1
|
Boot G, Petitpre A, Lamoureux A. Clinical manifestations, endoscopic findings and outcomes of tonsillar fossa foreign bodies in dogs: seven cases (2020-2023). J Small Anim Pract 2024; 65:346-351. [PMID: 38332588 DOI: 10.1111/jsap.13706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 12/14/2023] [Accepted: 01/17/2024] [Indexed: 02/10/2024]
Abstract
OBJECTIVES Clinical presentation and outcomes of dogs with tonsillar foreign bodies are not described in the literature. The objective of this case series is to describe the presence, clinical manifestations, endoscopic findings and outcomes of foreign bodies in the palatine tonsillar fossa of dogs. MATERIALS AND METHODS Medical records of dogs in which tonsillar fossa foreign bodies were removed by endoscopy between 2020 and 2023 at a referral centre were reviewed. Dogs were included if complete medical records were available. RESULTS Seven dogs were included. Among all clinical signs reported, acute onset of throat clearing occurred in all dogs. Palatine tonsil enlargement and protrusion from the tonsillar fossa were observed in four of seven dogs. Foreign bodies were removed under endoscopic guidance in all dogs; a vegetal foreign body was found in all but one dog (6/7). Complete resolution of clinical signs was reported in the five dogs for which follow-up information was available. CLINICAL SIGNIFICANCE The tonsillar fossa is a rare but possible location for foreign bodies in dogs and should be explored even in the absence of macroscopic lesions of the tonsils, since some dogs could have a normal palatine tonsil appearance. Acute throat clearing should raise the suspicion of tonsillar fossa foreign bodies. The prognosis appears good after removal.
Collapse
Affiliation(s)
- G Boot
- Centre Hospitalier Vétérinaire Anicura Nordvet, 1 Rue Delesalle, La Madeleine, 59110, France
| | - A Petitpre
- Centre Hospitalier Vétérinaire Anicura Nordvet, 1 Rue Delesalle, La Madeleine, 59110, France
| | - A Lamoureux
- Centre Hospitalier Vétérinaire Anicura Nordvet, 1 Rue Delesalle, La Madeleine, 59110, France
| |
Collapse
|
2
|
Ball E, Larkin A, Hung G. Computed tomography of a canine omental torsion secondary to a chronic abdominal gossypiboma and concurrent incidental broad ligament torsion. Vet Radiol Ultrasound 2024; 65:193-198. [PMID: 38349209 DOI: 10.1111/vru.13334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/04/2024] [Accepted: 01/08/2024] [Indexed: 05/12/2024] Open
Abstract
A 5-year-old female spayed Dogue de Bordeaux was referred for concerns of an abdominal mass and peritoneal effusion. Abdominal radiographs identified a mid-ventral abdominal soft tissue opaque mass containing a radiopaque marker consistent with a gossypiboma. Contrast-enhanced abdominal CT identified two whirl signs associated with the abdominal gossypiboma. Exploratory laparotomy confirmed an omental torsion with encapsulated gossypiboma and concurrent incidental torsion of the remnant of the right broad ligament. Based on a literature review, omental torsions are an unreported complication of gossypibomas in canids.
Collapse
Affiliation(s)
- Emily Ball
- VCA Canada Western Veterinary Specialist and Emergency Centre, Calgary, Alberta, Canada
| | - Amy Larkin
- VCA Canada Western Veterinary Specialist and Emergency Centre, Calgary, Alberta, Canada
| | - Germaine Hung
- VCA Canada Western Veterinary Specialist and Emergency Centre, Calgary, Alberta, Canada
| |
Collapse
|
3
|
Martinez I, Mielke B, Rutherford L, Cantatore M, Cinti F, Charlesworth T, de la Puerta B, Rossanese M. Clinical findings, surgical treatment and outcome in dogs with parotid duct ectasia: 14 cases (2010-2023). J Small Anim Pract 2024; 65:198-205. [PMID: 37936527 DOI: 10.1111/jsap.13685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 09/20/2023] [Accepted: 10/10/2023] [Indexed: 11/09/2023]
Abstract
OBJECTIVES To describe the clinical presentation, diagnostic findings, surgical treatment and outcome of dogs diagnosed with parotid duct ectasia. MATERIALS AND METHODS Medical records of dogs diagnosed with parotid duct ectasia between 2010 and 2023 at six small animal referral hospitals were retrospectively reviewed. Outcome was assessed by contacting the owners or referring veterinarians. RESULTS Fourteen dogs were included. Lateral facial swelling was the most common clinical presentation. CT revealed a tortuous cavitary tubular fluid-filled structure consistent with a dilated parotid duct in all dogs. Surgical treatment included marsupialisation of the parotid duct papilla, surgical exploration of the duct alone, parotid duct marsupialisation with surgical exploration of the duct, parotidectomy or en-bloc parotid duct resection. The aetiology of parotid duct ectasia was not established in 13 of 14 dogs. In one case, a foreign body was retrieved from the duct. No recurrence of clinical signs was noted during the follow-up period (range 21 to 2900 days). CLINICAL SIGNIFICANCE Parotid duct ectasia should be considered for dogs with a lateralised fluctuant non-painful tubular facial swelling. Surgical management was associated with a favourable prognosis without evidence of recurrence in all cases reported in the case series.
Collapse
Affiliation(s)
| | - B Mielke
- Southpaws Speciality Surgery for Animals, Melbourne, Victoria, Australia
| | - L Rutherford
- Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, UK
| | - M Cantatore
- Anderson Moores Veterinary Specialists, Winchester, UK
| | - F Cinti
- Surgery Department, San Marco Veterinary Clinic and Laboratory, Veggiano, Italy
| | - T Charlesworth
- Eastcott Referrals, Edison Business Park, Dorcan Way, Swindon, UK
| | - B de la Puerta
- North Down Specialist Referrals, Bletchingley, United Kingdom
| | - M Rossanese
- Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, UK
| |
Collapse
|
4
|
Le Boedec K, Flageollet J, Touzet C. Endoscopic Removal of Gastric Foreign Bodies with a Bottle Liner in 12 Dogs (2020-2023). J Am Anim Hosp Assoc 2024; 60:60-67. [PMID: 38394697 DOI: 10.5326/jaaha-ms-7394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2023] [Indexed: 02/25/2024]
Abstract
Endoscopy is widely used to remove gastric foreign bodies using grasping forceps and loop snares to manipulate and retrieve the foreign material. However, as not all foreign bodies can be removed using conventional endoscopic techniques, this case series describes the use of bottle liners for the removal of gastric foreign bodies in 12 dogs between 2020 and 2023. A 4 oz bottle liner (Drop-Ins) was placed at the end of the endoscope and pushed into the stomach. With the help of forceps introduced into the operating channel, the foreign body was pushed into the bottle liner. The bottle liner containing the foreign body was then extracted with the help of traction threads. The technique was used as the initial retrieval method in 5 dogs because of smooth (i.e., difficult to grasp) or sharp (i.e., that may damage the digestive tract mucosa during removal) foreign bodies and as a rescue procedure in 7 dogs. Foreign body retrieval was successful in all 12 dogs, with minor complications reported in 5 dogs (erosions and bleeding of the gastroesophageal sphincter). The use of a bottle liner represents an affordable alternative to gastrotomy when foreign bodies cannot be grasped with forceps or snares.
Collapse
Affiliation(s)
- Kevin Le Boedec
- From Centre Hospitalier Vétérinaire Frégis, IVC Evidensia France, F-75013 Paris, France
| | - Julie Flageollet
- From Centre Hospitalier Vétérinaire Frégis, IVC Evidensia France, F-75013 Paris, France
| | - Chloe Touzet
- From Centre Hospitalier Vétérinaire Frégis, IVC Evidensia France, F-75013 Paris, France
| |
Collapse
|
5
|
Harkins AE, Iswara AT, Jackson KA, Low JWL, Napier EC, Hickey MC. Minimal adverse events occur when inducing emesis with apomorphine in brachycephalic, mesocephalic, and dolichocephalic dogs. J Am Vet Med Assoc 2024; 262:1-5. [PMID: 37948848 DOI: 10.2460/javma.23.08.0472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 10/16/2023] [Indexed: 11/12/2023]
Abstract
OBJECTIVE To determine risks of complications with emesis induction and whether facial conformation is associated with the frequency of complications. ANIMALS 1,788 client-owned dogs that presented immediately or by referral from a primary care veterinarian following ingestion of toxic or foreign materials. METHODS Patients with emesis induced with apomorphine for removal of toxic or foreign materials were retrospectively identified. Collected data included patient factors, routes of apomorphine administration, other therapies, adverse events, and patient outcomes. RESULTS 2 types of complications were identified in a very small number of patients (11 [0.6%]), with 3 (0.17%) having regurgitation postemesis and 8 (0.44%) having prolonged vomiting. No significant difference was found in the rates of repeated vomiting or regurgitation between brachycephalic dogs and nonbrachycephalic dogs (P = .375 and P = 1.00, respectively). Brachycephalic dogs had 1.6 times greater odds of having emesis induction due to toxin ingestion compared to foreign material ingestion. The presence of clinical signs of toxicity at the time of emesis induction was associated with regurgitation (P < .001), and the development of regurgitation was associated with admission to hospital (P = .001). CLINICAL RELEVANCE This study found no increased risk of complications when emesis was induced using apomorphine in brachycephalic breeds compared to nonbrachycephalic breeds, regardless of indication for emesis induction. Facial conformation is not a reason to withhold emesis induction.
Collapse
Affiliation(s)
- Ashlee E Harkins
- 1School of Veterinary Science, University of Sydney, Camperdown, NSW, Australia
| | - Arun Tharma Iswara
- 1School of Veterinary Science, University of Sydney, Camperdown, NSW, Australia
| | - Kayla A Jackson
- 1School of Veterinary Science, University of Sydney, Camperdown, NSW, Australia
| | - Jolyn W L Low
- 1School of Veterinary Science, University of Sydney, Camperdown, NSW, Australia
| | | | - Mara C Hickey
- 1School of Veterinary Science, University of Sydney, Camperdown, NSW, Australia
| |
Collapse
|
6
|
Tharwat M, El-Ghareeb WR, Almundarij TI. Depraved appetite in dromedary camels: Clinical, ultrasonographic, and postmortem findings. Open Vet J 2024; 14:652-663. [PMID: 38549572 PMCID: PMC10970125 DOI: 10.5455/ovj.2024.v14.i2.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Accepted: 01/16/2024] [Indexed: 04/02/2024] Open
Abstract
Background Camels are subjected to a wide variety of nutritional deficiencies as they are largely dependent upon grazing desert plants. As a consequence, the syndrome of pica or depraved appetite is occasionally seen in dromedary camels. The condition is manifested as chewing or eating abnormal things such as wood, dirt, bones, stones, clothes, plastics, mud, sand, or other inanimate objects. Aim This study was designed to investigate the clinical, ultrasonographic, and postmortem findings in dromedary camels with pica or depraved appetite. Methods Twenty-five camels of 5 days to 15 years were examined. Owner complaints included depraved appetite, loss of body condition, regurgitation of stomach content, and partial or complete absence of feces. Symptoms described were present for a period varying between 3 days, up to 12 months. The stomach compartments and small and large intestines were scanned using ultrasonography from the right and left sides of the abdomen. Necropsy was carried out on six female and three male camels where the thoracic and abdominal organs were examined with special attention to the digestive system. Results The affected animals had a history of gradual loss of body conditions, eating foreign objects, decreased or total absence of feces, and regurgitation of stomach content. Using ultrasound, the foreign body was imaged occluding completely or partially the intestines. Foreign bodies within the rumen could not be visualized with ultrasound. In cases where the rumen is impacted by sand, small pin-points revealing acoustic enhancement were imaged. Foreign bodies were removed from the rumen at exploratory rumenotomy (n = 11), laparotomy (n = 3), or at necropsy (n = 8) in the form of plastics, cloths, sand, mud, wool balls, robes, glasses, or even metallic objects which may be blunt or sharp. Sixteen (64%) of the camels were recovered while the remaining 9 (36%) did not survive. Conclusion The syndrome of pica or depraved appetite is an important condition in dromedary resulting in the ingestion of objects other than normal feed. Substantial economic losses are expected as a result of this syndrome. Ultrasonography of the digestive system may help the clinician in some cases to localize of occluding foreign bodies in the intestines, while in the transabdominal scanning of the stomach is valuable only in cases of sand impaction.
Collapse
Affiliation(s)
- Mohamed Tharwat
- Department of Clinical Sciences, College of Veterinary Medicine, Qassim University, Buraidah, Saudi Arabia
- Department of Animal Medicine, Faculty of Veterinary Medicine, Zagazig University, Zagazig, Egypt
| | - Waleed R. El-Ghareeb
- Department of Public Health, College of Veterinary Medicine, King Faisal University, Hofuf, Saudi Arabia
| | - Tariq I. Almundarij
- Department of Biomedical Sciences, College of Veterinary Medicine, Qassim University, Buraidah, Saudi Arabia
| |
Collapse
|
7
|
Walker HN, Cole G. Jejunal perforation and septic abdomen resulting from a choristoma in a dog. Can Vet J 2024; 65:29-32. [PMID: 38164377 PMCID: PMC10727160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
A 4.6-year-old spayed female German shepherd dog was admitted to a specialty hospital emergency service upon referral for suspected gastrointestinal foreign body obstruction. Free abdominal fluid was collected, and results of cytologic evaluation were consistent with a septic abdomen. An abdominal barium study revealed free gas and intraperitoneal barium, along with an obstructive gas pattern within the small bowel. Ultrasonography revealed a full-thickness jejunal perforation. On exploratory laparotomy, the perforation was noted to be located mid-jejunum with no associated mass or foreign material. A resection and anastomosis were completed. Histopathologic evaluation of the affected jejunal tissue showed aberrant gastric glandular epithelium consistent with a gastric choristoma, or heterotopic gastric tissue. Key clinical message: Clinicians should consider gastric glandular choristoma as a differential diagnosis in cases of seemingly idiopathic small intestinal perforation with no known cause (i.e., foreign body penetration, neoplasia, NSAID use), and histopathologic evaluation should always be done to obtain a definitive diagnosis.
Collapse
Affiliation(s)
- Hunter N Walker
- Gulf Coast Veterinary Specialists (GCVS), 8042 Katy Freeway, Houston, Texas 77024, USA
| | - Grayson Cole
- Gulf Coast Veterinary Specialists (GCVS), 8042 Katy Freeway, Houston, Texas 77024, USA
| |
Collapse
|
8
|
Vincent EC, Fayette MA, Beckwith MK, Ivančić M, Garner MM. USE OF HYSTEROSCOPIC MORCELLATION WITH A MYOSURE ® DEVICE FOR REMOVAL OF UTERINE FOREIGN MATERIAL IN AN ORANGUTAN ( PONGO SP.). J Zoo Wildl Med 2024; 54:879-883. [PMID: 38252015 DOI: 10.1638/2023-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/11/2023] [Indexed: 01/23/2024] Open
Abstract
A 36-yr-old female intact hybrid orangutan (Pongo sp.) presented with evidence of chronic bacterial cystitis with no response to treatment with multiple systemic antibiotics. Abnormalities were identified within the reproductive tract on CT scan, and hysteroscopy was pursued based on the recommendation of an obstetrician-gynecologist. Hysteroscopic examination revealed a large amount of intrauterine foreign material consistent with wood wool from the orangutan's bedding. A hysteroscopic morcellator (MyoSure®) was used to remove the foreign material. Histologic examination of endometrial biopsies showed severe suppurative to pyogranulomatous endometritis with intralesional foreign (wood) fibers and bacteria. The orangutan was treated with antibiotics, but evidence of bacterial cystitis persisted. After 15 wk, additional wood wool was identified within the uterus by hysteroscopic examination and was removed similarly. Five months later, there was no recurrence of foreign material on hysteroscopy or CT. This report describes the first documentation of intrauterine foreign material in a nonhuman primate. Hysteroscopic morcellation is a useful technique for noninvasive removal of intrauterine foreign material in great apes.
Collapse
|
9
|
Yong K, Luo Z, Yang Q, Li Y, Lv Q, Dai X, Zhong L, Huang Y, Cao AS. Diagnosis and treatment of traumatic reticulitis associated with abomasal obstruction in beef cattle during late pregnancy: A case report. Open Vet J 2023; 13:1776-1782. [PMID: 38292727 PMCID: PMC10824089 DOI: 10.5455/ovj.2023.v13.i12.27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 11/30/2023] [Indexed: 02/01/2024] Open
Abstract
Background Traumatic reticulitis (TR) and abomasal obstruction are common digestive diseases in beef cattle. In clinical practice, these two conditions are often detected alone and rarely occur at the same time. Surgical therapy is an effective approach to treat both of these diseases. However, there are no reports on the treatment of abomasal obstruction in cattle induced by TR. Case Description We here report a rare case of the diagnosis and treatment of TR associated with abomasal obstruction in a beef cow during late pregnancy. The affected cattle had an iron wire that was piercing the wall of the reticulum, but did not penetrate the wall; the abomasum was blocked and appeared solid; and the fetus survived well in utero (268 days gestation). To save the lives of the cow and fetus on the same day, a cesarean section was first performed, followed by rumenotomy, the foreign body (wire) was removed, and abomasotomy was finally performed. The fetus removed by cesarean section grew well, and the beef cow recovered and successfully became pregnant again. Conclusion This case thus offers guidance for the timely diagnosis, effective treatment, and postoperative management of these digestive diseases in cattle to prevent progression and further complications.
Collapse
Affiliation(s)
- Kang Yong
- College of Animal Science and Technology, Chongqing Three Gorges Vocational College, Chongqing, China
- These authors have contributed equally to this work
| | - Zhengzhong Luo
- The Key Laboratory of Animal Disease and Human Health of Sichuan Province, College of Veterinary Medicine, Sichuan Agricultural University, Chengdu, China
- These authors have contributed equally to this work
| | - Qingwen Yang
- College of Animal Science and Technology, Chongqing Three Gorges Vocational College, Chongqing, China
| | - Yunning Li
- Balin Zuoqi Benda Animal Husbandry Service Co., Ltd., Chifeng, China
| | - Qian Lv
- College of Animal Science and Technology, Chongqing Three Gorges Vocational College, Chongqing, China
| | - Xixi Dai
- College of Animal Science and Technology, Chongqing Three Gorges Vocational College, Chongqing, China
| | - Liangpeng Zhong
- Guangxi Aigele Agriculture and Animal Husbandry Technology Co., Ltd., Guigang, China
| | - Yixin Huang
- The Key Laboratory of Animal Disease and Human Health of Sichuan Province, College of Veterinary Medicine, Sichuan Agricultural University, Chengdu, China
| | - and Suizhong Cao
- The Key Laboratory of Animal Disease and Human Health of Sichuan Province, College of Veterinary Medicine, Sichuan Agricultural University, Chengdu, China
| |
Collapse
|
10
|
Qin N, Lye G, Mathis K, Stewart G. Successful intraoperative ultrasound-guided retrieval of intracranial grass seed foreign body in a 4-month-old puppy. Vet Radiol Ultrasound 2023; 64:E88-E92. [PMID: 37904337 DOI: 10.1111/vru.13307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 10/06/2023] [Accepted: 10/06/2023] [Indexed: 11/01/2023] Open
Abstract
A 4-month-old female-entire Vizsla dog was referred for progressive seizure activity, vomiting, lethargy, inappetence, and neck pain. CT revealed focal inflammation, a calvarial osseous defect, a possible foreign body within the brain, and associated vasogenic edema. A cerebrospinal fluid tap revealed marked septic neutrophilic pleocytosis. MRI findings supported diagnosis of a 1.7 cm foreign body within the brain. A right rostrotentorial craniectomy was performed, and intraparenchymal grass seed was removed in its entirety via intraoperative ultrasound guidance. The patient was discharged 2 days postoperatively, and long-term follow-up revealed no abnormal neurological signs.
Collapse
Affiliation(s)
- Nancy Qin
- Department of Surgery, Animal Referral Centre, Auckland, New Zealand
| | - Gordon Lye
- Department of Diagnostic Imaging, Animal Referral Centre, Auckland, New Zealand
| | - Karl Mathis
- Department of Surgery, Animal Referral Centre, Auckland, New Zealand
| | - Georgina Stewart
- Department of Neurology, Animal Referral Centre, Auckland, New Zealand
| |
Collapse
|
11
|
Finstad JB, Cooper E, Ten Cate SC, Yaxley P, Her J, Guillaumin J. Infrared thermography is a novel tool to assess small intestinal surface temperature in dogs undergoing laparotomy for foreign body obstruction. Am J Vet Res 2023; 84:ajvr.23.04.0082. [PMID: 37619614 DOI: 10.2460/ajvr.23.04.0082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Accepted: 08/03/2023] [Indexed: 08/26/2023]
Abstract
OBJECTIVE To evaluate local temperature differences directly over and adjacent to small intestinal foreign body obstruction (FBO) using infrared thermography (IRT) in dogs. ANIMALS 49 client-owned dogs were initially enrolled. METHODS In a prospective, clinical observational study, IRT was utilized to compare median small intestinal (SI) surface temperature differences at the site of FBO and segments oral and aboral before and after surgical resolution from April 24, 2019, to July 19, 2020. These differences were evaluated for correlation with canine acute patient physiologic and laboratory evaluation fast (APPLEfast) scoring, lactate, foreign body material (hard vs soft), and blood pressure. RESULTS There was not a significant surface temperature difference between SI segments at the site of FBO, oral or aboral. After resolution of obstruction, there was a significant decrease in median temperature directly over the FBO (2.4 °C; IQR, -2.55 to 10.6 °C; P = .0043). A decrease in surface temperature of the oral SI segment was appreciated with FBO due to hard material (-1.7 °C; IQR, -5.2 to 3.4 °C), whereas soft material had an increase in SI surface temperature oral to the FBO (+1.1 °C; IQR, 0.3 to 3.2 °C). This difference did not achieve significance (P = .08; Z = 1.75). No correlation was found between APPLEfast, lactate, or blood pressure and SI segment temperatures. CLINICAL RELEVANCE IRT may be useful diagnostic modality to identify changes in small intestinal surface temperature relating to FBO. Further evaluation is warranted to determine if IRT may be a clinically useful to evaluate intestinal perfusion.
Collapse
Affiliation(s)
- Joanna B Finstad
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH
| | - Edward Cooper
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH
| | - Soscha C Ten Cate
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH
| | - Page Yaxley
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH
| | - Jiwoong Her
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH
| | - Julien Guillaumin
- Department of Clinical Sciences, College of Biomedical and Veterinary Sciences, Colorado State University, Fort Collins, CO
| |
Collapse
|
12
|
Henke CS, Beal MW, Walton RAL, Finstad JB, Newmans BK, Sliman MP, Racette MA, Levy NA. Retrospective evaluation of the clinical course and outcome of zinc toxicosis due to metallic foreign bodies in dogs (2005-2021): 55 cases. J Vet Emerg Crit Care (San Antonio) 2023; 33:676-684. [PMID: 37846884 DOI: 10.1111/vec.13330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 06/15/2022] [Accepted: 06/30/2022] [Indexed: 10/18/2023]
Abstract
OBJECTIVE To describe the overall clinical course of zinc toxicosis in dogs including source, time to source control, incidence of hemolytic anemia, acute liver injury (ALI), acute kidney injury (AKI), and pancreatitis. DESIGN Retrospective case series from 2005 to 2021. SETTING Six university veterinary teaching hospitals. ANIMALS Fifty-five client-owned dogs with known zinc toxicosis due to metallic foreign body (MFB) ingestion. MEASUREMENTS AND MAIN RESULTS The most common source of zinc was US pennies minted after 1982 (67.3%). Forty-five of 55 (81.8%) dogs survived and 10 of 55 (18.2%) died or were euthanized. Median length of hospitalization for survivors and nonsurvivors was 3 days. The most common clinical sequelae of zinc toxicosis were anemia (87%), ALI (82%), coagulopathy (71%), thrombocytopenia (30.5%), AKI (26.9%), and acute pancreatitis (5.5%). Most dogs (67.3%) required blood products and 83% of dogs achieved a stable HCT or PCV in a median of 24 hours after MFB removal. The median duration of illness prior to presentation was 48 hours for both survivors and nonsurvivors and there was no impact of time to presentation on the incidence of ALI, AKI, or pancreatitis. CONCLUSIONS Zinc toxicosis secondary to MFB ingestion should be considered a differential diagnosis for dogs with gastrointestinal signs, hemolytic anemia, ALI, hemostatic abnormalities, AKI, and pancreatitis. AKI may be a more common sequela of zinc toxicosis than previously suspected. Acute pancreatitis is a rare but potentially serious sequela to zinc toxicosis.
Collapse
Affiliation(s)
- Cameron S Henke
- Department of Small Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, East Lansing, Michigan, USA
| | - Matthew W Beal
- Department of Small Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, East Lansing, Michigan, USA
| | - Rebecca A L Walton
- Department of Veterinary Clinical Sciences, Iowa State University College of Veterinary Medicine, Ames, Iowa, USA
| | - Joanna B Finstad
- The Ohio State University College of Veterinary Medicine, Columbus, Ohio, USA
| | - Brooke K Newmans
- University of Georgia College of Veterinary Medicine, Athens, Georgia, USA
| | - Michael P Sliman
- Department of Small Animal Emergency and Critical Care, Purdue University College of Veterinary Hospital, West Lafayette, Indiana, USA
| | - Molly A Racette
- Department of Medical Sciences, University of Wisconsin-Madison School of Veterinary Medicine, Madison, Wisconsin, USA
| | - Nyssa A Levy
- Department of Small Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, East Lansing, Michigan, USA
| |
Collapse
|
13
|
M de Souza HJ, Alves CR, Castro SM, Pedro JF, Meirelles ACA. Foreign body ingestion due to detachment of pill dispenser tips in cats: a retrospective study of 13 cases. J Feline Med Surg 2023; 25:1098612X231201808. [PMID: 37906200 PMCID: PMC10812022 DOI: 10.1177/1098612x231201808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Abstract
OBJECTIVES The aim of this study was to evaluate and describe 13 cases in which a pet piller broke during the administration of medication, and the tip was accidentally ingested by the cat. METHODS A total of 15 presentations to the clinic were identified in a private practice database involving 13 cats in which the silicone tip broke. Two of these cats ingested foreign bodies on two separate occasions. Routine radiographic examination enabled the identification of silicone tips in all animals. On 2/15 occasions, the cats did not receive an emetic drug. Intramuscular xylazine (0.2 mg/kg) and dexmedetomidine (6 μg/kg) were administered to 12/15 and 1/15 cats, respectively. RESULTS The cats were aged 3-17 years (mean age 11.00 ± 4.35 years). Vomiting occurred in 13 cats that received alpha-2 adrenoceptor agonists, although the silicone tip was recovered in only five occurrences. In 9/15 occurrences, endoscopy was performed under general inhalation anesthesia, and the silicone tip was successfully removed. Natural elimination occurred in only one case. CONCLUSIONS AND RELEVANCE The use of pet pillers with detachable silicone tips increases the risk of accidental foreign body ingestion by animals. Therefore, guidelines regarding safety standards for manufacturing would be beneficial. No cat in this series developed clinical signs related to the ingestion of the piller tip, probably because of the quick presentation by the owners and early intervention, including endoscopic retrieval. Surgical intervention was not required in any case, including one in which the foreign body was lodged within the small intestine before being passed naturally by the cat.
Collapse
Affiliation(s)
- Heloisa Justen M de Souza
- Department of Veterinary Medicine and Surgery, University Federal Rural of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Camila R Alves
- University Federal Rural of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Sarah M Castro
- Clínica Veterinária Gatos e Gatos Vet, Botafogo, Rio de Janeiro, Brazil
| | - Julia F Pedro
- Clínica Veterinária Gatos e Gatos Vet, Botafogo, Rio de Janeiro, Brazil
| | | |
Collapse
|
14
|
Rahn AP, Moore GE, Risselada M. Postoperative injectable opioid use and incidence of surgical site complications after use of liposomal bupivacaine in canine gastrointestinal foreign body surgery. Vet Surg 2023; 52:1024-1031. [PMID: 37365778 DOI: 10.1111/vsu.13976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 04/07/2023] [Accepted: 05/29/2023] [Indexed: 06/28/2023]
Abstract
OBJECTIVE To compare postoperative analgesic use and postoperative complications between dogs that received liposomal bupivacaine (LB) during surgical gastrointestinal foreign body (GIFB) removal and those that did not. STUDY DESIGN Retrospective study. ANIMALS Two hundred five dogs. METHODS Medical records for all dogs with GIFB removal at the Purdue University Veterinary Hospital between May 2017 and August 2021 were searched. Incomplete records and dogs with less than 2 weeks' veterinary follow up were excluded. Data collected included: patient information, time until surgery, intraoperative findings, surgical data (including perforation at time of surgery, linear vs. solid, enterotomy vs. enterectomy), use of LB (including time and manner of administration), time to extubation after surgery, in-hospital postoperative analgesic use and duration, and postoperative complications. Fentanyl was noted as used/not used, quantified as mean hourly rate over 12 h intervals. All analyses were performed using commercial statistical software with p < .05 as the significance level. RESULTS Dogs that received LB were heavier (n = 65, median 28.5 kg) than those that did not (n = 140, median 24.4 kg) (p = .005). Postoperative fentanyl use (p < .05 between 13 and 72 h) and hourly rates (p < .05 between 13 and 48 h) were less, and postoperative time in the intensive care unit (ICU) (p < .001) and hospital were shorter (p < .001) in dogs receiving LB. Postoperative wound complications were seen in 7/65 dogs (10.8%, 95% CI = 4.4-21.0%) with LB and 4/140 (2.9%, 95% CI = 0.8-7.2%) without LB (p = .039). CONCLUSION Use of LB was associated with reduced postoperative analgesic use, and shortened ICU and hospital stay but also with wound complications. CLINICAL SIGNIFICANCE Caution should be used when using LB in (clean) contaminated surgeries.
Collapse
Affiliation(s)
- Alexander P Rahn
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana, USA
| | - George E Moore
- Department of Veterinary Administration, Purdue University, West Lafayette, Indiana, USA
| | - Marije Risselada
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana, USA
| |
Collapse
|
15
|
Kilduff-Taylor A, Baines SJ. Endoscopic treatment of acute oropharyngeal stick injuries in dogs: 46 cases (2010-2020). J Small Anim Pract 2023; 64:635-641. [PMID: 37340777 DOI: 10.1111/jsap.13642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 09/02/2022] [Accepted: 05/25/2023] [Indexed: 06/22/2023]
Abstract
OBJECTIVES To review long-term outcomes of dogs with acute oropharyngeal stick injuries managed with rigid endoscopy at a UK referral centre. MATERIALS AND METHODS Retrospective analysis and follow-up with referring veterinary surgeons and owners of patients treated between 2010 and 2020. A medical record search was performed and data regarding signalment, clinical presentation, treatment and long-term outcomes were recorded. RESULTS Sixty-six dogs with acute oropharyngeal stick injury were identified and 46 (70.0%) of these had endoscopy of the wound. The dogs were of various breeds, ages (median=3 years; range 0.6 to 11 years) and weights (median=20.4 kg; range 7.7 to 38.4 kg) and 58.7% of patients were male. The median time from injury to referral was 1 day (range 2 hours to 7 days). Patients were anaesthetised, and injury tracts were explored using 0° and 30° forward-oblique, 2.7 mm diameter, 18 cm length rigid endoscopes with a corresponding 14.5 French sheath using saline infusion via gravity. All foreign material that could be grasped was removed using forceps. Tracts were flushed with saline and reinspected to confirm removal of all visible foreign material. Out of 40 dogs with long-term follow-up, 38 (95.0%) had no major long-term complications. The remaining two dogs developed cervical abscessation after endoscopy, one of which resolved after repeat endoscopy and the other resolved after open surgery. CLINICAL SIGNIFICANCE Long-term follow-up of dogs with acute oropharyngeal stick injury managed with rigid endoscopy showed an excellent outcome in 95.0% of cases.
Collapse
Affiliation(s)
- A Kilduff-Taylor
- Willows Veterinary Centre and Referral Service, Highlands Road, Solihull, West Midlands, B90 4NH, UK
| | - S J Baines
- Willows Veterinary Centre and Referral Service, Highlands Road, Solihull, West Midlands, B90 4NH, UK
| |
Collapse
|
16
|
Manzoni S, Santos M, Leveugle A, Dekerle B, Garnier P, Maurice E, Decambron A, Mortier J, Manassero M, Viateau V. Preoperative computed tomography, surgical treatment and long-term outcomes of dogs with abscesses on migrating vegetal foreign bodies and oropharyngeal stick injuries: 39 cases (2010-2021). J Small Anim Pract 2023; 64:581-589. [PMID: 37382056 DOI: 10.1111/jsap.13624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 04/02/2023] [Accepted: 04/21/2023] [Indexed: 06/30/2023]
Abstract
OBJECTIVES This study evaluated success rates of surgical treatment of head and neck abscesses and draining tracts for suspected migrating vegetal foreign body and oropharyngeal penetrating injuries, and compared the outcomes according to whether a vegetal foreign body was identified in preoperative computed tomography (CT) examination. MATERIALS AND METHODS This retrospective study involved 39 dogs that underwent CT and subsequent surgical exploration of abscesses and/or draining tracts in the head and neck, in a single institution between 2010 and 2021. Recorded data included signalment, history, physical examination, CT and surgical findings. The postoperative follow-up period was at least 8 months. Cases were classified according to whether a foreign body was identified on CT or was only suspected because of the presence of cavities and/or draining tracts on CT. RESULTS A vegetal foreign body was identified on CT in 11 of 39 cases and later confirmed at surgery in 10 cases. In 28 of 39 cases, a vegetal foreign body was not identified on CT, but in seven of these 28 cases it was found at surgery. Resolution of clinical signs was achieved in 11 of 11 cases when a vegetal foreign body was identified on CT and in 26 of 28 cases without a foreign body identified on CT. Two cases of recurrence were observed in animals in which no foreign body was detected. CLINICAL SIGNIFICANCE In this population of dogs undergoing surgery after preoperative CT scan, we observed resolution of clinical signs after a single surgical procedure in 95% of the cases. All animals in which a foreign body was identified were cured.
Collapse
Affiliation(s)
- S Manzoni
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - M Santos
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - A Leveugle
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - B Dekerle
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - P Garnier
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - E Maurice
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - A Decambron
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - J Mortier
- Department of Diagnostic Imaging, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - M Manassero
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| | - V Viateau
- Department of Small Animal Surgery, Paris-Est University, National Veterinary School of Alfort, 7 Avenue du Général de Gaulle, 94700, Maisons-Alfort, France
| |
Collapse
|
17
|
Brand EM, Brand KJ, Ogden JA, Lim CK, Heng HG. Ultrasonographic appearance of retained surgical sponges and gauzes in the acute postoperative period: a phantom and cadaveric study. Vet Radiol Ultrasound 2023; 64:957-965. [PMID: 37485635 DOI: 10.1111/vru.13281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Revised: 06/11/2023] [Accepted: 06/12/2023] [Indexed: 07/25/2023] Open
Abstract
Retained surgical sponges or gauzes (RSS) are an uncommon complication of exploratory laparotomy surgery and pose a clinically significant risk to the patient. The purpose of this two-part, prospective, descriptive study was to describe the previously uncharacterized ultrasonographic appearance of RSS in phantom and cadaveric models of the acute postoperative period (24-48 h). For the first part of the study, a gelatin phantom containing a woven gauze with a radiopaque marker (radiopaque gauze), a woven gauze with no marker (nonradiopaque gauze), and a laparotomy sponge with a radiopaque marker (radiopaque sponge) was evaluated with ultrasonography. For the second part of the study, a total of 23 gauzes and sponges (of the aforementioned three types) were placed within the peritoneal cavity of 20 cadavers in one of three randomized locations during an exploratory laparotomy laboratory. The cadavers were imaged with ultrasonography 17 h later and still images and video clips were reviewed. The retained surgical sponges and gauzes in the gelatin phantom displayed multiple hyperechoic layers and variable degrees of distal acoustic shadowing. In cadavers, 100% (23/23) of the retained surgical sponges and gauzes displayed a single hyperechoic layer of variable thickness and distal acoustic shadowing. In 95.6% (22/23) retained sponges and gauzes, there was a thin hypoechoic layer noted superficially to the hyperechoic layer. An improved understanding of the ultrasonographic appearance of retained sponges or gauzes in the acute postoperative period may assist in the identification of these objects.
Collapse
Affiliation(s)
- Emily M Brand
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA
- Animal Emergency and Specialty Center, Parker, CO, USA
| | - Kenneth J Brand
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA
- Animal Emergency and Specialty Center, Parker, CO, USA
| | - Jessica A Ogden
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA
| | - Chee Kin Lim
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA
- VetCT, Orlando, FL, USA
| | - Hock Gan Heng
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA
- VetCT, Orlando, FL, USA
| |
Collapse
|
18
|
Fischer C, Chalifoux N, Reineke E. Emesis induction is successful for recovery of gastric foreign objects in cats. J Am Vet Med Assoc 2023; 261:1363-1367. [PMID: 37257830 DOI: 10.2460/javma.23.03.0176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 05/11/2023] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To prospectively assess the efficacy of emesis induction for the recovery of gastric foreign objects in cats and to determine if any factors influenced recovery. ANIMALS 22 client-owned cats. PROCEDURES Cats for which emesis induction was deemed appropriate were administered an emetic agent by the attending clinician between October 2018 and April 2021. Data collected included whether emesis was successful in recovery in some or all of the foreign object, time from administration to emesis, number of emetic events, and type, length, width, and surface area of the material ingested. RESULTS Of the 22 cats that had emesis attempted, 11 (50%) vomited some or all of the foreign object. The time from ingestion to presentation, time from the last meal, presence of food in the vomitus, type of the object, and length, width, and surface area of the object did not influence the likelihood of successful recovery with emesis induction. The most common object cats ingested were rubber bands. CLINICAL RELEVANCE Recovery of gastric foreign objects in cats with emesis induction alone may be successful 50% of the time. The type and size of the object is unlikely to influence whether or not emesis will be successful. This information can help prepare cat-owners for expectations and outcomes following attempts at emesis induction.
Collapse
|
19
|
DeForge TL, Singh A, Appleby R, Yiew XT, Bersenas AM. Outcomes following combined median sternotomy and ventral midline laparotomy for bicavitary penetrating wooden foreign bodies. Can Vet J 2023; 64:839-843. [PMID: 37663025 PMCID: PMC10426240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/05/2023]
Abstract
Combined abdominal and thoracic pathology caused by extra-gastrointestinal migration of an ingested wooden foreign body (WFB) is an uncommon but serious injury. Presenting clinical signs are typically nonspecific and, in the absence of observed WFB ingestion, diagnosis is challenging. Treatment requires concurrent abdominal and thoracic surgical exploration to remove the WFB and address injuries caused by its migration. This case series describes perioperative characteristics and outcomes in 4 dogs following combined median sternotomy and ventral midline laparotomy (CMSVML) for bicavitary penetrating WFBs. Key clinical message: Treatment of bicavitary penetrating WFBs with CMSVML provided postoperative outcomes similar to those in previous reports; however, high-grade complications and prolonged hospitalization were commonly encountered.
Collapse
Affiliation(s)
- Teagan L DeForge
- Department of Clinical Sciences, Ontario Veterinary College, University of Guelph, 28 College Avenue West, Guelph, Ontario N1G 2W1
| | - Ameet Singh
- Department of Clinical Sciences, Ontario Veterinary College, University of Guelph, 28 College Avenue West, Guelph, Ontario N1G 2W1
| | - Ryan Appleby
- Department of Clinical Sciences, Ontario Veterinary College, University of Guelph, 28 College Avenue West, Guelph, Ontario N1G 2W1
| | - Xiu Ting Yiew
- Department of Clinical Sciences, Ontario Veterinary College, University of Guelph, 28 College Avenue West, Guelph, Ontario N1G 2W1
| | - Alexa M Bersenas
- Department of Clinical Sciences, Ontario Veterinary College, University of Guelph, 28 College Avenue West, Guelph, Ontario N1G 2W1
| |
Collapse
|
20
|
Rosenstein NA, Johnson JA, Kirchofer KS. Ropinirole has similar efficacy to apomorphine for induction of emesis and removal of foreign and toxic gastric material in dogs. J Am Vet Med Assoc 2023; 261:1140-1146. [PMID: 37072118 DOI: 10.2460/javma.23.01.0027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 03/30/2023] [Indexed: 04/20/2023]
Abstract
OBJECTIVE Assess efficacy of ropinirole versus apomorphine in inducing vomiting in dogs. ANIMALS 279 client-owned dogs with known or suspected ingestion of a foreign material (n = 129) or toxin (150) between August 2021 and February 2022. PROCEDURES In this non-randomized non-controlled clinical trial, ropinirole topical ophthalmic solution was applied to dogs' eyes, with a target dose of 3.75 mg/m2. A second dose was administered after 15 minutes based on clinician discretion. Reversal with metoclopramide was provided based on clinician discretion. Results of ropinirole's efficacy were compared to previous literature assessing the efficacy of apomorphine. RESULTS Of 279 dogs, 255 (91.4%) vomited after ropinirole administration, including 116 of the 129 dogs (89.9%) dogs that ingested foreign material and 139 of the 150 dogs (92.7%) that ingested toxins. Success of emesis did not differ between groups. With a single dose of ropinirole, 78.9% produced vomit. Fifty-nine dogs received 2 doses of ropinirole, resulting in 79.7% that produced vomit. Overall, 74.2% of the dogs vomited all the expected ingested material. Average time to emesis was 11.0 minutes with 50% of dogs vomiting within 7 to 18 minutes. Adverse effects were observed for 17.0% of dog and were self-limiting. Ropinirole was less effective than apomorphine in inducing vomiting (91.4% ropinirole, 95.6% apomorphine [P < .0001]) and equally effective at evacuating all ingested material (74.2% ropinirole, 75.6% apomorphine [P = .245]). CLINICAL RELEVANCE Ropinirole ophthalmic solution is a safe and effective emetic for use in dogs. It has a small but statistically significant decrease in efficacy compared to IV apomorphine.
Collapse
|
21
|
Puzio CE, Rudloff E, Pigott AM. Delay of definitive care in cats and dogs with gastrointestinal foreign body obstruction following antiemetic administration: 537 cases (2012-2020). J Vet Emerg Crit Care (San Antonio) 2023; 33:442-446. [PMID: 37436922 DOI: 10.1111/vec.13315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 05/03/2022] [Accepted: 06/02/2022] [Indexed: 07/14/2023]
Abstract
OBJECTIVE To determine whether administration of antiemetic medication to dogs and cats with gastrointestinal foreign body obstruction (GIFBO) delays time to definitive care (surgery or endoscopy) and increases the risk of complications. DESIGN Retrospective study (January 2012-July 2020). SETTING Private referral center. ANIMALS Five hundred and thirty-seven (440 dogs and 97 cats). INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Medical records of dogs and cats with GIFBO were reviewed for antiemetic administration at the onset of clinical signs, time from onset of clinical signs to first intervention and definitive care, GIFBO-related complications, and length of hospitalization. Antiemetics were prescribed for 200 of 537 patients (158 dogs, 42 cats). Antiemetic administration was associated with an increased time between the onset of clinical signs and definitive care (3.2 days [95% confidence interval, CI, 2.8-3.5] vs. 1.6 days [95% CI, 1.4-2.0]; P < 0.001) but not with GIFBO-associated complications (P = 0.45). Antiemetic administration was associated with an increased length of hospitalization (1.6 days [95% CI, 1.4-1.7] vs. 1.1 days [95% CI, 1.1-1.2]; P < 0.001). A longer duration of clinical signs prior to intervention was associated with GIFBO-related complications (P < 0.001) regardless of antiemetic administration. CONCLUSIONS Antiemetic administration in patients with GIFBO was associated with increased time to definitive care and length of hospitalization but not GIFBO-associated complications. Antiemetics are not inherently contraindicated in patients for whom GIFBO is a differential, but clients should be counseled to monitor for progression of clinical signs and follow-up accordingly.
Collapse
Affiliation(s)
- Claire E Puzio
- Department of Emergency and Critical Care, BluePearl Specialty and Emergency Pet Hospital, Glendale, Wisconsin, USA
| | - Elke Rudloff
- Department of Emergency and Critical Care, BluePearl Specialty and Emergency Pet Hospital, Glendale, Wisconsin, USA
| | - Armi M Pigott
- Department of Emergency and Critical Care, BluePearl Specialty and Emergency Pet Hospital, Glendale, Wisconsin, USA
| |
Collapse
|
22
|
Gollnick HR, Schmiedt CW, Wallace ML, Sutherland BJ, Grimes JA. Retrospective evaluation of surgical treatment of linear and discrete gastrointestinal foreign bodies in cats: 2009-2021. J Feline Med Surg 2023; 25:1098612X231178140. [PMID: 37350262 PMCID: PMC10811983 DOI: 10.1177/1098612x231178140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2023]
Abstract
OBJECTIVES Gastrointestinal foreign bodies (FBs) are an important cause of emergency surgical intervention in cats, but little information exists in the literature evaluating the risks and outcomes in this species. The study purpose was to describe cases of feline FBs and compare perioperative factors and outcomes between linear foreign body (LFB) and discrete foreign body (DFB) surgery in cats. METHODS The medical records from the University of Georgia Veterinary Teaching Hospital were searched for cats that had undergone surgery for FB removal between August 2009 and August 2021. Perioperative data were collected and described. Data were compared between cats with an LFB and cats with a DFB. A binomial probability series was used to estimate the likelihood of postoperative septic peritonitis or mortality in an additional cat in the series. RESULTS A total of 56 cats were included in this study; 38 cats had a DFB and 18 had an LFB. No cats developed postoperative septic peritonitis, and all cats survived. The likelihood of postoperative septic peritonitis or mortality in an additional cat was estimated to be <5.2%. Cats with an LFB were found to have a significantly higher body condition score (P = 0.047), albumin (P = 0.025), American Society of Anesthesiologists status (P = 0.027), surgery length (P <0.001) and total cost of visit (P = 0.006) when compared with cats with a DFB. Cats with LFBs were more likely to develop a surgical site infection (SSI; P = 0.007) and be administered postoperative antibiotics (P = 0.017). CONCLUSIONS AND RELEVANCE Cats undergoing surgery for gastrointestinal FBs had a low incidence of postoperative complications. Cats with LFBs had longer surgeries and were more likely to develop postoperative SSIs.
Collapse
Affiliation(s)
- Hailey R Gollnick
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine at the University of Georgia, Athens, GA, USA
| | - Chad W Schmiedt
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine at the University of Georgia, Athens, GA, USA
| | - Mandy L Wallace
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine at the University of Georgia, Athens, GA, USA
| | - Brian J Sutherland
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine at the University of Georgia, Athens, GA, USA
| | - Janet A Grimes
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine at the University of Georgia, Athens, GA, USA
| |
Collapse
|
23
|
Flageollet J, Poujol L, Jolivet F, Baudin Trehiou C, Lafuma F, Bernardin F. Bronchoscopic findings in dogs with bronchial vegetal foreign bodies: 84 cases (2010-2020). J Small Anim Pract 2023; 64:384-391. [PMID: 36964986 DOI: 10.1111/jsap.13600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 12/30/2022] [Accepted: 01/25/2023] [Indexed: 03/27/2023]
Abstract
OBJECTIVES To describe endoscopic findings, foreign body location, success rate of removal and complications in dogs with bronchial vegetal foreign bodies. MATERIALS AND METHODS The current study retrospectively evaluated the case records of dogs diagnosed with bronchial vegetal foreign bodies at a veterinary hospital centre between January 2010 and April 2020. Information retrieved included breed, sex, age, bodyweight, the season of presentation, presentation and duration of clinical signs, previous removal attempts performed by the referring veterinarian, foreign body location and endoscopic and imaging findings. RESULTS Eighty-four cases were included. Fifty-nine dogs (70%) presented during spring and summer. Cough (77 of 84; 92%) and fever (15 of 84; 18%) were the main clinical signs. One to 10 bronchial vegetal foreign bodies were removed from each dog. Purulent exudate was observed in the ventral larynx, trachea and bronchi in 49 (65%), 61 (81%) and 71 (95%) dogs, respectively. In most cases, only the barbules of the vegetal foreign bodies were initially observed during endoscopy. The presence of large bronchial nodules or an irregular mucosal surface was a frequent finding (62 of 75; 83%). Mild bleeding was the main complication (58 of 75; 77%) of endoscopic removal, which was successful in 67 of the 84 (80%) cases. CLINICAL SIGNIFICANCE Mucosal nodules associated with purulent material within the airways are frequent endoscopic findings in dogs with bronchial vegetal foreign bodies. Bronchoscopy is a relatively safe and useful technique for diagnosis and treatment of bronchial vegetal foreign bodies in dogs.
Collapse
Affiliation(s)
- J Flageollet
- Centre Hospitalier Vétérinaire Fregis, Arcueil, France
| | - L Poujol
- Centre Hospitalier Vétérinaire Languedocia, Montpellier, France
| | - F Jolivet
- Centre Hospitalier Vétérinaire Languedocia, Montpellier, France
| | | | - F Lafuma
- Centre Hospitalier Vétérinaire Languedocia, Montpellier, France
| | - F Bernardin
- Centre Hospitalier Vétérinaire Atlantia, Nantes, France
| |
Collapse
|
24
|
Kan T, Hess RS, Clarke DL. Clinical findings and patient outcomes following surgical treatment of chronic gastrointestinal foreign body obstructions in dogs and cats: 72 cases (2010-2020). Can J Vet Res 2022; 86:311-315. [PMID: 36211212 PMCID: PMC9536220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 06/24/2022] [Indexed: 04/03/2023]
Abstract
The objective of this study was to characterize clinicopathologic factors and outcomes for dogs and cats with chronic small intestinal foreign body obstructions (CFBO). Medical records of 72 dogs and cats diagnosed with CFBO between 2010 to 2020 were reviewed for duration of clinical signs, pre-surgical and intraoperative findings, complications, and outcomes. A chronic foreign body was defined as clinical signs, or the observation of foreign material ingestion, at least 7 days prior to presentation. Twenty-two (31%) patients had a small intestinal resection and anastomosis (SIRA) and were more likely to have longer duration of clinical signs (P = 0.01). Eleven (15%) patients developed major post-operative complications. Sixty-eight (94%) patients survived to follow-up. Although all patients that did not survive (n = 4, 100%) had a SIRA, patients with CFBO had a high survival rate. Therefore, clients should not be deterred from pursuing surgical intervention.
Collapse
Affiliation(s)
- Tiffany Kan
- Surgery (Kan), Internal Medicine (Hess), Interventional Radiology & Critical Care (Clarke), Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Rebecka S Hess
- Surgery (Kan), Internal Medicine (Hess), Interventional Radiology & Critical Care (Clarke), Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Dana L Clarke
- Surgery (Kan), Internal Medicine (Hess), Interventional Radiology & Critical Care (Clarke), Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| |
Collapse
|
25
|
Bruwier A, Fouhety A, Boursier JF, Leperlier D, Bedu AS. Ultrasonographic and computed tomographic features of a true gastro-gastric intussusception with concurrent foreign bodies in a dog. Can Vet J 2022; 63:407-410. [PMID: 35368404 PMCID: PMC8922379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
A 2-year-old intact male Cane Corso dog was presented for acute weakness, vomiting, and diarrhea. Abdominal ultrasound revealed the stomach had severe wall edema and a target appearance. Computed tomography was consistent with a gastro-gastric intussusception and concurrent mineral-like gastric foreign bodies. After reduction of the intussusception, bilateral incisional gastropexy was performed to prevent recurrence. True gastrogastric intussusception is a rare condition and should be considered if the stomach has severe wall edema with a target sign on abdominal ultrasound. Computed tomography was useful to confirm this rare diagnosis and screen the entire abdomen for concurrent lesions. Key clinical message: This case highlights the usefulness of a CT examination to confirm this rare diagnosis, to determine the position of gastric compartments, and to detect potential concurrent lesions prior to surgery.
Collapse
Affiliation(s)
- Aurélie Bruwier
- Centre Hospitalier Vétérinaire Pommery, 226 bd Pommery, 51100 REIMS, France
| | - Aurore Fouhety
- Centre Hospitalier Vétérinaire Pommery, 226 bd Pommery, 51100 REIMS, France
| | | | - Dimitri Leperlier
- Centre Hospitalier Vétérinaire Pommery, 226 bd Pommery, 51100 REIMS, France
| | - Anne-Sophie Bedu
- Centre Hospitalier Vétérinaire Pommery, 226 bd Pommery, 51100 REIMS, France
| |
Collapse
|
26
|
Brant BJ, Singleton DA, Noble PJM, Radford AD. Seasonality and risk factors for grass seed foreign bodies in dogs. Prev Vet Med 2021; 197:105499. [PMID: 34583207 DOI: 10.1016/j.prevetmed.2021.105499] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 09/16/2021] [Accepted: 09/18/2021] [Indexed: 10/20/2022]
Abstract
Grass seed foreign bodies (GSFBs) are a familiar presentation, especially in dogs, associated with a variety of clinical signs depending on site of penetration and extent of migration. Seasonality and risk factors for GSFB occurrence were investigated using electronic health records from a sentinel voluntary network of 245 veterinary practices in the United Kingdom between 17th March 2014 and 18th September 2020. Clinical narrative text mining of 4,580,503 canine consultations produced a final case dataset of 1,037 consultations where GSFBs had been recorded in individual dogs. Cases of GSFBs were recorded in all months, with 940 (90.6 %) recorded between June and September. In particular, the odds of GSFBs in July was almost 176 times more than that of January (Odds ratio, OR, 175.6, 95 % Confidence interval, CI, 43.5-707.7, P < 0.001). Compared to the retriever breed type, spaniel breed types were 7.7 times more likely to present with a GSFB (CI 5.4-11.0, P < 0.001). Other significant risk factors associated with recorded GSFBs for this population included being male (OR = 1.4, CI 1.2-1.6, P < 0.001), and geographical location. When compared to the South East of England, risk was lowest in Wales (OR = 0.1, CI 0.0-0.3, P=<0.001), and highest in the East of England (OR = 1.9, 1.2-2.9, P = 0.003), and overall risk in urban areas was reduced (OR = 0.8, CI 0.7-1.0, P = 0.024). These observations provide a number of areas for temporally targeted health campaigns at specific types of dogs, to reduce the impact of GSFBs on canine welfare.
Collapse
Affiliation(s)
- Bethaney J Brant
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, CH64 7TE, UK.
| | - David A Singleton
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, CH64 7TE, UK
| | - P J M Noble
- School of Veterinary Science, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, CH64 7TE, UK
| | - Alan D Radford
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, CH64 7TE, UK
| |
Collapse
|
27
|
Manabe H, Murakami M, Kendall A, Fulkerson CV. Tracheal stenosis following endotracheal intubation in a dog. Can Vet J 2021; 62:1289-1291. [PMID: 34857963 PMCID: PMC8591574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
A 2-month-old intact female Rottweiler was presented for investigation of coughing and respiratory distress 9 d after an exploratory laparotomy for intestinal foreign body removal. Tracheal stenosis was suspected by radiography and confirmed with computed tomography (CT) and tracheoscopy. After 1 wk of medical management, clinical signs had resolved and the severity of the tracheal narrowing was markedly improved, as confirmed by radiography and tracheoscopy. Tracheal stenosis is a considerable complication of endotracheal intubation in veterinary medicine and may be medically managed, depending on the severity of the tracheal injury. Key clinical message: To our knowledge, this is the first clinical case report of tracheal stenosis resulting from endotracheal intubation in a dog and its resolution after medical management.
Collapse
Affiliation(s)
- Hitomi Manabe
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA
| | - Masahiro Murakami
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA
| | - Allison Kendall
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA
| | - Caroline V Fulkerson
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA
| |
Collapse
|
28
|
Griffeuille E, Seriot P, Baudin-Tréhiou C, Gibert S, Blond L, Poujol L, Dunié-Mérigot A. Comparison of computed tomography and surgical findings and investigation of their associations with outcomes for dogs with sublumbar abscesses. J Am Vet Med Assoc 2021; 259:1300-1308. [PMID: 34727061 DOI: 10.2460/javma.20.07.0403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To describe and compare the results of preoperative CT and surgical findings in dogs with sublumbar abscesses and investigate potential associations between these variables and the outcome of abscess recurrence. ANIMALS 51 client-owned dogs. PROCEDURES A retrospective, records-based study was performed of dogs undergoing surgery for treatment of sublumbar abscesses diagnosed by use of CT between January 2010 and December 2018. Signalment, clinical signs, clinicopathologic data, CT findings, surgical techniques and findings, duration of hospitalization, postoperative treatment, and complications were recorded. Long-term follow-up was performed through telephone interviews. Logistic regression analysis was used to investigate associations between the variables of interest and abscess recurrence. RESULTS 51 dogs met the study inclusion criteria; 48 were included in outcome analysis. The CT findings agreed with surgical findings for identification of a migrating vegetal foreign body for 39 of 51 (77%) dogs. All dogs survived to hospital discharge; 1 dog died of hemoabdomen 3 days after surgery, and 6 had minor (surgical wound) complications reported. Abscess recurrence developed in 12 of 48 (25%) dogs with a median time to recurrence of 6 months. Identification of diskospondylitis on CT examination was the only investigated factor significantly associated with recurrence; odds of recurrence in dogs with this finding were 8.4 times those for dogs without this finding. CONCLUSIONS AND CLINICAL RELEVANCE Our results suggested dogs with sublumbar abscesses have a good prognosis after surgery, although recurrence can develop. Preoperative identification of diskospondylitis was significantly associated with abscess recurrence in this study sample.
Collapse
|
29
|
Abstract
A 3-year-old male domestic shorthair cat presented with sudden ataxia. Neurologic examination showed complete loss of proprioception in the thoracic and pelvic limbs. Computed tomography and magnetic resonance imaging revealed a non-metallic foreign body penetrating the spinal cord. The foreign body was removed by the ventral approach to the atlanto-occipital junction. Mild improvement of proprioception was observed the day after surgery. In a follow-up two months after surgery, the owner reported a complete recovery of the patient, showing a normal gait. To the author's knowledge, this is the first case report describing successful removal of an intramedullary foreign body penetrating cervical spinal cord by ventral approach in a cat.
Collapse
Affiliation(s)
- Kihoon KIM
- Baeksan Feline Medical Center, Nonhyun-ro 86-gil #22, Gangnam-Gu, Seoul, South Korea
| |
Collapse
|
30
|
Lopez DJ, Holm SA, Korten B, Baum JI, Flanders JA, Sumner JP. Comparison of patient outcomes following enterotomy versus intestinal resection and anastomosis for treatment of intestinal foreign bodies in dogs. J Am Vet Med Assoc 2021; 258:1378-1385. [PMID: 34061615 DOI: 10.2460/javma.258.12.1378] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To quantify the relative risk of intestinal dehiscence in dogs undergoing intestinal resection and anastomosis (IRA), compared with enterotomy, for surgical management of small intestinal foreign bodies, and to evaluate the association between nasogastric tube placement for early enteral nutrition (EEN) and hospitalization time. ANIMALS 211 dogs undergoing 227 surgeries for intestinal foreign body removal. PROCEDURES Medical records were reviewed for dogs undergoing a single-site sutured enterotomy or IRA for foreign body intestinal obstruction between May 2008 and April 2018. Multivariable logistic regression was used to quantify the association between surgical procedure and dehiscence. Multiple linear regression was used to quantify the association of nasogastric tube placement with total hospitalization time. RESULTS Dehiscence rates were 3.8% (7/183) and 18.2% (8/44) for enterotomy and IRA, respectively. Overall dehiscence rate for all surgeries was 6.6% (15/227). The odds of intestinal dehiscence for IRA were 6.09 times (95% CI, 1.89 to 19.58) the odds for enterotomy. An American Society of Anesthesiologists score > 3 (OR, 4.49; 95% CI, 1.43 to 14.11) and an older age (OR, 1.02 [95% CI, 1.01 to 1.02] for each 1-month increase in age) were significantly associated with greater odds of intestinal dehiscence, regardless of surgical procedure. Placement of a nasogastric tube was not associated with intestinal dehiscence or decreased total hospitalization time when controlling for the year of surgery. CONCLUSIONS AND CLINICAL RELEVANCE Patients undergoing IRA were at a significantly higher risk of intestinal dehiscence, compared with patients undergoing enterotomy. Although this finding should not be used to recommend enterotomy over IRA, this information may be useful in guiding owner expectations and postoperative monitoring.
Collapse
|
31
|
Scott G, Waffa BJ, DeVoe RS, Harms CA, Lewbart GA. Successful and unsuccessful nonsurgical removal of ingested golf balls and an artificial egg in four rat snakes ( Pantherophis alleghaniensis). J Am Vet Med Assoc 2021; 258:1135-1141. [PMID: 33944601 DOI: 10.2460/javma.258.10.1135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
CASE DESCRIPTION 4 wild adult rat snakes (Pantherophis alleghaniensis) were evaluated after ingesting spherical or ovoid foreign bodies. CLINICAL FINDINGS Physical examination revealed a large, firm mass at the level of the stomach in each snake. Radiographic findings were consistent with ingestion of a golf ball (3 snakes) or an artificial egg (1 snake). Signs consistent with prolonged impaction included scale loss, dermal abrasions, and apparent loss of body condition in one snake and regional skin ulceration, dehydration, and generalized muscle atrophy in another. TREATMENT AND OUTCOME Nonsurgical removal of the foreign body was attempted in anesthetized or heavily sedated snakes by external manipulation in the orad direction. A golf ball was removed through the oral cavity without complications in 1 snake. In the other 3 snakes, tension caused by the advancing foreign body resulted in full-thickness skin rupture in the cervical region. The procedure was completed with the use of a balloon catheter to aid foreign body advancement for 1 of the 3 snakes, and the skin defect was closed. The procedure was converted to esophagotomy for the other 2 snakes. Three snakes recovered and were released; 1 died of complications from prolonged impaction and esophageal perforation. CLINICAL RELEVANCE The described nonsurgical techniques for removal of ingested round or ovoid foreign bodies were associated with substantial complications in 3 of 4 treated rat snakes. Although a nonsurgical method for removal of ingested objects such as golf balls could benefit snakes, the methods used for these patients did not appear to be more beneficial than traditional gastrotomy.
Collapse
|
32
|
Grela M, Panasiuk-Flak K, Listos P, Gryzińska M, Buszewicz G, Chagowski W, Teresiński G. Post-mortem analysis of gunshot wounds to the head and thorax in dogs by computed tomography, radiography and forensic necropsy. Med Sci Law 2021; 61:105-113. [PMID: 33176553 DOI: 10.1177/0025802420971176] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
In view of the scarcity of literature data on the use of radiological imaging techniques in forensic veterinary medicine, while at the same time the number of reported crimes against animals involving the use of firearms is rising, this paper attempts to assess the usefulness of radiography and computed tomography (CT) in the post-mortem diagnosis of gunshot wounds (GSW) in comparison to classic necropsy. The design of the experiment was as follows: preparation of the research material (13 dog carcasses), shooting of the material from different distances (1.5 and 12 m, plus one contact shot to the head) and using different types of ammunition, followed by X-rays and CT scans in each case to examine the injuries resulting from the shot. The final steps of the experiment were photographic documentation and autopsy by the Virchow method. In the examined material, post-traumatic bone lesions and the presence of metallic foreign bodies were successfully imaged by both radiography and CT. GSW analysis using CT provided much better data quality and some additional information. Two general conclusions can be drawn from the results of the experiment. First, damage caused by gunshots is correlated with the calibre, initial velocity and kinetic energy of the projectile, as well as the distance from the muzzle of the gun to the object shot. Second, radiological examination is useful in preparing forensic veterinary opinions. Used as a complement to classic necropsy, they increase the possibility of an accurate post-mortem diagnosis of shooting victims.
Collapse
Affiliation(s)
- Małgorzata Grela
- Department and Clinic of Animal Internal Diseases, Sub-Department of Pathomorphology and Forensic Medicine, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Poland
| | - Kinga Panasiuk-Flak
- Department and Clinic of Animal Internal Diseases, Sub-Department of Pathomorphology and Forensic Medicine, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Poland
| | - Piotr Listos
- Department and Clinic of Animal Internal Diseases, Sub-Department of Pathomorphology and Forensic Medicine, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Poland
| | - Magdalena Gryzińska
- Institute of Biological Basis of Animal Production, Faculty of Animal Sciences and Bioeconomy, University of Life Sciences in Lublin, Poland
| | - Grzegorz Buszewicz
- Department of Forensic Medicine, II Faculty of Medicine with English Language Division, Medical University of Lublin, Poland
| | - Wojciech Chagowski
- Department of Forensic Medicine, II Faculty of Medicine with English Language Division, Medical University of Lublin, Poland
| | - Grzegorz Teresiński
- Department of Forensic Medicine, II Faculty of Medicine with English Language Division, Medical University of Lublin, Poland
| |
Collapse
|
33
|
Disease surveillance in England and Wales, October 2020. Vet Rec 2020; 187:390-4. [PMID: 33188114 DOI: 10.1136/vr.m4416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
34
|
Le Roux AB, Quesenberry K, Donnelly KA, Donovan TA. Disseminated pancreatic adenocarcinoma in an eclectus parrot ( Eclectus roratus). J Am Vet Med Assoc 2021; 257:635-641. [PMID: 32857003 DOI: 10.2460/javma.257.6.635] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
CASE DESCRIPTION A 15-year-old 0.412-kg (0.906-lb) sexually intact male eclectus parrot (Eclectus roratus) was evaluated because its owners found it lethargic and dyspneic at the bottom of its cage. CLINICAL FINDINGS The parrot was thin and had generalized muscle wasting, diffuse feather loss, pale mucous membranes, and melena. The coelomic cavity was distended and soft on palpation, with coelomic effusion suspected. Results of a CBC indicated leukocytosis with left shift heterophilia, including toxic heterophils, lymphopenia, and anemia. Plasma biochemical analyses revealed severe hyperamylasemia. TREATMENT AND OUTCOME Radiography revealed no evidence of a metallic foreign body but severe loss of coelomic detail, suggestive of a coelomic mass, coelomic effusion with coelomitis, or both. Ultrasonography and CT revealed severe accumulation of coelomic fluid; a large, heterogeneous, irregularly marginated, and moderately vascularized mass in the caudal aspect of the coelomic cavity; and multiple hepatic, coelomic, and pulmonary nodules. On the basis of a poor prognosis, the parrot was euthanized. Necropsy results confirmed exocrine pancreatic adenocarcinoma, with disseminated metastases in the liver, gastrointestinal tract, coelomic cavity, and lungs. CLINICAL RELEVANCE In birds, pancreatic adenocarcinoma is rarely reported but should be considered a differential diagnosis for hyperamylasemia, coelomic mass, coelomic effusion, or abnormal gastrointestinal signs, alone or in combination. Ultrasonography and CT can be useful in further evaluating such patients and should be considered in the diagnostic plan.
Collapse
|
35
|
Avellar HK, Williams MR, Brandão J, Narayanan S, Ramachandran A, Holbrook TC, Schoonover MJ, Bailey KL, Payton ME, Pai KK, Timmons CT. Safety and efficacy of cold atmospheric plasma for the sterilization of a Pasteurella multocida-contaminated subcutaneously implanted foreign body in rabbits. Am J Vet Res 2021; 82:118-124. [PMID: 33480278 DOI: 10.2460/ajvr.82.2.118] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To determine whether a stainless steel implant sterilized with a novel cold atmospheric plasma sterilization (CAPS) device adversely affects local tissues in rabbits and whether CAPS was as effective as steam sterilization with an autoclave to inactivate Pasteurella multocida. ANIMALS 31 healthy New Zealand White rabbits. PROCEDURES Steam-autoclaved stainless steel implants inoculated with P multocida underwent a second steam autoclave sterilization (AIA) or CAPS (AICAPS). One AIA implant and 3 AICAPS implants were randomly placed subcutaneously at 4 sites in 21 rabbits (84 implants). These rabbits were monitored daily for 5 days for evidence of systemic illness and local tissue reactions at the implantation sites and then euthanized. Samples were taken from each implant site for bacterial culture and histologic examination. RESULTS Cultures of samples obtained from all sites were negative for bacterial growth. No significant difference was observed in mean skin thickness or erythema between AIA and AICAPS implant sites on any observed day. Also, individual histologic grades for the epidermis, dermis, subcutis, and muscle and total histologic grade were not significantly different between AIA and AICAPS implant sites. CONCLUSIONS AND CLINICAL RELEVANCE Cold atmospheric plasma sterilization was noninferior to steam sterilization of P multocida-contaminated stainless steel implants in the rabbits in the present study. However, studies of the efficacy of CAPS for inactivation of other important bacteria are needed.
Collapse
|
36
|
Duval JD, Epstein SE, Gibson EA, Culp WTN. Severe intermittent lameness secondary to a migrating metallic foreign body in a dog. J Am Vet Med Assoc 2020; 256:696-700. [PMID: 32125237 DOI: 10.2460/javma.256.6.696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
CASE DESCRIPTION An 11-month-old mixed-breed dog was evaluated because of a 2-day history of acute-onset, intermittent vocalization and collapse several days after ingesting metallic wire foreign material. CLINICAL FINDINGS Physical examination findings were initially unremarkable. After a brief period of hospitalization, the patient acutely developed non-weight-bearing lameness with signs of severe pain localized to the left thoracic limb and inability or refusal to rise. Results of cervical, thoracic, and abdominal radiography revealed a linear metallic foreign body at the thoracic inlet and a single metallic foreign body in the cranial aspect of the abdomen. Neuropathic pain at the level of the left brachial plexus was suspected. Results of a subsequent CT scan were consistent with a metallic foreign body in the left axilla with associated abscess formation and neuritis and an additional metallic foreign body within the omental fat near the pyloroduodenal junction. TREATMENT AND OUTCOME Intraoperative fluoroscopy was used to facilitate localization and surgical removal of the axillary foreign body. The intra-abdominal foreign body was removed laparoscopically. Complete resolution of clinical signs was observed before discharge from the hospital the following day. On telephone follow-up 8 months after surgery, the owners reported the patient had no signs of lameness or complications. CLINICAL RELEVANCE Migrating metallic foreign bodies may be identified as incidental findings with the potential to cause harm in the future or may be a cause for severe clinical signs. Migrating foreign bodies should be considered as a differential diagnosis for patients reported to have acute collapse or lameness and consistent clinical history.
Collapse
|
37
|
Strelchik A, Coleman MC, Scharf VF, Stoneburner RM, Thieman Mankin KM. Intestinal incisional dehiscence rate following enterotomy for foreign body removal in 247 dogs. J Am Vet Med Assoc 2020; 255:695-699. [PMID: 31478820 DOI: 10.2460/javma.255.6.695] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To report the intestinal incisional dehiscence rate following enterotomy for foreign body removal in dogs. ANIMALS 247 client-owned dogs with intestinal foreign bodies treated with enterotomy between November 2001 and September 2017. PROCEDURES Medical records were reviewed, and data were collected regarding signalment, history, surgery, clinicopathologic findings, hospitalization, intestinal incisional dehiscence, and survival to hospital discharge. Dogs were grouped according to whether intestinal incisional dehiscence occurred (dehiscence group) or did not occur (nondehiscence group) following enterotomy, and the rate of dehiscence for the total number of enterotomies during the study period was calculated. Univariable analysis was performed to identify variables associated with intestinal incisional dehiscence. RESULTS 8 of the 247 (3.2%) dogs had preoperative septic peritonitis, and all 8 dogs survived to hospital discharge. Incisional dehiscence occurred following 5 of the 247 (2.0%) enterotomies, and only 2 dogs in the dehiscence group did not survive to hospital discharge. Duration of hospitalization was longer for dogs in the dehiscence group than for dogs in the nondehiscence group. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that enterotomy for intestinal foreign body removal had a lower rate of dehiscence in dogs during the study period, compared with rates previously reported; however, the low rate should not be used as a reason to perform an enterotomy rather than an enterectomy when needed. Surgeons should thoroughly evaluate the bowel and perform an enterotomy only when indicated.
Collapse
|
38
|
Schlein LJ, Connolly SL, Moran C, Duffy DJ. Pathology in Practice. J Am Vet Med Assoc 2020; 255:67-70. [PMID: 31194659 DOI: 10.2460/javma.255.1.67] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
39
|
|
40
|
Kirchofer KS, Block G, Johnson JA. Efficacy of intravenous administration of apomorphine for removal of gastric foreign material in dogs: 495 cases (2010-2015). J Am Vet Med Assoc 2020; 255:459-465. [PMID: 31355726 DOI: 10.2460/javma.255.4.459] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To evaluate the efficacy of IV administration of apomorphine for removal of gastric foreign bodies in dogs. ANIMALS 495 dogs with gastric foreign bodies. PROCEDURES Records of a veterinary hospital were searched to identify dogs that received an injectable formulation of apomorphine between January 1, 2010, and July 30, 2015. Dogs with a gastric foreign body that received an IV injection of apomorphine were included in the study. Information extracted from the record of each dog included signalment, type of foreign material ingested, duration between foreign material ingestion and emesis, dose and number of doses of apomorphine administered, and whether emesis occurred and did or did not result in successful removal of the foreign body. Descriptive data were compared between dogs with and without successful foreign body removal. RESULTS Emesis with successful foreign body removal was achieved in 363 and 11 dogs after administration of 1 and 2 doses of apomorphine, respectively. Successful removal was more likely for young dogs and dogs that had ingested fabric, leather, or bathroom waste. Successful removal was less likely as the duration between foreign body ingestion and emesis increased and for dogs that received opioids, sedatives, or antiemetics before apomorphine administration. Minor adverse effects were recorded for only 4 dogs. CONCLUSIONS AND CLINICAL RELEVLANCE IV administration of apomorphine was a viable alternative for induction of emesis and removal of gastric foreign bodies in dogs. Dogs should be examined as soon as possible after foreign body ingestion and should not receive any medications that might affect apomorphine efficacy.
Collapse
|
41
|
Slater RT, Beaulieu AEM, Schachtel J, Wilkinson TE. What Is Your Diagnosis? J Am Vet Med Assoc 2020; 255:423-425. [PMID: 31355725 DOI: 10.2460/javma.255.4.423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
42
|
What Is Your Diagnosis? J Avian Med Surg 2019; 33:314-20. [PMID: 31893629 DOI: 10.1647/2018-390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
43
|
Foote K, Gilroy C, Burton S, Horney B, Lopez A, Savidge C, Goff T. Zinc toxicosis - Associated hemolytic anemia and pancreatic disease in 2 dogs. Can Vet J 2020; 61:147-152. [PMID: 32020932 PMCID: PMC6973218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Two cases of canine zinc toxicosis with pancreatic disease are reported. Both dogs had pigmenturia, pallor, regenerative anemia, an inflammatory leukogram, hyperbilirubinemia, hyperamylasemia, and hyperlipasemia. Zinc toxicosis was diagnosed post-mortem in patient 1 based on the discovery of a metallic gastric foreign object, pancreatic necrosis, nephrosis, and high tissue zinc concentrations. Survey radiographs of patient 2 allowed identification and prompt removal of coins from the stomach with resolution of anemia, hyperamylasemia, and hyperlipasemia 3 days post-gastroscopy. Plasma zinc concentration was markedly elevated in patient 2. Zinc toxicosis should be considered in dogs with concurrent hemolytic anemia and pancreatic disease.
Collapse
Affiliation(s)
- Kimberley Foote
- Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff )
| | - Cornelia Gilroy
- Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff )
| | - Shelley Burton
- Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff )
| | - Barbara Horney
- Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff )
| | - Alfonso Lopez
- Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff )
| | - Christine Savidge
- Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff )
| | - Tamara Goff
- Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff )
| |
Collapse
|
44
|
Grand JG. Laparoscopic retrieval of a hepatic foreign body in a dog. Can Vet J 2019; 60:1161-1165. [PMID: 31692542 PMCID: PMC6805041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
A 4-year-old female pointer dog was presented with a 10-day history of tensed abdomen. Migration of a metallic foreign body to the liver was diagnosed using radiography and ultrasonography. Surgical retrieval of a sewing needle was successfully performed by laparoscopy using a 3-trocar technique, thus avoiding laparotomy. No intra- or post-operative complications occurred. The dog was discharged 24 hours after surgery. Ten months after surgery, the dog was in excellent physical condition with no recurrence of clinical signs. This is the first reported case of laparoscopic retrieval of a hepatic foreign body in a dog.
Collapse
Affiliation(s)
- Jean-Guillaume Grand
- Clinique Vétérinaire Aquivet, Parc d'activités Mermoz, 19 Avenue de la Forêt, 33320 Eysines, France
| |
Collapse
|
45
|
Gu J, Sukut S, Aoki K, Zwicker L. Extrahepatic biliary duct obstruction secondary to duodenal foreign bodies in 2 dogs. Can Vet J 2019; 60:985-989. [PMID: 31523087 PMCID: PMC6697016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Two dogs, a 5-year-old neutered male boxer dog and a 2-year-old neutered male Australian cattle dog, were evaluated for vomiting and inappetence. Both dogs were icteric on physical examination, and had hyperbilirubinemia, elevated liver enzymes, and inflammatory changes on diagnostic blood analysis. A proximal duodenal obstruction causing extrahepatic biliary duct obstruction (EHBDO) was suspected in both cases after diagnostic imaging was performed. Exploratory laparotomy confirmed duodenal foreign bodies in both cases. This case report defines duodenal foreign body as a differential diagnosis for EHBDO in dogs.
Collapse
Affiliation(s)
- Jasmine Gu
- Small Animal Clinical Science, Western College of Veterinary Medicine, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4
| | - Sally Sukut
- Small Animal Clinical Science, Western College of Veterinary Medicine, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4
| | - Koji Aoki
- Small Animal Clinical Science, Western College of Veterinary Medicine, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4
| | - Lesley Zwicker
- Small Animal Clinical Science, Western College of Veterinary Medicine, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4
| |
Collapse
|
46
|
Sterman AA, Mankin KMT, Ham KM, Cook AK. Likelihood and outcome of esophageal perforation secondary to esophageal foreign body in dogs. J Am Vet Med Assoc 2019; 253:1053-1056. [PMID: 30272517 DOI: 10.2460/javma.253.8.1053] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To determine the likelihood and outcome of esophageal perforation secondary to an esophageal foreign body (EFB) in dogs. DESIGN Retrospective observational study. ANIMALS 125 dogs evaluated for EFB at 2 veterinary teaching hospitals from January 2005 through December 2013. PROCEDURES Data were retrieved from the medical record of each dog regarding variables hypothesized to be associated with esophageal perforation, whether esophageal perforation was present, and survival to hospital discharge. Variables were examined for associations with various outcomes. RESULTS Bones (55/125 [44%]) and fishhooks (37/125 [30%]) were the most common types of EFBs. Fifteen (12%) dogs had an esophageal perforation (10 with a fishhook EFB and 5 with a bone EFB). No association was identified between dog body weight and esophageal perforation. Esophageal perforation was more likely in dogs with a fishhook EFB (10/37 [27%]) versus other EFBs (5/88 [6%]; OR, 6.1; 95% confidence interval, 1.9 to 9.6). Median interval from fishhook or bone ingestion to initial evaluation was significantly longer for dogs with (12 and 96 hours, respectively) versus without (1 and 24 hours, respectively) perforation. Thirteen of 15 (87%) dogs with esophageal perforation survived to hospital discharge, including all 10 dogs with perforation secondary to fishhook ingestion. Eight survivors with esophageal perforation required no surgical intervention. CONCLUSIONS AND CLINICAL RELEVANCE Esophageal perforation was uncommon in the evaluated dogs with an EFB, and no surgical intervention was required for a large proportion of them. Fishhooks and delay between EFB ingestion and initial evaluation were risk factors for perforation.
Collapse
|
47
|
Launcelott ZA, Lustgarten J, Sung J, Samuels S, Davis S, Davis GJ. Effects of a surgical checklist on decreasing incisional infections following foreign body removal from the gastrointestinal tract in dogs. Can Vet J 2019; 60:67-72. [PMID: 30651653 PMCID: PMC6294029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Two similar populations of dogs were evaluated in either a retrospective or prospective manner for 2 weeks after gastrointestinal foreign body surgery to determine the impact of a surgical checklist on the surgical site infection (SSI) rate. The medical records of 201 gastrointestinal foreign body surgeries were reviewed to determine the SSI rate without the use of a surgical checklist (SC-) and 101 consecutive gastrointestinal foreign body surgeries were performed using a surgical checklist (SC+). The SSI rate had a significant decrease from 19.9% to 11.9% with the use of the surgical checklist. When combining the cohorts, statistically significant predictors for development of an SSI following gastrointestinal foreign body removal included: a combined gastrotomy and enterotomy, an enterotomy, and known self-trauma.
Collapse
Affiliation(s)
- Zoë A Launcelott
- Red Bank Veterinary Hospital, 197 Tinton Falls, New Jersey 07724, USA (Launcelott, Lustgarten, S. Davis, G. Davis); Long Island Veterinary Specialists, 163 South Service Road, Plainview, New York 11803, USA (Sung); Virginia Veterinary Surgical Associates, 5918 West Broad Street, Richmond, Virginia 23230, USA (Samuels)
| | - Jonathan Lustgarten
- Red Bank Veterinary Hospital, 197 Tinton Falls, New Jersey 07724, USA (Launcelott, Lustgarten, S. Davis, G. Davis); Long Island Veterinary Specialists, 163 South Service Road, Plainview, New York 11803, USA (Sung); Virginia Veterinary Surgical Associates, 5918 West Broad Street, Richmond, Virginia 23230, USA (Samuels)
| | - Jed Sung
- Red Bank Veterinary Hospital, 197 Tinton Falls, New Jersey 07724, USA (Launcelott, Lustgarten, S. Davis, G. Davis); Long Island Veterinary Specialists, 163 South Service Road, Plainview, New York 11803, USA (Sung); Virginia Veterinary Surgical Associates, 5918 West Broad Street, Richmond, Virginia 23230, USA (Samuels)
| | - Sirrika Samuels
- Red Bank Veterinary Hospital, 197 Tinton Falls, New Jersey 07724, USA (Launcelott, Lustgarten, S. Davis, G. Davis); Long Island Veterinary Specialists, 163 South Service Road, Plainview, New York 11803, USA (Sung); Virginia Veterinary Surgical Associates, 5918 West Broad Street, Richmond, Virginia 23230, USA (Samuels)
| | - Spencer Davis
- Red Bank Veterinary Hospital, 197 Tinton Falls, New Jersey 07724, USA (Launcelott, Lustgarten, S. Davis, G. Davis); Long Island Veterinary Specialists, 163 South Service Road, Plainview, New York 11803, USA (Sung); Virginia Veterinary Surgical Associates, 5918 West Broad Street, Richmond, Virginia 23230, USA (Samuels)
| | - Garrett J Davis
- Red Bank Veterinary Hospital, 197 Tinton Falls, New Jersey 07724, USA (Launcelott, Lustgarten, S. Davis, G. Davis); Long Island Veterinary Specialists, 163 South Service Road, Plainview, New York 11803, USA (Sung); Virginia Veterinary Surgical Associates, 5918 West Broad Street, Richmond, Virginia 23230, USA (Samuels)
| |
Collapse
|
48
|
Butty EM, Bua AS, Vanstone NP, Dunn ME. Retained laser fiber in the nidus of a recurrent cystine urolith in an intact male English bulldog. Can Vet J 2019; 60:29-32. [PMID: 30651647 PMCID: PMC6294038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
A lithotripsy and percutaneous cystolithotomy (PCCL) were performed on a 5-year-old intact male English bulldog. The composition of the uroliths was 100% cystine. When a second PCCL was performed 2 months later, the nidus of the largest urolith was a segment of an optical fiber broken off during laser lithotripsy.
Collapse
Affiliation(s)
- Emmanuelle M Butty
- Department of Clinical Sciences, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2
| | - Anne-Sophie Bua
- Department of Clinical Sciences, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2
| | - Nick P Vanstone
- Department of Clinical Sciences, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2
| | - Marilyn E Dunn
- Department of Clinical Sciences, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2
| |
Collapse
|
49
|
Díaz-Delgado J, Fernández A, Sierra E, Sacchini S, Andrada M, Vela AI, Quesada-Canales Ó, Paz Y, Zucca D, Groch K, Arbelo M. Pathologic findings and causes of death of stranded cetaceans in the Canary Islands (2006-2012). PLoS One 2018; 13:e0204444. [PMID: 30289951 PMCID: PMC6173391 DOI: 10.1371/journal.pone.0204444] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Accepted: 09/07/2018] [Indexed: 12/11/2022] Open
Abstract
This study describes the pathologic findings and most probable causes of death (CD) of 224 cetaceans stranded along the coastline of the Canary Islands (Spain) over a 7-year period, 2006-2012. Most probable CD, grouped as pathologic categories (PCs), was identified in 208/224 (92.8%) examined animals. Within natural PCs, those associated with good nutritional status represented 70/208 (33.6%), whereas, those associated with significant loss of nutritional status represented 49/208 (23.5%). Fatal intra- and interspecific traumatic interactions were 37/208 (17.8%). Vessel collisions included 24/208 (11.5%). Neonatal/perinatal pathology involved 13/208 (6.2%). Fatal interaction with fishing activities comprised 10/208 (4.8%). Within anthropogenic PCs, foreign body-associated pathology represented 5/208 (2.4%). A CD could not be determined in 16/208 (7.7%) cases. Natural PCs were dominated by infectious and parasitic disease processes. Herein, our results suggest that between 2006 and 2012, in the Canary Islands, direct human activity appeared responsible for 19% of cetaceans deaths, while natural pathologies accounted for 81%. These results, integrating novel findings and published reports, aid in delineating baseline knowledge on cetacean pathology and may be of value to rehabilitators, caregivers, diagnosticians and future conservation policies.
Collapse
Affiliation(s)
- Josué Díaz-Delgado
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
- Wildlife Comparative Pathology Laboratory, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Antonio Fernández
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| | - Eva Sierra
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| | - Simona Sacchini
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| | - Marisa Andrada
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| | - Ana Isabel Vela
- Department of Animal Health, Veterinary College, Complutense University, Madrid, Spain
- Centro de Vigilancia Sanitaria Veterinaria (VISAVET). Complutense University, Madrid, Spain
| | - Óscar Quesada-Canales
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| | - Yania Paz
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| | - Daniele Zucca
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| | - Kátia Groch
- Wildlife Comparative Pathology Laboratory, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Manuel Arbelo
- Veterinary Histology and Pathology, Institute of Animal Health and Food Hygiene (IUSA), University of Las Palmas of Gran Canaria, Las Palmas of Gran Canaria, Spain
| |
Collapse
|
50
|
Rollin BE. Veterinary Medical Ethics. Can Vet J 2018; 59:935-937. [PMID: 30197436 PMCID: PMC6091119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
|