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Garcia-Pertierra S, Das S, Burton C, Barnes D, Murgia D, Anderson D, Kulendra N, Harris K, Forster K. Surgical management of intrathoracic wooden skewers migrating from the stomach and duodenum in dogs: 11 cases (2014-2020). J Small Anim Pract 2022; 63:403-411. [PMID: 35083753 PMCID: PMC9303292 DOI: 10.1111/jsap.13474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 10/08/2021] [Accepted: 10/31/2021] [Indexed: 11/30/2022]
Abstract
Objectives To describe the clinical presentation, management and outcome of cases presenting with intrathoracic wooden skewers originating from the abdominal gastrointestinal tract. Materials and Methods Clinical records of dogs presented and treated for an intrathoracic wooden skewer were reviewed from June to August 2020. Data included signalment, clinical presentation, duration of clinical signs, haematological and biochemical abnormalities, diagnostic imaging findings, surgical procedure, postoperative complications and outcome. Results Eleven dogs were included in the study. In all cases, the foreign body was identified as a wooden skewer. The most common clinical signs were anorexia/hyporexia (n=7), vomiting/regurgitation (n=7), lethargy (n=6), pyrexia (n=4) and gait abnormalities/lameness (n=3). CT correctly identified a wooden skewer in all cases when performed (n=7). A coeliotomy combined with transdiaphragmatic thoracotomy was performed in six of 11 cases (55%), a coeliotomy combined with median sternotomy in four of 11 cases (36%) and a median sternotomy alone was performed in one case. Foreign bodies penetrated from the stomach (n=10) or the duodenum (n=1). Intrathoracic trauma was most commonly identified to the lungs (n=3) and pericardium (n=3). Complications occurred in three of 11 cases (27%), two minor and one resulting in death. Ten of the 11 cases (91%) survived to discharge. Long‐term outcome was available for seven of 11 cases (66%), all of them excellent. Clinical Significance Despite the challenges of managing wooden skewers penetrating the thoracic cavity from the abdominal gastrointestinal tract, the majority of the patients are stable to undergo diagnostic procedures, surgical exploration and management with low morbidity and excellent short‐ and long‐term prognosis.
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Affiliation(s)
- S Garcia-Pertierra
- Hospital for Small Animals, Royal (Dick) School of Veterinary Studies and Roslin Institute, Midlothian, EH25 9RG, UK
| | - S Das
- Davies Veterinary Specialists, Hertfordshire, SG5 3HR, UK
| | - C Burton
- Davies Veterinary Specialists, Hertfordshire, SG5 3HR, UK
| | - D Barnes
- Dick White Referrals, Cambridge, CB8 0UH, UK
| | - D Murgia
- Dick White Referrals, Cambridge, CB8 0UH, UK
| | - D Anderson
- Anderson Moores Veterinary Specialists, Hampshire, SO21 2LL, UK
| | - N Kulendra
- North Downs Specialist Referrals, Bletchingley, RH1 4QP, UK
| | - K Harris
- Southern Counties Veterinary Specialists, Hampshire, BH24 3JW, UK
| | - K Forster
- North Downs Specialist Referrals, Bletchingley, RH1 4QP, UK
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Blondel M, Sonet J, Cachon T, Ségard-Weisse E, Ferrand FX, Carozzo C. Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal. Vet Surg 2021; 50:833-842. [PMID: 33754391 DOI: 10.1111/vsu.13607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Revised: 12/12/2020] [Accepted: 01/11/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To report the relative sensitivity of different diagnostic imaging (DI) techniques to detect migrating foreign bodies (FB) in subcutaneous and underlying soft tissue structures of dogs and evaluate the value of intraoperative ultrasonography (intraop-US). STUDY DESIGN Retrospective study. SAMPLE POPULATION Forty-one dogs. METHODS Medical records (2007-2019) of dogs that underwent surgery for a chronic abscess or draining tract were included when preoperative US (preop-US), computed tomography (preop-CT), or preop-MRI, and at least 6 months of follow-up information were available. Collected data included the DI techniques used, DI findings, and surgical findings. The relative sensitivity of each preoperative DI (preop-DI) technique was calculated. Dogs were divided into two groups, dogs that underwent only a preop-DI examination (group A) and dogs that underwent an additional intraop-US (group B). The success rates for FB surgical removal were compared between groups. RESULTS The relative sensitivity of preop-US and preop-CT/MRI was 88% (95% CI, 70%-95.8%) and 57.1% (95% CI, 32.6%-78.6%), respectively. The success rate for FB removal was higher in group B (89.5%) than in group A (59.1%; P = .038). Clinical resolution occurred in 90.2% of dogs for a median duration of follow-up of 4.2 years (6 months to 9.3 years). CONCLUSION Preoperative US seems more suitable than preop-CT/MRI for detection of migrating FB in subcutaneous and underlying soft tissue structures. The use of intraop-US increases the success rate for FB surgical removal. CLINICAL SIGNIFICANCE Intraoperative US should be used in combination with preop-US to increase the likelihood of migrating FB surgical removal in dogs.
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Affiliation(s)
- Margaux Blondel
- Small Animal Surgery Unit, Department of Clinical Sciences, VetAgroSup, Campus vétérinaire de Lyon, Marcy l'Etoile, France
| | - Juliette Sonet
- Diagnostic Imaging Unit, Department of Clinical Sciences, VetAgroSup, Campus vétérinaire de Lyon, Marcy l'Etoile, France
| | - Thibaut Cachon
- Small Animal Surgery Unit, Department of Clinical Sciences, VetAgroSup, Campus vétérinaire de Lyon, Marcy l'Etoile, France
| | - Emilie Ségard-Weisse
- Diagnostic Imaging Unit, Department of Clinical Sciences, VetAgroSup, Campus vétérinaire de Lyon, Marcy l'Etoile, France
| | - François-Xavier Ferrand
- Small Animal Surgery Unit, Department of Clinical Sciences, VetAgroSup, Campus vétérinaire de Lyon, Marcy l'Etoile, France
| | - Claude Carozzo
- Small Animal Surgery Unit, Department of Clinical Sciences, VetAgroSup, Campus vétérinaire de Lyon, Marcy l'Etoile, France
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Lamb CR, Pope EH, Lee KC. RESULTS OF COMPUTED TOMOGRAPHY IN DOGS WITH SUSPECTED WOODEN FOREIGN BODIES. Vet Radiol Ultrasound 2016; 58:144-150. [DOI: 10.1111/vru.12457] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Accepted: 10/04/2016] [Indexed: 11/28/2022] Open
Affiliation(s)
- Christopher R. Lamb
- Department of Clinical Science and Services, The Royal Veterinary College; University of London; Hertfordshire AL9 7TA UK
| | - Elizabeth H.W. Pope
- Department of Clinical Science and Services, The Royal Veterinary College; University of London; Hertfordshire AL9 7TA UK
| | - Karla C.L. Lee
- Department of Clinical Science and Services, The Royal Veterinary College; University of London; Hertfordshire AL9 7TA UK
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Shanaman MM, Lockwood AA. What is your diagnosis? Foreign body. J Am Vet Med Assoc 2013; 243:1687-9. [PMID: 24299536 DOI: 10.2460/javma.243.12.1687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Miriam M Shanaman
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61802
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Bouabdallah R, Moissonnier P, Delisle F, De Fornel P, Manassero M, Maaoui M, Fayolle P, Viateau V. Use of preoperative computed tomography for surgical treatment of recurrent draining tracts. J Small Anim Pract 2013; 55:89-94. [DOI: 10.1111/jsap.12163] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- R. Bouabdallah
- Ecole Nationale Supérieure Vétérinaire; BP 161 El-Harrach Alger Algeria
- Université Paris Est; Ecole Nationale Vétérinaire d'Alfort; 7 avenue du général de Gaulle 94704 Maisons-Alfort Cedex France
| | - P. Moissonnier
- Université Paris Est; Ecole Nationale Vétérinaire d'Alfort; 7 avenue du général de Gaulle 94704 Maisons-Alfort Cedex France
| | - F. Delisle
- Centre de Radiothérapie-Scanner; 7 Avenue Charles De Gaulle 94700 Maisons-Alfort France
| | - P. De Fornel
- Centre de Radiothérapie-Scanner; 7 Avenue Charles De Gaulle 94700 Maisons-Alfort France
| | - M. Manassero
- Université Paris Est; Ecole Nationale Vétérinaire d'Alfort; 7 avenue du général de Gaulle 94704 Maisons-Alfort Cedex France
| | - M. Maaoui
- CHU Bachir Mentouri Kouba; Alger Algeria
| | - P. Fayolle
- Université Paris Est; Ecole Nationale Vétérinaire d'Alfort; 7 avenue du général de Gaulle 94704 Maisons-Alfort Cedex France
| | - V. Viateau
- Université Paris Est; Ecole Nationale Vétérinaire d'Alfort; 7 avenue du général de Gaulle 94704 Maisons-Alfort Cedex France
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Kelly PA, Cloak B, Cassidy JP. Unusual intravascular migration of a wooden skewer resulting in vena caval thrombosis identified postmortem in a dog. VETERINARY RECORD CASE REPORTS 2013. [DOI: 10.1136/vetreccr-2013-000003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- P. A. Kelly
- Department of Veterinary PathobiologyUCD School of Veterinary MedicineUniversity College DublinDublin 4Ireland
| | - B. Cloak
- Department of Veterinary PathobiologyUCD School of Veterinary MedicineUniversity College DublinDublin 4Ireland
| | - J. P. Cassidy
- Department of Veterinary PathobiologyUCD School of Veterinary MedicineUniversity College DublinDublin 4Ireland
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Shanaman MM, Schwarz T, Gal A, O'Brien RT. Comparison between survey radiography, B-mode ultrasonography, contrast-enhanced ultrasonography and contrast-enhanced multi-detector computed tomography findings in dogs with acute abdominal signs. Vet Radiol Ultrasound 2013; 54:591-604. [PMID: 23919809 DOI: 10.1111/vru.12079] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2013] [Accepted: 05/18/2013] [Indexed: 12/14/2022] Open
Abstract
Contrast-enhanced multi-detector computed tomography (CE-MDCT) is used routinely in evaluating human patients with acute abdominal symptoms. Contrast-enhanced ultrasound (CEUS) continues to be in its infancy as it relates to evaluation of the acute abdomen. The purpose of this study was to compare survey radiography, B-mode ultrasound, CEUS, and CE-MDCT findings in canine patients presenting with acute abdominal signs; with a focus on the ability to differentiate surgical from non-surgical conditions. Nineteen dogs were prospectively enrolled. Inclusion required a clinical diagnosis of acute abdominal signs and confirmed surgical or non-surgical causes for the clinical signs. Agreement for the majority of recorded imaging features was at least moderate. There was poor agreement in the identification of pneumoperitoneum and in the comparison of pancreatic lesion dimensions for B-mode vs. CEUS. The CT feature of fat stranding was detected in cases including, but not limited to, gastric neoplasia with perforation, pancreatitis, and small intestinal foreign body. Ultrasound underestimated the size and number of specific lesions when compared with CE-MDCT. Contrast-enhanced ultrasound was successful in detecting bowel and pancreatic perfusion deficits that CE-MDCT failed to identify. Accuracy for differentiation of surgical vs. non-surgical conditions was high for all modalities; 100%, 94%, and 94% for CE-MDCT, ultrasonography and survey radiography respectively. Findings indicated that CE-MDCT is an accurate screening test for differentiating surgical from non-surgical acute abdominal conditions in dogs. Focused CEUS following CE-MDCT or B-mode ultrasonography may be beneficial for identifying potentially significant hypoperfused lesions.
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Affiliation(s)
- Miriam M Shanaman
- Department of Veterinary Clinical Medicine, University of Illinois at Urbana-Champaign, Urbana, IL, 61802
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Morrison EJ, Sato AF, Geyer NE, Blake C. What is your diagnosis? Foreign body. J Am Vet Med Assoc 2013; 242:1487-9. [PMID: 23683010 DOI: 10.2460/javma.242.11.1487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Emily J Morrison
- Department of Clinical Sciences, Foster Hospital for Small Animals, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA 01536, USA.
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Weissman A, Penninck D, Webster C, Hecht S, Keating J, Craig LE. Ultrasonographic and clinicopathological features of feline gastrointestinal eosinophilic sclerosing fibroplasia in four cats. J Feline Med Surg 2013; 15:148-54. [PMID: 23076597 PMCID: PMC10816649 DOI: 10.1177/1098612x12464224] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/10/2024]
Abstract
Four cats with feline gastrointestinal eosinophilic sclerosing fibroplasia (FGESF) are described. Clinical signs included decreased appetite, weight loss, vomiting and diarrhea. Bloodwork abnormalities included mild neutrophilia (n = 2) and hyperglobulinemia with concurrent hyperproteinemia (n = 2). Ultrasonographically, a total of five solitary masses with mural thickening and loss of layering were identified in the stomach, duodenum, jejunum and colon. In one cat a second, separate lesion was diagnosed 3 weeks following surgical resection of one mass. Histopathologically, lesions were characterized by collagen trabeculae and mixed inflammatory cell infiltrates, predominantly eosinophils. Multiple areas of necrosis were also noted, which contained bacteria in 2/4 cats. In two cats, changes consistent with FGESF were also noted in the liver. All cats had surgical resection of their lesions. Two cats are still living at time of publication (43 and 24 months post-surgery). FGESF should be considered as a differential for intestinal masses in cats.
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Affiliation(s)
- Andrea Weissman
- Department of Clinical Sciences, Tufts University Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Dominique Penninck
- Department of Clinical Sciences, Tufts University Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Cynthia Webster
- Department of Clinical Sciences, Tufts University Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Silke Hecht
- University of Tennessee, Veterinary Medical Center, Knoxville, TN, USA
| | - John Keating
- Department of Clinical Sciences, Tufts University Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Linden E Craig
- University of Tennessee, Veterinary Medical Center, Knoxville, TN, USA
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Jones JC, Ober CP. Computed tomographic diagnosis of nongastrointestinal foreign bodies in dogs. J Am Anim Hosp Assoc 2008; 43:99-111. [PMID: 17339287 DOI: 10.5326/0430099] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Clinical data and computed tomography (CT) studies were reviewed for 13 dogs with confirmed nongastrointestinal foreign bodies. Locations of foreign bodies were the nasal cavity, thoracic wall, retropharyngeal region, and cerebellum. Types of foreign bodies included small plant components, blades of grass, wooden sticks, cloth fibers, and a needle. Foreign bodies in five dogs were not identified on CT, and secondary reactions resembled neoplastic or fungal disease. In eight dogs, foreign bodies were recognized by their shape and/or internal architecture. In two dogs, three-dimensional reformatting helped demonstrate foreign bodies in relation to palpable bony landmarks.
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Affiliation(s)
- Jeryl C Jones
- Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic and State University, Blacksburg, Virginia 24061-0442, USA
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Johnson-Neitman JL, Bahr RJ, Broaddus KD. FISTULA FORMATION SECONDARY TO A NYLON CABLE BAND IN A DOG. Vet Radiol Ultrasound 2006; 47:355-7. [PMID: 16863053 DOI: 10.1111/j.1740-8261.2006.00153.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
A dog with a 9-month history of a chronic draining tract involving the left flank had previously undergone five surgeries and two drain placements with no permanent resolution of the draining tract. Fistulography and computed tomography were useful in characterizing the draining tract and identifying a suspected foreign body. Surgery was performed and a nylon cable band foreign body was removed.
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