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Schrock K, Spinner M. Colonic duplication cyst with secondary septic peritonitis in a cat. JFMS Open Rep 2024; 10:20551169241256555. [PMID: 38895130 PMCID: PMC11184992 DOI: 10.1177/20551169241256555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2024] Open
Abstract
Case summary A 5-month-old male castrated domestic shorthair cat was evaluated for acute onset of emesis. Abdominal radiographs identified a suspected colonic foreign body and abdominal-focused assessment with sonography for trauma, triage and tracking (AFAST) evaluation revealed a large amount of peritoneal effusion. Cytology of the peritoneal effusion was consistent with a septic exudate. An exploratory celiotomy identified a ruptured ileocecocolic mass and a resection and anastomosis was performed. No foreign material was identified and histopathology confirmed that the ruptured mass was a colonic duplication cyst. Recurrent septic peritonitis was diagnosed based on cytologic evaluation of fluid from a silicone bulb reservoir of a closed suction drain. No abnormalities were surgically identified, the cat recovered without complication, was discharged at 7 days postoperatively and has continued to remain healthy 8 months after surgical intervention. Relevance and novel information To our knowledge, this is the first known instance of a histopathologically confirmed non-communicating colonic duplication cyst causing septic peritonitis in the veterinary literature.
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Affiliation(s)
- Kelly Schrock
- Small Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, East Lansing, MI, USA
| | - Maureen Spinner
- Small Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, East Lansing, MI, USA
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Tanaka T, Noguchi S, Wada Y, Nishida H, Akiyoshi H. Preliminary study of CT features of intermediate- and high-grade alimentary lymphoma and adenocarcinoma in cats. J Feline Med Surg 2022; 24:1065-1071. [PMID: 34663124 PMCID: PMC10812299 DOI: 10.1177/1098612x211046847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
CASE SERIES SUMMARY The ultrasonographic findings of many feline intestinal tumours are similar. This study evaluated the CT features of intermediate- and high-grade alimentary lymphoma and adenocarcinoma in cats. CT was performed on six cats with adenocarcinoma and 14 cats with lymphoma. Comparisons between tumour types were conducted, focusing on CT features, including obstruction (present or absent), growth patterns of lesions (symmetry or asymmetry), layering enhancement (present or absent), location of the lesion, number of lesions (solitary or multiple), lymphadenopathy (present or absent), location of lymphadenopathy, pulmonary metastasis (present or absent) and maximum thickness (mm) of the lesion. The cats with adenocarcinoma (n = 5/6 [83%]) experienced intestinal obstruction significantly more often than cats with lymphoma (n = 0/14 [0%]; P = 0.0004). Layering enhancement was observed significantly more often in cats with adenocarcinoma (n = 6/6 [100%]) than in cats with lymphoma (n = 1/14 [7%]; P = 0.0002). Lymphadenopathy was detected significantly more often in cats with lymphoma (n = 14/14 [100%]) than in cats with adenocarcinoma (n = 2/6 [33%]) (P = 0.003). In cats with lymphoma, the intestine (12.1 ± 3.9 mm) was significantly thicker than that in cats with adenocarcinoma (6.4 ± 2.3 mm; P = 0.005). RELEVANCE AND NOVEL INFORMATION To the best of our knowledge, no reports have described the characteristics of feline intestinal tumours using CT. Layering enhancement was observed in cats with intestinal adenocarcinomas. No layering enhancement was observed in alimentary lymphoma in cats, but enlarged regional nodes were noted. Lesions with lymphoma were thicker than those with adenocarcinoma. These findings may help differentiate between adenocarcinomas and lymphomas.
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Affiliation(s)
- Toshiyuki Tanaka
- Department of Advanced Clinical Medicine, School of Life and Environmental Sciences, Osaka Prefecture University, Izumisano, Osaka, Japan
- Kinki Animal Medical Training institute, Higashiosaka, Osaka, Japan
| | - Shunsuke Noguchi
- Laboratory of Veterinary Radiology, Department of Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Izumisano-shi, Osaka, Japan
| | - Yusuke Wada
- Veterinary Medical Centre, College of Life, Environmental and Advanced Sciences, Osaka Prefecture University, Izumisano-shi, Osaka, Japan
| | - Hidetaka Nishida
- Department of Advanced Clinical Medicine, School of Life and Environmental Sciences, Osaka Prefecture University, Izumisano, Osaka, Japan
| | - Hideo Akiyoshi
- Department of Advanced Clinical Medicine, School of Life and Environmental Sciences, Osaka Prefecture University, Izumisano, Osaka, Japan
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Phipps WB, Rich AF, Rossanese M. Asymptomatic Enteric Duplication Cyst in a Geriatric Cat: Case Report and Review of the Literature. J Am Anim Hosp Assoc 2021; 57:133-138. [PMID: 33770172 DOI: 10.5326/jaaha-ms-7057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/24/2020] [Indexed: 11/11/2022]
Abstract
An 11 yr old female neutered domestic shorthair presented for an 8 mo history of an asymptomatic abdominal mass. Computed tomography described an irregular, cystic structure closely associated with the duodenum, and focal ultrasonography confirmed the mass shared outer layers with the intestinal wall. Coeliotomy revealed the mass was originating from, and firmly adhered to, the antimesenteric border of the duodenum but was not communicating with the intestinal lumen. En bloc mass resection with omentalization was performed without small intestinal resection. Histopathology confirmed an enteric duplication cyst. The cat made a full recovery and remained asymptomatic postoperatively with no evidence of recurrence. A review of the literature confirms the duodenum to be the most common location of enteric duplication cysts in felines and that subtotal excision is curative in most cases. This differential should be considered in cases of cystic gastrointestinal structures in juvenile and adult felines, with or without associated clinical signs. In cases of luminal involvement or malignant transformation, intestinal resection and anastomosis is more appropriate. This report describes the presentation, investigations, and treatment of an asymptomatic duodenal duplication cyst in an adult feline and summarizes and compares current knowledge of the condition between veterinary and human literature.
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Rei IL, Parry AT, Dempsey LM. Colonic duplication with colovaginal fistula in a dog. VETERINARY RECORD CASE REPORTS 2021. [DOI: 10.1002/vrc2.44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Ines L. Rei
- Rotating Intern Willows Veterinary Centre and Referral Centre Solihull UK
| | - Andrew T. Parry
- Diagnostic Imaging, Willows Veterinary Centre and Referral Centre Solihull UK
| | - Lara M. Dempsey
- Soft Tissue Surgery, Willows Veterinary Centre and Referral Centre Solihull UK
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McCready J, Gardhouse S, Barboza T, Scott J, Rätsep E, Foster R. Surgical resection of an enteric duplication cyst in a domestic rabbit (Oryctolagus cuniculus). J Exot Pet Med 2020. [DOI: 10.1053/j.jepm.2020.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Agut A, Carrillo J, Soler M, Gómez MA, Fernandez MJ. Carcinoma arising from an oesophageal duplication cyst in an adult cat. VETERINARY RECORD CASE REPORTS 2020. [DOI: 10.1136/vetreccr-2020-001217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Amalia Agut
- Department of Medicine and SurgeryUniversity of MurciaMurciaSpain
| | - Juana Carrillo
- Department of Medicine and SurgeryUniversity of MurciaMurciaSpain
| | - Marta Soler
- Department of Medicine and SurgeryUniversity of MurciaMurciaSpain
| | - Miguel Angel Gómez
- Departament of Anatomy and Pathological AnatomyUniversity of MurciaMurciaSpain
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Tryon E, Kalamaras A, Yang C, Wavreille V, Selmic LE. Duodenal duplication cyst masquerading as a pancreatic abscess in a cat. VETERINARY RECORD CASE REPORTS 2020. [DOI: 10.1136/vetreccr-2020-001123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Emily Tryon
- Department of Veterinary Clinical SciencesThe Ohio State University College of Veterinary MedicineColumbusOhioUSA
| | - Alexandra Kalamaras
- Department of Veterinary Clinical SciencesThe Ohio State University College of Veterinary MedicineColumbusOhioUSA
| | - Ching Yang
- Department of PathobiologyThe Ohio State University College of Veterinary MedicineColumbusOhioUSA
| | - Vincent Wavreille
- Department of Veterinary Clinical SciencesThe Ohio State University College of Veterinary MedicineColumbusOhioUSA
| | - Laura Elizabeth Selmic
- Department of Veterinary Clinical SciencesThe Ohio State University College of Veterinary MedicineColumbusOhioUSA
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Fruehwald C, Ellison G. Successful Surgical Correction of Congenital Colonic Duplication and Anogenital Cleft in a Cat. J Am Anim Hosp Assoc 2020; 56:170-174. [PMID: 32182113 DOI: 10.5326/jaaha-ms-6885] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 17 wk old sexually intact female domestic shorthair kitten presented for an anogenital cleft and enlarged colon. The cat had experienced bacterial cystitis and constipation since weaning. Contrast referral images revealed an enlarged colon with a patent anus. Clinical examination revealed an anogenital cleft with a common anovulvar orifice. The rectum was patent upon digital rectal palpation, and fecal contamination of the vulva was present. Abdominal radiographs revealed two distinct colons, both filled with a moderate amount of formed fecal material. Contrast-enhanced computed tomography revealed segmental duplication of the descending colon with a dominant right colon and a smaller accessary left colon. The two structures conjoined at the transverse colon proximally and at the pubic brim distally. A common anogenital orifice with anovulvar communication was also noted. The anogenital cleft malformation was successfully repaired surgically. A celiotomy was performed to remove the smaller accessory colon. An ovariectomy and partial hysterectomy were also performed. The patient recovered uneventfully and showed no gross evidence of recurrent cystitis or urinary or fecal incontinence postoperatively. This is believed to be the first report of a congenital anogenital cleft and complete communicating colonic duplication in a cat.
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Affiliation(s)
| | - Gary Ellison
- From the University of Florida Health Science Center, Gainesville, Florida
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Carbonell Buj E, Billet JP, Vanel M, Caron A. Rectal duplication in an adult cat: a novel transanal surgical approach. JFMS Open Rep 2020; 6:2055116920916956. [PMID: 32528720 PMCID: PMC7263134 DOI: 10.1177/2055116920916956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
CASE SUMMARY A 3-year and 8-month-old male entire European domestic shorthair cat was presented with a history of recurrent rectal prolapse, straining and pain when defaecating. Previous non-surgical and surgical treatments had not provided a satisfactory result. Rectal prolapse had recurred within 2 weeks of treatment. Upon clinical examination, an intraluminal mass could be palpated rectally. A CT scan examination revealed the mass was of a cystic nature and the cyst was surgically excised via a transanal approach. On histological evaluation, the cyst walls consisted of three of the layers of normal rectum: mucosa, muscularis of the mucosa and submucosa. These findings led to the definite diagnosis of rectal duplication. RELEVANCE AND NOVEL INFORMATION Enteric duplication is among the differential diagnoses for straining and rectal prolapse in cats. This condition has previously been discussed in the veterinary literature, with a single case report describing a rectal duplication in a cat. In that particular case, the authors described a perineal surgical approach. Here we present a novel approach whereby the duplicated material was excised transanally in order to limit intra- and postoperative morbidity. The clinical outcome was excellent in our case, with complete resolution of clinical signs and no recurrence 18 months after surgery.
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Affiliation(s)
| | | | - Maïa Vanel
- Atlantia Veterinary Hospital Centre, Nantes, France
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Griffin S. Feline abdominal ultrasonography: What's normal? What's abnormal? The diseased gastrointestinal tract. J Feline Med Surg 2019; 21:1047-1060. [PMID: 31648606 PMCID: PMC10814209 DOI: 10.1177/1098612x19880434] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
PRACTICAL RELEVANCE Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. B-mode ultrasonography is likely the most widely used modality for imaging the gastrointestinal (GI) tract in cats and it can help in the diagnosis of GI masses, foreign bodies and disorders of the ileocaecocolic junction. CLINICAL CHALLENGES Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images. Even differentiating between normal variations and pathological changes can be challenging for all but the most experienced. For example, while for inflammatory conditions of the feline GI tract changes are frequently identified on ultrasound, there may occasionally be no changes to the appearance of the intestine; hence a 'normal' ultrasound does not exclude the possibility of inflammatory disease. AIM This review, part of an occasional series on feline abdominal ultrasonography, describes the appearance of a range of conditions that affect the feline GI tract; the normal GI tract is addressed in an accompanying article in this issue of JFMS. Aimed at general practitioners who wish to improve their knowledge and confidence in feline abdominal ultrasound, this review is accompanied by high-resolution images and videos available online as supplementary material. EQUIPMENT Ultrasound facilities are readily available to most practitioners, although use of ultrasonography as a diagnostic tool is highly dependent on operator experience. EVIDENCE BASE Information provided in this article is drawn from the published literature and the author's own clinical experience.
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Affiliation(s)
- Sally Griffin
- Radiology Department, Willows Veterinary Centre and Referral Service, Highlands Road, Shirley, Solihull B90 4NH, UK
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Agut A, Carrillo JD, Martínez M, Murciano J, Belda E, Bernabé A, Soler M. IMAGING DIAGNOSIS-RADIOGRAPHIC, ULTRASONOGRAPHIC, AND COMPUTED TOMOGRAPHIC CHARACTERISTICS OF A DUODENAL DUPLICATION CYST IN A YOUNG CAT. Vet Radiol Ultrasound 2017; 59:E22-E27. [DOI: 10.1111/vru.12469] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Revised: 10/12/2016] [Accepted: 11/14/2016] [Indexed: 01/07/2023] Open
Affiliation(s)
- Amalia Agut
- Department of Animal Veterinary Medicine and Surgery; University of Murcia; Spain
- Veterinary Teaching Hospital; University of Murcia; Spain
| | | | | | - Jose Murciano
- Department of Animal Veterinary Medicine and Surgery; University of Murcia; Spain
- Veterinary Teaching Hospital; University of Murcia; Spain
| | - Eliseo Belda
- Department of Animal Veterinary Medicine and Surgery; University of Murcia; Spain
- Veterinary Teaching Hospital; University of Murcia; Spain
| | - Antonio Bernabé
- Veterinary Teaching Hospital; University of Murcia; Spain
- Department of Anatomy and Pathological Anatomy; University of Murcia; Spain
| | - Marta Soler
- Department of Animal Veterinary Medicine and Surgery; University of Murcia; Spain
- Veterinary Teaching Hospital; University of Murcia; Spain
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Doran IC, Dawson LJ, Costa M. Surgical resolution of an oesophageal duplication cyst causing regurgitation in a domestic shorthair cat. JFMS Open Rep 2015; 1:2055116915623799. [PMID: 28491404 PMCID: PMC5362003 DOI: 10.1177/2055116915623799] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/01/2015] [Indexed: 11/16/2022] Open
Abstract
CASE SUMMARY An 18-month-old female domestic shorthair cat was referred for investigation of a 6 month period of regurgitation. Contrast radiography indicated an intramural oesophageal structure. Ultrasound-guided fine-needle aspiration of the area retrieved viscous fluid containing high numbers of squamous epithelial cells. Computed tomography disclosed a thin-walled contrast-enhancing structure containing non-enhancing homogenous contents. Exploratory thoracotomy confirmed an intramural cystic oesophageal structure, which was resected. Histopathological analysis of the resected tissue demonstrated an intramural oesophageal duplication cyst. A 12 month follow-up period has seen complete resolution of the cat's clinical signs. RELEVANCE AND NOVEL INFORMATION This is the first report of successful oesophageal duplication cyst removal in a cat. Oesophageal duplication cysts should be included on the differential list for dysphagia and regurgitation in cats. Complete surgical removal in this cat carried a good long-term outcome.
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Affiliation(s)
- Ivan Cp Doran
- Small Animal Surgery Department University of Bristol, Bristol, UK
| | - Lou J Dawson
- Pathology Department, University of Bristol, Bristol, UK
| | - Marta Costa
- Clinical Pathology Department, University of Bristol, Bristol, UK
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Cerquetella M, Tambella AM, Laus F, Spaterna A, Ludewig E, Rossi G. Colonic cyst in a cat presenting recurrent constipation and abdominal pain. TIERARZTLICHE PRAXIS. AUSGABE K, KLEINTIERE/HEIMTIERE 2015; 43:345-349. [PMID: 26334328 DOI: 10.15654/tpk-140732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Accepted: 03/10/2015] [Indexed: 06/05/2023]
Abstract
A 5-year-old domestic short-haired spayed female cat was presented for abdominal pain and suspended defecation. Abdominal radiographs confirmed constipation; abdominal ultrasonography showed a cystic oval structure attached to the colon. The structure exhibited a well-defined wall, composed of three layers. Its content was mildly echogenic and inhomogeneous. Laparotomy was performed and complete resection of the structure, and of part of the colon, was required (end-to-end anastomosis). Histopathology confirmed the structure to be a cystic formation of the colon with some areas of mucosal metaplasia. However the question whether the cystic structure was consistent with an intestinal duplication cyst - which is the most likely type of cyst in this particular case - a Meckel's diverticulum remnant, a vitelline duct cyst or a cystic diverticulum of the colon could not be resolved. Postoperatively, no further other episode of constipation occurred.
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Affiliation(s)
- M Cerquetella
- M. Cerquetella, School of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024 Matelica (Macerata), Italy, E-Mail:
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Hobbs J, Penninck D, Lyons J. Malignant transformation of a duodenal duplication cyst in a cat. JFMS Open Rep 2015; 1:2055116915579946. [PMID: 28491349 PMCID: PMC5362879 DOI: 10.1177/2055116915579946] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/04/2014] [Indexed: 12/29/2022] Open
Abstract
Case summary A 15-year-old domestic shorthair cat presented for lethargy, vomiting and anorexia.
Abdominal ultrasound showed a bi-lobed cystic duodenal mass. Based on ultrasonographic
features, malignant transformation of a duodenal duplication cyst was suspected. A
resection and anastomosis was performed. Histology of the mass was consistent with
carcinoma and an intestinal mucosa was present along the inner surface of the mass,
suggestive of a duplication cyst. The patient returned 3 months postsurgery with
recurrence of clinical signs. Abdominal ultrasound showed a recurrent duodenal mass at
the surgery site and body wall nodules. Fine-needle aspirates of these lesions showed
epithelial neoplasia. Owing to the poor prognosis, the owners elected euthanasia. Relevance and novel information Malignant transformation of duplication cysts in cats is rare but can be detected on
ultrasound. The described ultrasonographic features can aid in prioritization of
malignant transformation of duplication cysts as a differential diagnosis.
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Affiliation(s)
- Joshua Hobbs
- Department of Diagnostic Imaging, Tufts Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Dominique Penninck
- Department of Diagnostic Imaging, Tufts Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Jeremy Lyons
- Department of Pathology, Tufts Cummings School of Veterinary Medicine, North Grafton, MA, USA
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