-old, intact male Newfoundland was presented for evaluation of a 1- to 2-day history of coughing, retching, and progressive lethargy. Thoracic radiographs demonstrated right-sided pleural effusion and lobar vesicular emphysema. An exploratory thoracotomy revealed midlobar torsion of the right caudal lung lobe. A partial lung lobectomy was performed, and following surgery, the dog recovered without complications. Lung lobe torsions in dogs typically occur at the hilus of the affected lung lobe. This report documents that midlobar lung lobe torsions occur in dogs and should be considered as a differential diagnosis in cases of lobar vesicular emphysema and pleural effusion.

scholarly journals P046 Pointing the finger: an unusual presentation of dactylitis

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Natalia Cernovschi - Feasey ◽  
Julekha Wajed
Keyword(s):  
Pleural Effusion ◽  
Soft Tissue ◽  
Middle Finger ◽  
Joint Involvement ◽  
Long Bones ◽  
History Of ◽  
Systemic Symptoms ◽  
The Right ◽  
Hands And Feet ◽  
Radiographic Changes

Abstract Background/Aims  Dactylitis is commonly associated with psoriatic arthritis, and regularly presents at Rheumatology clinics. We discuss a case where progressive systemic symptoms lead to the consideration of alternate diagnoses. Methods  A 46-year-old Nepalese woman presented to the Rheumatology department with a 3 month history of diffuse swelling of the right middle finger proximal interphalangeal joint, with the appearance of dactylitis. There was pain on movement, but no other joint involvement. Simultaneously she noticed blurred and decreased vision, which on review by the ophthalmologists, was diagnosed with bilateral uveitis. There was no history of psoriasis, inflammatory bowel disease, or other past medical history of note. There was no travel history in the past 12 months. A diagnosis of a presumed inflammatory arthritis was made. Results  Blood tests showed elevated c-reactive protein 55 (normal <4 mg/l), erythrocyte sedimentation rate 138 (normal 0-22 mm/hr) and an iron deficiency anaemia. Rheumatoid factor and Anti-CCP antibody were negative. Hand radiographs were reported as normal. MRI of the third digit confirmed an enhancing soft tissue collection at the proximal phalanx of the right middle finger. She was referred for a biopsy of this lesion. Interestingly over the subsequent few months, she developed progressive breathlessness. Chest radiograph showed a left pleural effusion. Further tests showed negative serum ACE, Lyme and Toxoplasma screen. Quantiferon test was negative. Pleural aspirate showed a transudate with negative Acid-fast bacillus (AFB) test and culture. CT chest and abdomen showed a persistent pleural effusion, inflammatory changes in the small bowel and thickening of the peritoneum and omentum. In view of the systemic involvement, a peritoneal tissue biopsy was performed. This confirmed chronic granulomatous inflammation with positive AFB stain for mycobacterium tuberculosis. Our patient was started on quadruple anti- TB antibiotics for 6 months. Her systemic symptoms and dactylitis have improved, although there is on-going treatment for her ocular involvement. Conclusion  Approximately 10% of all cases of extrapulmonary TB have osteoarticular involvement. Dactylitis is a variant of tuberculous osteomyelitis affecting the long bones of the hands and feet. It occurs mainly in young children; however adults may be affected also. The first manifestation is usually painless swelling of the diaphysis of the affected bone followed by trophic changes in the skin. The radiographic changes are known as spina ventosa, because of the ballooned out appearance of the bone, although this was not seen in our case. Fibrous dysplasia, congenital syphilis, sarcoidosis and sickle cell anaemia may induce similar radiographic changes in the metaphysis of long bones of hands and feet, but do not cause soft tissue swelling or periosteal reaction. This case highlights the importance of testing for TB, especially in atypical cases of dactylitis, with other systemic features. Disclosure  N. Cernovschi - Feasey: None. J. Wajed: None.

scholarly journals Mesothelioma in two sheep with pericardial effusion and ascites

2020 ◽  
Vol 8 (1) ◽  
pp. e001031
Author(s):  
Nicola Fletcher ◽  
Camilla Brena ◽  
Amanda Carson ◽  
Mark Wessels ◽  
Tobias Floyd
Keyword(s):  
Differential Diagnosis ◽  
Pericardial Effusion ◽  
Domestic Animals ◽  
Diagnostic Pathology ◽  
First Case ◽  
Clinical Presentations ◽  
Rare Tumours ◽  
Microscopic Features ◽  
History Of ◽  
The Right

Mesotheliomas are rare tumours in domestic animals. These tumours have a range of clinical presentations, and a range of gross and microscopic features can be present. We report mesotheliomas in two sheep submitted to Animal and Plant Health Agency’s diagnostic pathology service with diverse clinical presentations. The first case was a 2-year-old ewe with a history of sudden death that had a nodular mass in the wall of the right auricle and marked pericardial effusion and ascites. The second case was a 3-year-old ewe with a history of recumbency which had a papillary mass in the peritoneal cavity and marked ascites. A diagnosis of mesothelioma in both cases was confirmed by immunohistochemistry for cytokeratin and vimentin. These cases highlight the diverse presenting signs that can be present with mesothelioma, and this tumour should be considered as a differential diagnosis in sheep with peritoneal, pericardial or pleural effusion at gross postmortem.

CASE REPORT: ODONTOGENIC CUTANEOUS FISTULA IN THE SUBMANDIBULAR CERVICAL SKIN IN TWO DOGS

2019 ◽  
Vol 45 (04) ◽  
pp. 135-140
Author(s):  
Shu-Fang Yang ◽  
Chung-Chao Chen ◽  
Pi-Chen Chang ◽  
Jian-Xi Yu ◽  
Wen-Wen Liang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Tooth Extraction ◽  
Surgical Intervention ◽  
Dental Radiography ◽  
Oral Antibiotics ◽  
Intact Male ◽  
Cutaneous Fistula ◽  
History Of ◽  
Cutaneous Nodule

Odontogenic cutaneous fistula is commonly misdiagnosed by practitioners, leading to incorrect and unnecessary treatment. Here, we present two cases. Case 1 involved an eight-year-old intact male Maltese with a submandibular cutaneous abscess following 2 weeks of antibiotic treatment who was later diagnosed, using dental radiography, with odontogenic cutaneous fistula. Case 2 involved an eight-year-old neutered female Maltese with a submandibular cutaneous nodule and general skin problems following 6 months of oral antibiotics and a history of surgical intervention who was finally diagnosed, using dental radiography and computed tomography, with an odontogenic cutaneous fistula that resolved completely following tooth extraction. These two cases highlight the importance of odontogenic infection in the differential diagnosis of typical lesions in the head and neck.

scholarly journals Thoracoscopic-assisted lung lobectomy using hem-o-lok clips in a dog with lung lobe torsion: a case report

2014 ◽  
Vol 59 (No. 6) ◽  
pp. 315-318
Author(s):  
SY Lee ◽  
SJ Park ◽  
SH. Seok ◽  
YK. Kim ◽  
HC. Lee ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Lung Ventilation ◽  
Middle Lobe ◽  
One Lung Ventilation ◽  
Presumptive Diagnosis ◽  
Lung Lobe ◽  
Lung Lobectomy ◽  
Minimally Invasive Surgical ◽  
Time Period ◽  
The Right

An eleven-year-old, 3-kg, intact female Maltese was presented for depression, anorexia and dyspnoea. Thoracic radiographs showed right-side pleural effusion, a vesicular emphysema pattern and consolidation of the right middle lung lobe. A presumptive diagnosis of lung lobe torsion (LLT) in the right middle lobe was made using a computed tomography scan. Thoracoscopic exploration was performed without one-lung ventilation in the right hemithorax. Pleural fluid and engorgement of the torsed lung lobe were observed. A total lung lobectomy of the right middle lung lobe was performed with a thoracoscopic-assisted procedure using hem-o-lok clips applied to the hilus. The dog was discharged three days after surgery, and no recurrence of the clinical signs of disease related to the respiratory system was observed during the follow-up time period of six months. Based on these findings, we conclude that thoracoscopic-assisted lung lobectomy using hem-o-lok clips is a minimally invasive surgical alternative to thoracotomy and successful operative intervention for lung lesions in small breed dogs.  

scholarly journals Left cranial lung torsion in a Bernese Mountain dog: a case report

2011 ◽  
Vol 56 (No. 8) ◽  
pp. 416-422 ◽  
Author(s):  
R. Tamburro ◽  
M. Pietra ◽  
G. Militerno ◽  
A. Diana ◽  
A. Spadari ◽  
...  
Keyword(s):  
Clinical Course ◽  
Small Animal ◽  
Middle Lobe ◽  
Pleural Space ◽  
Complete Occlusion ◽  
Lung Lobe ◽  
History Of ◽  
Lung Torsion ◽  
The Right

Lung lobe torsion (LLT) is an uncommon pathology in small animal practice. In large breed dogs LLT effects are localized mainly to the middle lobe of the right lung. This report describes a case of left cranial lung torsion in a Bernese Mountain dog: the patient was referred with a two-day history of asthenia, anorexia, dyspnea and haemoptysis. No trauma was reported. Physical examination showed the presence of bilateral pleural effusion confirmed by radiography and ultrasonography. Broncoscopy revealed that the left cranial lobe appeared to be compressed laterally with complete occlusion of the lumen. Thoracoscopy was performed to exclude other pathologies of the pleural space. The pathological lobe was removed. Histological examination revealed aspects consistent with lung lobe torsion. Clinical follow up carried out after three months showed a normal clinical course.

scholarly journals INTRAOCULAR TRANSMISSIBLE VENEREAL TUMOR IN A DOG

2001 ◽  
Vol 31 (1) ◽  
pp. 141-143 ◽  
Author(s):  
Geórgia Nadalini Rodrigues ◽  
Antonio Carlos Alessi ◽  
José Luiz Laus
Keyword(s):  
Lymph Nodes ◽  
Histopathological Examination ◽  
Intact Male ◽  
Susceptible Host ◽  
Cytologic Examination ◽  
Lymph Nodes Metastasis ◽  
Subcutaneous Nodules ◽  
Inguinal Area ◽  
History Of ◽  
The Right

Canine transmissible venereal tumor (TVT) is a round cell neoplasm occurring on the external genital mucosa of male and female dogs. Transmission is by cell implantation during coitus, licking, or other interaction between an affected dog and a susceptible host. Metastasis of the tumor rarely occurs. This report describes an unusual presentation of TVT with intraocular involvement and inguinal lymph nodes metastasis. The subject was a six-year-old, intact, male, Brazilian Terrier dog with a history of abnormal masses in the right eye, penis and several subcutaneous nodules in the inguinal area. Histopathological examination of the eye specimens as well as cytologic examination of penile mass and subcutaneous nodules revealed similar findings. The examination revealed round cells containing a large nuclei with prominent, central located nucleoli and a pale cytoplasm containing few small, clear round vacuoles. Histologically, the subcutaneous nodules in the inguinal area were lymph nodes. The diagnosis of TVT with intraocular involvement and lymph nodes metastasis was based on clinical, cytologic and histopathologic findings.

Differential Diagnosis and Treatment in a Patient With Posterior Upper Thoracic Pain

2006 ◽  
Vol 86 (2) ◽  
pp. 254-268 ◽  
Author(s):  
Stacie J Fruth
Keyword(s):  
Differential Diagnosis ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Trigger Points ◽  
Diagnosis And Treatment ◽  
Thoracic Pain ◽  
Patient Reported ◽  
History Of ◽  
The Right ◽  
Upper Thoracic

Background and Purpose. Determining the source of a patient's pain in the upper thoracic region can be difficult. Costovertebral (CV) and costotransverse (CT) joint hypomobility and active trigger points (TrPs) are possible sources of upper thoracic pain. This case report describes the clinical decision-making process for a patient with posterior upper thoracic pain. Case Description. The patient had a 4-month history of pain; limited cervical, trunk, and shoulder active range of motion; limited and painful mobility of the right CV /CT joints of ribs 3 through 6; and periscapular TrPs. Interventions included CV / CT joint mobilizations, TrP release, and flexibility and postural exercises. Outcomes. The patient reported intermittent mild discomfort after 7 physical therapy sessions. Examination findings were normal, and he was able to resume all preinjury activities. Discussion. This case suggests that CV /CT mobilizations and active TrP release may have been beneficial in reducing pain and restoring function in this patient. [Fruth SJ. Differential diagnosis and treatment in a patient with posterior upper thoracic pain. Phys Ther. 2006;86:254-268.]

scholarly journals Unresolving Pneumonia with Pleural effusion: Pulmonary Paragonimiasis

2017 ◽  
Vol 56 (206) ◽  
Author(s):  
Deepshikha Gaire ◽  
Santosh Sharma ◽  
Kumar Poudel ◽  
Pankaj Pant
Keyword(s):  
Differential Diagnosis ◽  
Chest Pain ◽  
Pleural Effusion ◽  
Clinical Manifestations ◽  
Shortness Of Breath ◽  
X Ray ◽  
Fluid Analysis ◽  
Pain Abdomen ◽  
History Of ◽  
Specific Symptoms

Paragonimiasis is a zoonosis caused by many species of Paragonimus commonly P. westermani. Human get infected by eating raw, salted, pickled, smoked, partially cooked crustaceans (crayfish or crabs). Clinical manifestations ranges from non-specific symptoms like pain abdomen, diarrhea, urticarial rashes, fever to pleuropulmonary symptoms like cough, hemoptysis, chest pain and dyspnea. 48 yrs, female presented at TUTH emergency with fever on and off for 9 months, cough and shortness of breath for 3 months, lethargy, malaise and urticaria with history of raw crab intake one month prior to the onset of symptoms. Blood and pleural fluid analysis revealed raised total counts with eosinophilia and x-ray showed bilateral infiltration of lower lobes with pleural effusion. Diagnosis was confirmed by microscopic examination of sputum for Paragonimus. She responded well to Praziquantel. Pulmonary paragonimiasis must be considered in the differential diagnosis of unresolving pneumonia and unexplained hypereosinophilia.  [PubMed]

Endoscopic removal of ectopic dentition in ethmoid sinus

2021 ◽  
Vol 14 (2) ◽  
pp. e237858
Author(s):  
Amy SM Wong ◽  
Jagdeep S Virk ◽  
Matthew J R Magarey
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Paranasal Sinuses ◽  
Ethmoid Sinus ◽  
Middle Meatus ◽  
Endoscopic Removal ◽  
Dental Implantation ◽  
Unerupted Tooth ◽  
History Of ◽  
The Right

A 66-year-old woman presented with a 6-month history of unilateral right nasal obstruction and rhinorrhoea not responding to medical therapy. She had a history of dental implantation for an unerupted tooth on the right side 3 years ago. Physical examination including flexible nasendoscopy demonstrated yellow debris in the right middle meatus. CT paranasal sinuses demonstrated a radiopaque lesion in the right anterior ethmoid sinus and resembled the unerupted tooth. The tooth was removed endoscopically from the right nasal cavity without complications. This case highlights the importance of eliciting an accurate dental history and considering ectopic dentition as a differential diagnosis in a patient with unilateral symptoms of sinusitis.

scholarly journals Metastasis of Malignant Melanoma to Urinary Bladder: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Rashna Meunier ◽  
Gyan Pareek ◽  
Ali Amin
Keyword(s):  
Differential Diagnosis ◽  
Malignant Melanoma ◽  
Urinary Bladder ◽  
Clinical History ◽  
Metastatic Malignant Melanoma ◽  
Review Of The Literature ◽  
Bladder Mucosa ◽  
Immunohistochemical Examination ◽  
History Of ◽  
The Right

Aims. Metastatic malignant melanoma of the urinary bladder is a rare clinical entity, with only twenty-three published cases to date. We present a case of this rare entity, a thorough review of the literature, and differential diagnosis of melanoma in the bladder.Methods and Results. A 55-year-old woman with a history of malignant melanoma of the right thigh, excised eight years ago, presented with back pain, fatigue, and hematuria. She underwent computed tomography (CT) scan and was found to have metastases within the liver, spleen, lungs, and urinary bladder. She underwent cystoscopy and transurethral resection of three polypoid lesions. Histologic and immunohistochemical examination revealed metastatic malignant melanoma involving bladder mucosa.Conclusions. This case illustrates the importance of including malignant melanoma in the differential diagnosis of high grade neoplasms of bladder, especially in cases where the relevant clinical history is not available.

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