Primary bronchotomy for removal of an intrabronchial foreign body in a dog

2001 ◽  
Vol 37 (6) ◽  
pp. 582-585 ◽  
Author(s):  
PD Pacchiana ◽  
PK Burnside ◽  
BE Wilkens ◽  
DE McDonald ◽  
SL Gillings
Keyword(s):  
Medical Management ◽  
Complete Resolution ◽  
Foreign Bodies ◽  
Companion Animals ◽  
Clinical Signs ◽  
Mainstem Bronchus ◽  
Canine Tooth ◽  
Lung Lobectomy ◽  
Orthopedic Injuries ◽  
The Right

An 8-year-old, spayed female toy poodle presented with wounds sustained from a dog fight. The multiple orthopedic injuries present were managed surgically. Months later, a chronic cough developed secondary to an aspirated canine tooth in the mainstem bronchus of the right cranial lung that was nonresponsive to medical management. A thoracotomy and primary bronchotomy were performed to remove the aspirated tooth, resulting in complete resolution of clinical signs. Bronchial foreign bodies are rarely diagnosed in companion animals. Primary bronchotomy is an alternative to bronchoscopy or lung lobectomy in cases that do not respond to medical management.

scholarly journals Prostatic Localization of a Migrating Grass Awn Foreign Body in a Dog

2020 ◽  
Vol 7 (4) ◽  
pp. 192
Author(s):  
Maria Chiara Marchesi ◽  
Giulia Moretti ◽  
Giovanni Angeli ◽  
Francesco Birettoni ◽  
Francesco Porciello ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Clinical Presentation ◽  
Clinical Signs ◽  
Normal Activity ◽  
Imaging Findings ◽  
Mixed Breed ◽  
Ultrasonographic Guidance ◽  
The Right ◽  
First Time ◽  
Grass Awn

A 13-year-old male mixed-breed dog was examined because of hematuria and pyrexia. Ultrasonographic examination of the genitourinary tract showed the presence of a migrating grass awn in the right prostatic lobe. Laparotomy allowed, under ultrasonographic guidance, to remove entirely the migrating grass awn from the prostatic parenchyma. The recovery was uneventful and four months after the surgery the owner reported that the dog showed the complete resolution of the clinical signs and full return to normal activity. To our knowledge, this case report describes for the first time the clinical presentation, imaging findings, management and outcome for a dog with prostatic localization of a migrating grass awn.

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 Generalised tetanus in a cat

2019 ◽  
Vol 7 (3) ◽  
pp. e000907
Author(s):  
Bethan Farrar ◽  
Francois-Xavier Liebel
Keyword(s):  
Case Report ◽  
Facial Expression ◽  
Medical Management ◽  
Complete Resolution ◽  
Clinical Signs ◽  
Nursing Management ◽  
Distal Limb ◽  
Tetanus Antitoxin ◽  
Mild Improvement ◽  
Uncommon Condition

This case report describes the presentation of a cat with generalised tetanus, which is uncommon in this species. The onset of clinical signs with focal limb rigidity occurred one week following a wound on the distal limb. The cat progressed to permanent recumbency with generalised signs of extensor rigidity and the classical facial expression as typically seen in generalised tetanus in dogs. After five days of hospitalisation and treatment with metronidazole, tetanus antitoxin and analgesia, mild improvement in the ability to ambulate was seen. Reassessment four weeks later after continued nursing management at home showed near-complete resolution of the clinical signs. This case report highlights the neurological and clinical signs of generalised tetanus, which is an uncommon condition in cats, and the success of medical management, which can be achieved in a first-opinion setting.

Tracheobronchial foreign bodies in cats: a retrospective study of 12 cases

2016 ◽  
Vol 19 (2) ◽  
pp. 117-122 ◽  
Author(s):  
Rodolfo Oliveira Leal ◽  
Yannick Bongrand ◽  
Julie Gallay Lepoutre ◽  
Eymeric Gomes ◽  
Juan Hernandez
Keyword(s):  
Retrospective Study ◽  
Surgical Approach ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Diagnostic Procedures ◽  
Bronchial Tree ◽  
Private Practices ◽  
Main Complaint ◽  
The Right ◽  
Method Of Extraction

Objectives The aim of the study was to evaluate age, sex, breed, clinical signs, time between onset of signs and presentation, diagnostic procedures, method of extraction, location and nature of foreign bodies (FBs) in confirmed cases of tracheobronchial FBs in cats. We hypothesised that bronchoscopy was effective in extracting tracheobronchial FBs in cats. Methods A retrospective study was performed using clinical reports from three private practices in France between May 2009 and November 2014. Cats were included if an intraluminal tracheobronchial FB had been identified and extracted (either by bronchoscopy or surgery). Results Twelve cats (six male, six female) were included. Mean age was 3.75 ± 2.5 years. Coughing was the main complaint and was present in 9/12 (75%) of the cats. Thoracic radiographs were obtained in 12/12 cats (100%) and a FB was suspected in 11/12 (92%). Bronchoscopy was performed in all of the cats and enabled FB extraction in 10/12 (83%) of them. In 2/12 cats (17%), an additional surgical approach was required. In 6/12 (50%) cats, FBs were located in the trachea, while in 6/12 (50%) cats FBs were in the bronchial tree, particularly in the right caudal bronchus (4/6; 66%). Seven of 12 (58%) FBs were vegetal in nature, 3/12 (25%) were mineral and 2/12 (17%) were undetermined. All the mineral FBs were extracted from the trachea, while the majority of the vegetal ones (5/7; 71%) were found in the bronchi. Conclusions and relevance Feline respiratory FBs can be found in the trachea and in the bronchial tree, particularly in the right caudal bronchus. Vegetal FBs tend to migrate through the bronchial tree, whereas mineral ones tend to lodge in the trachea. Bronchoscopy seems to be a highly effective procedure for the extraction of tracheobronchial FBs in cats.

scholarly journals Prolonged Implantation of Sinus Devices and Implications for Chronic Rhinosinusitis: A Case Report and Review of the Literature

2020 ◽  
pp. 1-4
Author(s):  
Charles S. Ebert Jr. ◽  
Adam J. Kimple ◽  
Adam M. Zanation ◽  
Brian D. Thorp ◽  
Charles S. Ebert Jr. ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Medical Management ◽  
Endoscopic Sinus Surgery ◽  
Foreign Bodies ◽  
Scar Tissue ◽  
Sinus Surgery ◽  
Prior Surgery ◽  
History Of ◽  
Routine Observation ◽  
The Right

Background: Implantation of sinus stents and spacers can be used as adjuvant management to maintain patency of sinuses after endoscopic sinus surgery for chronic rhinosinusitis. These implants are typically removed several weeks after surgery. We present two cases of different patients who were initially treated by different physicians and were found to have retained sinus spacers in their paranasal sinuses 6-10 years after implantation. Case Presentation: Case 1: A 40-year-old male with chronic rhinosinusitis and history of balloon sinuplasty six years prior presented with worsening symptoms of chronic rhinosinusitis refractory to medical management. He underwent revision functional endoscopic sinus surgery and was found to have retained sinus implants in the left and right frontal sinus recesses. Case 2: A 48-year-old female with long-standing chronic rhinosinusitis refractory to medical management presented after two prior sinus surgeries most recently 10 years ago. She underwent revision functional endoscopic surgery and was found to have a retained sinus implant from prior surgery in the right frontal recess outflow tract embedded within scar tissue and reactive hyperostosis. Foreign bodies from both patients were removed without complication and patients were healing appropriately in the post-operative period. Conclusions: While sinus stents and spacers can help with post-operative scarring, leaving then unmonitored and in place will eventually result in them becoming a nidus for scarring and infection. It is critical that patients are aware of any foreign bodies we place, if they need scheduled removal or routine observation, and what symptoms may indicate that they are causing a problem.

Traumatic fibrotic myopathy of the tensor fascia lata muscle in a Whippet

2013 ◽  
Vol 26 (04) ◽  
pp. 328-331 ◽  
Author(s):  
A. Parry ◽  
T. Gemmill ◽  
S. Kalff
Keyword(s):  
Complete Resolution ◽  
Clinical Signs ◽  
Quadriceps Muscle ◽  
Fascia Lata ◽  
Muscle Group ◽  
Fibrous Band ◽  
Tensor Fascia Lata ◽  
First Case ◽  
Pelvic Limb ◽  
The Right

SummaryA two-year-old female neutered Whippet was referred for evaluation of progressive right pelvic limb lameness. Clinical examination revealed a fibrous band palpable along the cranial aspect of the quadriceps muscle group, and signs of discomfort on extension of the right hip. Computed tomography and ultrasonographic examination revealed mineralization of the tensor fascia lata muscle with enthesophytosis of its origin. Surgical exploration confirmed a fibrous band affecting the cranial border of the tensor fascia lata muscle. Resection of the band resulted in complete resolution of clinical signs. Histopathology was consistent with a fibrotic myopathy. To the authors’ knowledge, this is the first case of a fibrotic myopathy affecting the tensor fascia lata muscle in the dog.

scholarly journals Ununited accessory caudal glenoid ossification centre and associated joint mouse as a cause of lameness in a cat

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691987925
Author(s):  
Boris MA Serck ◽  
Erik EG Wouters
Keyword(s):  
Differential Diagnosis ◽  
Effective Treatment ◽  
Complete Resolution ◽  
Glenohumeral Joint ◽  
Clinical Signs ◽  
Clinical Implications ◽  
Ossification Centre ◽  
Case Summary ◽  
Thoracic Limb ◽  
The Right

Case summary A 16-year-old neutered female domestic shorthair cat was evaluated for chronic lameness of the right thoracic limb. On clinical examination, pain was localised to the right glenohumeral joint. Radiography and arthrography of the right glenohumeral joint revealed an ununited accessory caudal glenoid ossification centre, abbreviated here to ununited caudal glenoid (UCG), and a joint mouse. The UCG and attached joint mouse were removed via arthroscopy and this resulted in complete resolution of the clinical signs. The cat was euthanased 3 years later, for an unrelated cause, having shown no recurrence of lameness. Relevance and novel information UCG should be considered as a differential diagnosis for cats with lameness of the thoracic limb. The clinical implications of a UCG have been described in dogs, but to our knowledge have not yet been described in cats. Excision of the UCG, as described in dogs, may be an effective treatment for this condition.

scholarly journals Retrospective study of the presentation, diagnosis and management of 16 cats with otitis media not due to nasopharyngeal polyp

2017 ◽  
Vol 20 (12) ◽  
pp. 1082-1086 ◽  
Author(s):  
Nicola Swales ◽  
Aiden Foster ◽  
Natalie Barnard
Keyword(s):  
Otitis Media ◽  
Medical Management ◽  
Complete Resolution ◽  
Otitis Externa ◽  
Clinical Signs ◽  
Patient Records ◽  
Tympanic Cavity ◽  
Ear Canal ◽  
Neurological Signs ◽  
Small Cohort

Objectives The aim of this study was to analyse retrospectively cats diagnosed with otitis media (OM) not due to nasopharyngeal polyp, and to review the clinical outcome with surgical and medical management. Methods Patient records were searched for cats diagnosed with OM. The diagnosis of OM was based on the presence of clinical signs, including neurological signs, respiratory signs and signs of otitis externa, and on the basis of evidence of thickened or irregular bullae walls, or the presence of fluid within the tympanic cavity in those that had diagnostic imaging. In those that did not have imaging, the diagnosis was made on the basis of the presence of fluid in the bulla or organisms cultured using myringotomy. These records were analysed retrospectively. Results Of 16 cats, one had a total ear canal ablation, five had ventral bulla osteotomy surgery and 11 were medically managed. Of the cats that were medically managed, using either topical products, systemic antimicrobials or a combination of both, eight had complete resolution of clinical signs. Conclusions and relevance This small cohort shows that some cats with OM can be successfully managed medically. Surgery is invasive and may not necessarily be required if appropriate medical management is undertaken. This is the first study of OM treatment in cats and provides the basis for further studies, which should aim to establish specific infectious causes of OM and how they can potentially be managed with medical therapies.

Acute abdomen in pregnancy: a retrospective study of pregnant patients hospitalised for abdominal pain

2020 ◽  
Vol 99 (3) ◽  
pp. 131-135
Keyword(s):  
Abdominal Pain ◽  
Clinical Signs ◽  
University Hospital ◽  
Diagnostic Process ◽  
Abdominal Emergency ◽  
Lower Abdominal Quadrant ◽  
Abdominal Emergencies ◽  
The Right ◽  
Abdominal Quadrant ◽  
In Pregnancy

Introduction: Abdominal emergencies occur in pregnant women with the rate of 1:500−635 pregnancies. Such conditions usually develop from full health and worsen rapidly. Symptoms are often similar to those in physiological pregnancy (abdominal pain, vomiting, constipation). The diagnostic process is thus difficult and both the mother and her child are at risk. Our aim was to evaluate the frequency of abdominal emergencies in the Department of Surgery, University Hospital in Pilsen and to consider their impact on pregnancy and on the newborn. Methods: We acquired a set of patients by retrograde collection of data. We searched for pregnant patients suspected of developing an abdominal emergency admitted to the Department of Surgery, Faculty of Medicine, Pilsen between 2004 and 2015. We evaluated a number of clinical signs to statistically describe the set. Results: The set included 121 patients; 42 of the patients underwent a surgical procedure and 79 received conservative treatment. 38 patients underwent appendectomy; 6 appendixes were with no pathologies. McBurney’s incision was an approach of choice in most cases. The most frequent symptom was pain in the right lower abdominal quadrant. The foetus has been lost in none of the cases. Conclusion: Acute appendicitis was the most frequent abdominal emergency in our set and also the most frequent reason for surgical intervention. The most specific sign was pain in the right lower abdominal quadrant. No impact of appendicitis or appendectomy on the health of the newborn has been observed. Even though abdominal emergencies in pregnancy are relatively rare, the results of the department are very good.

The Esophageal Detector Device: Accuracy and Reliability in Difficult Airway Settings

1996 ◽  
Vol 11 (1) ◽  
pp. 60-62 ◽  
Author(s):  
Christopher E. Kapsner ◽  
David C. Seaberg ◽  
Charles Stengel ◽  
Kaveh Ilkhanipour ◽  
James Menegazzi
Keyword(s):  
Emergency Medicine ◽  
Pulmonary Edema ◽  
Difficult Airway ◽  
Laboratory Investigation ◽  
Respiratory Arrest ◽  
Tube Placement ◽  
Mainstem Bronchus ◽  
Anatomic Location ◽  
The Right ◽  
Attending Physician

AbstractIntroduction:The esophageal detector device (EDD) recently has been found to assess endotracheal (ET) tube placement accurately. This study describes the reliability of the EDD in determining the position of the ET tube in clinical airway situations that are difficult.Methods:This was a prospective, randomized, single-blinded, controlled laboratory investigation. Two airway managers (an emergency-medicine attending physician and a resident) determined ET-tube placement using the EDD in five swine in respiratory arrest. The ET tube was placed in the following clinical airway situations: 1) esophagus; 2) esophagus with 1 liter of air instilled; 3) trachea; 4) trachea with 5 ml/kg water instilled; and 5) right mainstem bronchus. Anatomic location of the tube was verified by thoracotomy of the left side of the chest.Results:There was 100% correlation between the resident and attending physician's use of the EDD. The EDD was 100% accurate in determining tube placement in the esophagus, in the esophagus with 1 liter of air instilled, in the trachea, and in the right mainstem bronchus. The airway managers were only 80% accurate in detecting tracheal intubations when fluid was present.Conclusions:The EDD is an accurate and reliable device for detecting ET-tube placement in most clinical situations. Tube placement in fluid-filled trachea, lungs, or both, which occurs in pulmonary edema and drowning, may not be detected using this device.

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