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McGrath C, Smith C, Meakin LB. Penetrating thoracic wound with cardiac trauma. VETERINARY RECORD CASE REPORTS 2019. [DOI: 10.1136/vetreccr-2019-000955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Ciara McGrath
- Langford VetsSmall Animal Referral HospitalUniversity of BristolBristolUK
| | - Caroline Smith
- Langford VetsSmall Animal Referral HospitalUniversity of BristolBristolUK
| | - Lee B Meakin
- Langford VetsSmall Animal Referral HospitalUniversity of BristolBristolUK
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Matiasovic M, Halfacree ZJ, Moores A, Nelissen P, Woods S, Dean B, Chanoit G, Barnes DC. Surgical management of impalement injuries to the trunk of dogs: a multicentre retrospective study. J Small Anim Pract 2017; 59:139-146. [PMID: 29125177 DOI: 10.1111/jsap.12767] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2016] [Revised: 07/28/2017] [Accepted: 08/07/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To review a large series of dogs referred for treatment of traumatic impalement injuries to the thorax and/or abdomen and to report aetiologies, injury characteristics, management and long-term outcomes. MATERIALS AND METHODS Previously collected data on dogs that were surgically treated for impalement injuries to the trunk at six veterinary specialist referral institutions in the UK over an 11-year period were reviewed. Data included patient signalment, physiological variables, injury-specific variables, diagnostic imaging reports, surgical procedures undertaken, duration of hospitalisation, antibiotic use, complications and outcomes. Data were reported with summary statistics. RESULTS Fifty-four dogs were included. Impalement occurred most frequently on wooden objects (n=34), and the thoracic cavity was most commonly penetrated (n=37). Computed tomography was sensitive and specific to identifying wooden material in 64% and 88% of cases (n=11), respectively. Thoracotomy was performed in 56%, coeliotomy in 20% and a foreign body or its fragments were retrieved during surgery in 37% of the cases. Complications occurred in 19 dogs (35%), and of these, 68% were minor and 32% major. The survival rate for thoracotomy cases was 93% (n=30). Overall long-term survival was 90%. CLINICAL SIGNIFICANCE Despite the often dramatic presentation of impalement injuries, the majority of patients treated in the specialist referral setting can achieve excellent outcomes. These injuries require thorough diagnostic imaging and interpretation before adequate surgical exploration and management, augmented by anaesthesia and critical care during the peri- and postoperative periods; therefore stable patients should be referred to centres able to provide this type of care.
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Affiliation(s)
- M Matiasovic
- Small Animal Referral Hospital, School of Veterinary Sciences, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK.,Dick White Referrals, Station Farm, London Road, Six Mile Bottom, Cambridgeshire CB8 0UH, UK
| | - Z J Halfacree
- Clinical Science and Services, The Royal Veterinary College, North Mymms, Hatfield, Hertfordshire, AL9 7TA, UK
| | - A Moores
- Anderson Moores Veterinary Specialists, The Granary, Bunstead Barns, Poles Lane, Hursley SO21 2LL, Hampshire, UK
| | - P Nelissen
- Dick White Referrals, Station Farm, London Road, Six Mile Bottom, Cambridgeshire CB8 0UH, UK
| | - S Woods
- The Royal (Dick) School of Veterinary Studies, Easter Bush Campus, Midlothian, Edinburgh EH25 9RG, UK
| | - B Dean
- Small Animal Referral Hospital, School of Veterinary Sciences, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK.,Southern Counties Veterinary Specialists, Unit 6, Forest Corner Farm, Hangersley, Ringwood, Hampshire, BH24 3JW, UK
| | - G Chanoit
- Small Animal Referral Hospital, School of Veterinary Sciences, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK
| | - D C Barnes
- Dick White Referrals, Station Farm, London Road, Six Mile Bottom, Cambridgeshire CB8 0UH, UK
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Lamb CR, Pope EH, Lee KC. RESULTS OF COMPUTED TOMOGRAPHY IN DOGS WITH SUSPECTED WOODEN FOREIGN BODIES. Vet Radiol Ultrasound 2016; 58:144-150. [DOI: 10.1111/vru.12457] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Accepted: 10/04/2016] [Indexed: 11/28/2022] Open
Affiliation(s)
- Christopher R. Lamb
- Department of Clinical Science and Services, The Royal Veterinary College; University of London; Hertfordshire AL9 7TA UK
| | - Elizabeth H.W. Pope
- Department of Clinical Science and Services, The Royal Veterinary College; University of London; Hertfordshire AL9 7TA UK
| | - Karla C.L. Lee
- Department of Clinical Science and Services, The Royal Veterinary College; University of London; Hertfordshire AL9 7TA UK
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Elliott JM, Mayhew PD. Diagnostic challenges and treatment options of a suspected pericardial metallic projectile foreign body in a dog. J Vet Emerg Crit Care (San Antonio) 2012; 21:684-91. [PMID: 22316263 DOI: 10.1111/j.1476-4431.2011.00690.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2010] [Accepted: 09/26/2011] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To describe a case of a suspected pericardial metallic projectile foreign body in a dog with a history of trauma to the left shoulder and to review the literature regarding the management of cardiac and intracardiac foreign bodies. CASE SUMMARY A 3-year-old male, neutered Brittany spaniel presented with a 10-day history of decreased activity and partial anorexia. Serial thoracic radiographs identified a migrating pericardial metallic projectile foreign body and an echocardiogram diagnosed pericardial effusion and abdominal ultrasound identified the presence of ascites. Concern for a possible effusive-constrictive pericarditis prompted a subphrenic pericardectomy performed via thoracoscopy. The foreign body was not recovered. Six months postsurgery, the dog remained asymptomatic. NEW OR UNIQUE INFORMATION PROVIDED Considering the high rate of complications that develop in human patients where the foreign bodies are not removed, veterinarians should be aware of risks associated with long standing pericardial foreign bodies even when no clinical signs are present. Guidelines from the human literature may be considered for investigation of, and treatment options for, cardiac and intracardiac metallic projectile foreign bodies in dogs.
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Affiliation(s)
- Joshua M Elliott
- From the Department of Small Animal Surgery, University of California-Davis, School of Veterinary Medicine, Davis, CA 95616, USA.
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