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Lancaster ML, Schmiedt CW. Case report: Transmural migration of a gossypiboma with secondary cystolithiasis and urethral obstruction. Front Vet Sci 2024; 11:1394052. [PMID: 38812558 PMCID: PMC11133594 DOI: 10.3389/fvets.2024.1394052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 04/24/2024] [Indexed: 05/31/2024] Open
Abstract
This report describes a case of transmural migration of a gossypiboma from the peritoneum into the urinary bladder in a 4-year-old, female spayed, mixed-breed dog. The dog was presented on an emergency basis for complete urethral obstruction with radiographic evidence of urocystolithiasis. An exploratory laparotomy was performed and a 4-5 cm mass was identified which was confluent with the apex of the urinary bladder. The mass and bladder were exteriorized and isolated, and an apical, partial cystectomy was performed to remove the mass and gain access to the uroliths within the lumen of the bladder. A 4×4 surgical sponge was identified within the trigone of the bladder, it had multiple uroliths; another sponge was also found within the mass itself. This case demonstrates an atypical cause of urethral obstruction and serves as the first reported case of transmural migration of a gossypiboma into the urinary bladder of a dog. It also illustrates the importance of establishing routine operating procedures including gauze counts and the use of radiopaque-labeled surgical gauze.
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Affiliation(s)
- Meghan L. Lancaster
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, United States
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Véran E, Vachon C, Byron J, Howard J, Berent A, Weisse C, Javard R, Spencer A, Gradilla S, Palm C, Culp W, Cléroux A, Dunn M. Multicenter retrospective evaluation of transmural migration of subcutaneous ureteral bypass devices within the digestive tract in catsone. J Vet Intern Med 2022; 36:1677-1685. [PMID: 35976072 PMCID: PMC9511080 DOI: 10.1111/jvim.16511] [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] [Received: 11/29/2021] [Accepted: 07/18/2022] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Placement of a subcutaneous ureteral bypass (SUB) device is an effective method to relieve all causes of ureteral obstruction in cats. Complications involving migration within the gastrointestinal tract have been seldomly described. OBJECTIVES To characterize transmural migration of SUB devices within the digestive tract in cats. ANIMALS Eleven migrated SUB catheters identified in 8 cats between 2017 and 2021. METHODS Retrospective review of medical records of cats with a SUB device in which migration into the gastrointestinal tract was identified. RESULTS The median time from SUB device placement to implant migration was 928 days (201-2298 days). Seven cats had obstruction of the SUB device and a positive urine culture at diagnosis. The migration was identified by ultrasound in 6/11, pre-operative contrast radiography in 2/2, and only at time of surgery in 3 SUB devices. All cats underwent surgical correction. Four nephrostomy and 7 cystotomy catheters migrated. Migration occurred into the duodenum (3/11), jejunum (7/11), and colon (1/11). SUB devices were removed in 7 cats and replaced in 2 cats, with 1 cat diagnosed with 2 migration events. Gastrointestinal resection and anastomosis were performed in 7/8 cats and an enterotomy in 2 cats. Six cats survived to discharge. The median follow-up time after migration diagnosis was 365 days (range, 0-1114 days) and 2 cats are still alive. CONCLUSIONS AND CLINICAL IMPORTANCE Although a rare complication, migration of SUB device should be considered in cats with SUB device obstruction and a positive urine culture.
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Affiliation(s)
- Emilie Véran
- Département de sciences cliniques, Faculté de médecine vétérinaire, Université de Montréal, Montreal, Québec, Canada
| | - Catherine Vachon
- Département de sciences cliniques, Faculté de médecine vétérinaire, Université de Montréal, Montreal, Québec, Canada
| | - Julie Byron
- Department of Veterinary Clinical Sciences, Ohio State University, Columbus, Ohio, USA
| | - James Howard
- Department of Veterinary Clinical Sciences, Ohio State University, Columbus, Ohio, USA
| | - Allyson Berent
- Service of Interventional Radiology and Interventional Endoscopy, Animal Medical Center, New York City, New York, USA
| | - Chick Weisse
- Service of Interventional Radiology and Interventional Endoscopy, Animal Medical Center, New York City, New York, USA
| | - Romain Javard
- Département de médecine interne, Centre Vétérinaire DMV, Montréal, Québec, Canada
| | - Ashley Spencer
- Department of Veterinary Clinical Sciences, North Carolina State Veterinary Medicine, Raleigh, North Carolina, USA
| | - Sarah Gradilla
- Department of Emergency and Critical Care, Cornell University Veterinary Specialists, Stamford, Connecticut, USA
| | - Carrie Palm
- Surgical and Radiological Sciences, UC Davis Veterinary Medicine, Davis, California, USA
| | - William Culp
- Surgical and Radiological Sciences, UC Davis Veterinary Medicine, Davis, California, USA
| | - Andréanne Cléroux
- Department of Clinical Sciences & Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Marilyn Dunn
- Département de sciences cliniques, Faculté de médecine vétérinaire, Université de Montréal, Montreal, Québec, Canada
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Doyle E, Hall H, Hughes J, Owen L, Giuliano A. Hypertrophic osteopathy and suspected subsequent disseminated intravascular coagulation in a dog with an abdominal gossypiboma. VETERINARY RECORD CASE REPORTS 2022. [DOI: 10.1002/vrc2.394] [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]
Affiliation(s)
- Eliana Doyle
- Department of Veterinary Medicine University of Cambridge Cambridge UK
| | - Harriet Hall
- Department of Veterinary Medicine University of Cambridge Cambridge UK
| | - Jonathan Hughes
- Department of Veterinary Medicine University of Cambridge Cambridge UK
| | - Laura Owen
- Department of Veterinary Medicine University of Cambridge Cambridge UK
| | - Antonio Giuliano
- Department of Veterinary Medicine University of Cambridge Cambridge UK
- Department of Veterinary Clinical Science, Jockey club college of Veterinary Medicine City University of Hong Kong Kowloon Hong Kong
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Boullenger J, Lafuma F, Baudin Trehiou C, Blond L, Gibert S, Kulendra N. Transmural migration of a subcutaneous ureteral bypass into the intestine in three cats. J Small Anim Pract 2022; 63:792-796. [PMID: 35419828 DOI: 10.1111/jsap.13502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 02/26/2022] [Accepted: 03/28/2022] [Indexed: 11/28/2022]
Abstract
Subcutaneous ureteral bypass™ is a device placed in cats with ureteral obstruction. The most common complications include system occlusion, urinary tract infection and sterile cystitis. In this case series, we describe three cats with subcutaneous ureteral bypass devices placed where transmural migration of subcutaneous ureteral bypass catheters into the small intestine resulted in gastrointestinal signs, urinary infection and subcutaneous ureteral bypass occlusion. The system was changed in one case and removed in the other two. In all cases, an intestinal resection and anastomosis was performed. All cats had a good medium-term outcome, and urinary infection persisted in the case for which the subcutaneous ureteral bypass system was changed. Transmural migration of the device should be considered in cats with subcutaneous ureteral bypass presenting with persistent urinary tract infection, gastrointestinal signs or device obstruction, even if imaging studies such as ultrasound or contrast studies do not demonstrate any abnormalities.
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Affiliation(s)
- J Boullenger
- Centre Hospitalier Vétérinaire Languedocia, 34080 Montpellier, France
| | - F Lafuma
- Centre Hospitalier Vétérinaire Languedocia, 34080 Montpellier, France
| | - C Baudin Trehiou
- Centre Hospitalier Vétérinaire Languedocia, 34080 Montpellier, France
| | - L Blond
- Centre Hospitalier Vétérinaire Languedocia, 34080 Montpellier, France
| | - S Gibert
- Centre Hospitalier Vétérinaire Languedocia, 34080 Montpellier, France
| | - N Kulendra
- North Downs Specialist Referrals, Bletchingley, RH1 4QP, UK.,Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, Hertfordshire, AL97TA, UK
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Miloro R, Higgins J, Phipps WB. Retained artery forceps causing acute intestinal strangulation two years following abdominal surgery in a dog. VETERINARY RECORD CASE REPORTS 2021. [DOI: 10.1002/vrc2.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Renato Miloro
- Fitzpatrick Referrals Halfway Lane, Eashing Godalming UK
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Reed N, Gosling M. Intra-thoracic gossypiboma (textiloma) in a 6-year-old cocker spaniel. Aust Vet J 2020; 99:6-10. [PMID: 32985695 DOI: 10.1111/avj.13020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 08/25/2020] [Accepted: 08/28/2020] [Indexed: 11/30/2022]
Abstract
This report documents the first case of gossypiboma (textiloma) identified within the thorax of a dog. CT findings, surgical removal and histopathology are described. Intra-thoracic gossypiboma has not previously been reported in dogs and is rarely reported in the human medical literature, where it is most commonly associated with previous cardiac or pulmonary surgery. This dog had previously had a thoracotomy for attempted surgical correction of a persistent right aortic arch and left ligamentum arteriosum 6 years prior to presentation. A brief review of the previous literature and recommendations for prevention of this condition are provided.
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Affiliation(s)
- N Reed
- Wear Referrals, The Veterinary Hospital, Stockton-on-Tees, Bradbury TS21 2ES, UK
| | - M Gosling
- Wear Referrals, The Veterinary Hospital, Stockton-on-Tees, Bradbury TS21 2ES, UK
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Chatzimisios K, Patsikas M, Angelou V, Tragoulia I, Papazoglou LG. Surgical and computed tomographic findings of retained surgical sponges in two dogs following abdominal surgery. VETERINARY RECORD CASE REPORTS 2020. [DOI: 10.1136/vetreccr-2019-000948] [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)
- Kyriakos Chatzimisios
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Michael Patsikas
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Vasileia Angelou
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Ioanna Tragoulia
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
| | - Lysimachos G Papazoglou
- Clinical SciencesAristotle University of Thessaloniki School of Veterinary MedicineThessalonikiGreece
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Novel CT Features of an Abdominal Gossypiboma in a Female Dog. Case Rep Vet Med 2019; 2019:2865484. [PMID: 31341697 PMCID: PMC6613033 DOI: 10.1155/2019/2865484] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2019] [Accepted: 05/28/2019] [Indexed: 11/17/2022] Open
Abstract
Case Description An eight-year-old Golden Retriever was presented with hypercalcemia and a complex abdominal mass. Clinical Findings A well-defined, heterogeneously contrast-enhancing, cavitary, soft tissue attenuating, non-organ associated abdominal mass was identified caudal to the right kidney. This mass was confluent with the distal tip of the right limb of the pancreas. A connected large, rim enhancing, cystic subcutaneous mass was also present in the right lumbar subcutaneous tissues, and there were multiple fistulous tracts through the hypaxial musculature. Treatment and Outcome The dog underwent a surgical exploratory laparotomy and a gossypiboma was removed from the intra-abdominal mass; the cystic extra-abdominal mass was drained percutaneously. Surgical recovery was uneventful and a follow-up CT after 3 months was consistent with resolving granulomatous inflammation and fibrosis. Clinical Relevance The presence of multiple peripherally enhancing tracts extending from the abdominal mass through the hypaxial musculature is a CT feature which has not yet been described in the veterinary literature. Additionally, incorporation of the pancreas into the abdominal mass has also not yet been described in the veterinary literature.
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Rodriguez FR, Kirby BM, Ryan J. Evaluation of factors associated with retained surgical sponges in veterinary patients: a survey of veterinary practitioners. J Small Anim Pract 2018; 59:570-577. [DOI: 10.1111/jsap.12873] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2017] [Revised: 01/26/2018] [Accepted: 05/04/2018] [Indexed: 11/28/2022]
Affiliation(s)
- F. R. Rodriguez
- Department of Small Animal Surgery; Animal Bluecare Hospital; A7 Km 204, 29649, Mijas Costa Malaga Spain
| | - B. M. Kirby
- Department of Small Animal Surgery; University College Dublin School of Veterinary Medicine; Belfield Campus, Dublin 4 Ireland
| | - J. Ryan
- Royal (Dick) School of veterinary Studies; University of Edinburgh, Easter Bush Veterinary Centre; Roslin Midlothian, EH25 9RG UK
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Anson A, Carrillo JD, Bayon A, Escobar MT, Seva J, Agut A. IMAGING DIAGNOSIS-COMPUTED TOMOGRAPHY FINDINGS IN A DOG WITH SPONTANEOUS TRANSMURAL MIGRATION OF A TEXTILOMA INTO THE CECUM. Vet Radiol Ultrasound 2017; 59:E28-E31. [PMID: 28176395 DOI: 10.1111/vru.12473] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 11/07/2016] [Accepted: 11/08/2016] [Indexed: 11/28/2022] Open
Abstract
A 3-year-old spayed female dog was presented with 3-month history of severe bilateral uveitis subsequent to previous ovariohysterectomy. Physical examination revealed moderate abdominal pain. Computed tomography showed a nonobstructive heterogeneous mass-like lesion with a speckled gas pattern (spongiform pattern) within the cecum. Exploratory laparotomy revealed a surgical swab in the lumen of the cecum with severe adhesions. Histopathological examination demonstrated a chronic inflammatory pyogranulomatous reaction to the retained swab embedded within the intestinal wall, consistent with transmural migration of the swab from the peritoneal cavity into the cecum.
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Affiliation(s)
- Agustina Anson
- Department for Companion Animals and Horses, University of Veterinary Medicine Vienna, Austria
| | - Juana D Carrillo
- Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Murcia, Spain
| | - Alejandro Bayon
- Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Murcia, Spain
| | - Maria Teresa Escobar
- Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Murcia, Spain
| | - Juan Seva
- Department of Anatomy and Comparative Pathological Anatomy, University of Murcia, Spain
| | - Amalia Agut
- Department of Animal Medicine and Surgery, Veterinary Teaching Hospital, University of Murcia, Spain
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Hartman MJ, Kirberger RM, Tordiffe ASW, Boy S, Schoeman JP. Laparoscopic removal of a large abdominal foreign body granuloma using single incision laparoscopic surgery (SILS) and extraction bag in a cheetah (
Acinonyx jubatus
). VETERINARY RECORD CASE REPORTS 2015. [DOI: 10.1136/vetreccr-2014-000162] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
| | | | | | - Sonja Boy
- School of Oral Health SciencesUniversity of LimpopoPretoriaGautengSouth Africa
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