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A 16‐hour‐old Quarter Horse filly presented for evaluation of a soft mass in the right caudoventral lateral abdominal wall. Radiography and ultrasonography confirmed the presence of a nonreducible lateral abdominal wall hernia with small intestine located between the skin and body wall. The size of the defect itself could not be imaged and the filly was taken to surgery. A 4 cm vertical defect that appeared congenital was found in the transverse abdominal muscle and was repaired by primary apposition. This case report describes the repair and outcome of this unusual type of congenital hernia. 相似文献
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Jiaying Ng Kathleen A. Linn Cindy L. Shmon Sarah Parker Lesley A. Zwicker 《Veterinary radiology & ultrasound》2020,61(2):130-136
Nontraumatic spontaneous pneumoperitoneum suggests the presence of gastrointestinal perforation; early detection can be lifesaving. Horizontal beam projections have been reported to be more sensitive than standard radiographic views for detecting small volumes of free peritoneal gas. This prospective, experimental, analytical study compared both left lateral (LL) and ventrodorsal (VD) standard views to horizontal beam projections for detecting small volumes of artificially induced pneumoperitoneum in live dogs. The effect of radiology training on accurate detection of small amounts of free peritoneal air was also assessed. Fourteen dogs had four radiographic projections taken after injection of 0, 2.5, 5, and 10 mL of cumulative air into their abdominal cavities. Radiographs were interpreted individually by three American College of Veterinary Radiology‐certified radiologists and three small animal internship‐trained veterinarians who were blinded to the air volume injected. At 2.5 and 10 mL of air injected, the LL projection had highest odds of an accurate response (odds ratio [OR] = 2.4 and 99.0 when compared to VD horizontal and VD projections, respectively). At 5 mL of air injected, the lateral horizontal (LH) projection had the highest odds of an accurate response (OR = 3.2 compared to VD horizontal). The LL projection was not significantly different from the LH projection at all volumes of air injected. Board certification led to higher odds of accurate responses at volumes of 5 (OR = 2.2) and 10 mL (OR = 3.6), as compared to nonspecialist veterinarians. Overall, LH and standard LL appeared to be the most useful radiographic projections for detection of small amounts of free peritoneal gas. 相似文献
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Adrienne M. Bentley DVM Cynthia M. Otto DVM PhD DACVECC Frances S. Shofer PhD 《Journal of Veterinary Emergency and Critical Care》2007,17(4):391-398
Objective: To describe and compare the patient population, treatment, and outcome in dogs with septic peritonitis from 2 time periods at the same institution. Design: Retrospective study. Setting: The Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania. Animals: Dogs treated surgically for septic peritonitis between 1988–1993 and 1999–2003. Interventions: None. Measurements: Preoperative physical and clinicopathologic data, surgical findings, anesthetic parameters, treatment, and outcome. Main results: No significant difference in survival among dogs treated surgically for septic peritonitis between 1988 and 1993 (21/33 [64%]) and 1999–2003 (29/51 [57%]) was detected. The patient populations of the two time periods were similar. Changes in treatment between the study periods reflected availability of new antibiotics and synthetic colloids, as well as greater attention to pain management and ulcer prevention. Duration of hospitalization was not significantly different between the two time periods, but the daily cost adjusted to 2005 dollars was higher in 1999–2003. Potential prognostic indicators were compared between survivors and non‐survivors after combining the data from both time periods, and although several parameters reached statistical significance, of greatest clinical significance were the higher blood pressure and preoperative serum albumin in survivors. Conclusions: Although new treatments were added to the supportive care of dogs with septic peritonitis, survival did not change sufficiently to detect a significant difference between the time periods evaluated. Identifying reliable prognostic indicators for septic peritonitis remains a challenge, but hypotension and decreased preoperative serum albumin were associated with non‐survival in this group of dogs. 相似文献
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An 8‐day‐old French trotter colt was admitted with a traumatic lateral abdominal wall hernia with reducible intestinal content. A 15 cm long full thickness tear was identified in both the internal abdominal oblique and transverse abdominal muscles. This case report describes the surgical repair of the hernia using a polypropylene mesh. 相似文献
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Intra‐abdominal hypertension (IAH) may lead to a multiple organ dysfunction syndrome associated with significant dysfunction of the cardiovascular, respiratory, renal, gastrointestinal and central nervous systems of human patients. A recent prospective multicentre epidemiological investigation in man concluded that IAH was associated with an increased risk of mortality in critically ill patients. In this review, we present current information pertaining to the potential clinical importance of IAH in the context of equine clinical practice. In conclusion, consideration of intra‐abdominal pressure should be a part of the clinical assessment of patient well‐being in critically ill equine patients. 相似文献
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Accuracy and safety of pin placement during lateral versus dorsal stabilization of lumbar spinal fracture‐luxation in dogs 下载免费PDF全文
Joycelyn H. Tran BVSc MANZCVSc David A. Hall BVSc MANZCVSc John M. Morton BVSc PhD MANZCVSc Kirsten J. Deruddere BVSc FANZCVSc Samuel R. Snelling BVSc FANZCVSc 《Veterinary surgery : VS》2017,46(8):1166-1174
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Canola PA Perotta JH Laskoski LM Escobar A Melo e Silva CA Canola JC Johnson PJ Valadão CA 《Equine veterinary journal》2011,43(6):714-720
Reasons for performing study: Standing laparoscopic procedures, facilitated by abdominal insufflation with carbon dioxide, are being employed to an increasingly greater extent in horses. However, a sustained increase in abdominal pressure may be life‐threatening. A practical method for intra‐abdominal pressure (IAP) assessment is imperative. Although indirect methods for estimating IAP have been extensively studied in man, little work has been performed in veterinary medicine. Objectives: To investigate the utility of gastric manometry for purposes of evaluating IAP in horses. Methods: Gastric pressure (Pga) was estimated by balloon manometry in 8 healthy, mature horses, before and during a 30 min passive pneumoperitoneum induced by right paralumbar puncture. The balloon manometer was positioned within the gastric lumen and inflated using 2 separate volumes of air: 10 and 50 ml. Pga Gastric pressure was determined at baseline (0) and 5, 15 and 30 min after induction of passive pneumoperitoneum. Intra‐abdominal pressure was measured directly by right paralumbar puncture using an 8 gauge needle at baseline and immediately following establishment of passive pneumoperitoneum. Results: Baseline IAP values were negative and increased (P≤0.05) during development of passive pneumoperitoneum. However, recorded Pga measurements for both inflation volumes were positive before (baseline) and during the course of the passive pneumoperitoneum. Measured Pga values did not correlate with IAP at any time. Conclusions and potential relevance: Our results suggest that the indirect method used in human patients for estimating IAP by Pga is not applicable for horses. 相似文献
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Reports of alimentary tract foreign bodies have been rarely reported in the equine literature. This Case Report concerns a mare who presented persistent fever and mild signs of colic. A metallic foreign body was found near to the diaphragm on radiographic and ultrasonographic examinations. A thoracotomy was subsequently performed by means of a 7th rib resection and a diaphragmatic incision made in order to remove the intra‐abdominal abscess containing a metallic foreign body. Peritonitis was the major complication and was managed during hospitalisation by multiple lavage‐drainage procedure of the abdominal cavity. Long‐term outcome (3 years) was good. 相似文献
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CASE HISTORY: An 8-year-old female Toggenburg goat was presented with a history of reduced appetite, ruminal tympany, and abdominal enlargement of 2 weeks' duration. CLINICAL FINDINGS: The abdomen was markedly distended and contained a large amount of fluid, demonstrated using ultrasonography, along with echogenic masses on the ventral ruminal and reticular walls. The findings were confirmed at exploratory laparotomy, where together with excessive peritoneal fluid, numerous nodules were found blanketing the peritoneum. PATHOLOGICAL FINDINGS AND DIAGNOSIS: Numerous partially coalescing, white-grey nodules up to 3 cm in diameter covered the peritoneum. A biphasic mesothelioma consisting of epithelial and mesenchymal components was demonstrated by histopathology and immunohistochemistry. CLINICAL RELEVANCE: Primary tumours of the peritoneum are rare and occur in many animal species. They must be differentiated from chronic granulomatous peritonitis caused by bacteria (e.g. tuberculosis or ‘pearl disease’), parasites and metastatic tumours. 相似文献
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EDUARDO FRAGA JOSÉ DANIEL BARREIRO ANA GOICOA LUCIANO ESPINO GEMMA FRAGA ANDRÉS BARREIRO 《Veterinary radiology & ultrasound》2011,52(3):323-329
Canine babesiosis is a tick‐borne disease with a worldwide distribution that can involve multiple organs and result in a wide variety of clinical manifestations. Our goal was to describe the sonographic changes occurring in 72 dogs naturally infected with babesiosis. Seven healthy Beagle dogs were used as a control group. The most common finding in all dogs was splenomegaly with a diffuse heterogenic parenchyma and generally reduced echogenicity. Diffuse hypoechoic hepatomegaly and bilaterally increased cortical echogenicity of the renal parenchyma were found more frequently in severe uncomplicated and complicated babesiosis groups. Mean renal resistive index and pulsatility index (PI) values were 0.66/1.35, 0.73/1.91, and 0.71/1.73 for mild uncomplicated, severe uncomplicated, and complicated babesiosis groups, respectively. A markedly increased PI for complicated and severe uncomplicated groups correlated with anemia and severity of renal damage. Ultrasonography can be an adjunct for diagnosis and monitoring canine babesiosis and its systemic complications. The detection of diffuse heterogeneous splenomegaly can support the diagnosis of Babesia infection, because of the high prevalence of this lesion in these patients. 相似文献
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LINDA J. KONDE DVM JACK L. LEBEL DVM PHD RICHARD D. PARK DVM PHD ROBERT H. WRIGLEY BVSC MS DVR 《Veterinary radiology & ultrasound》1986,27(5):151-154
The sonographic appearance of intraabdominal abscess, excluding prostatic abscess, is presented. The most common sonographic pattern identified for intraabdominal abscess is an irregularly defined, hypoechoic mass with minimal to no through transmission. Definitive diagnosis of intraabdominal abscess using only sonography is not possible, as variations of this common sonographic pattern are imaged. Sonography is best utilized to scan an animal when there is a high suspicion of intraabdominal abscess with no overt physical or radiographic evidence, and to better characterize intraabdominal masses. Sonography can be used to assist in percutaneous aspiration, catheterization, and intraoperative localization of abscessation. 相似文献
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A novel balloon technique to induce intra‐abdominal hypertension and its effects on cardiovascular parameters in a conscious dog model 下载免费PDF全文
Min Jang DVM PhD Won‐gyun Son DVM PhD Sang‐min Jo DVM Hyunseok Kim DVM Chi Won Shin DVM Inhyung Lee DVM MS PhD 《Journal of Veterinary Emergency and Critical Care》2018,28(4):326-333
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A 21‐year‐old New Forest pony presented for evaluation of lethargy and colic. Transcutaneous abdominal ultrasonography revealed a cavitary, thick walled, mass‐like lesion that appeared continuous with the small intestine. The thick walls of the mass‐like lesion were of heterogeneous echogenicity with hyperechoic foci extending from the hyperechoic luminal surface to within the wall and there was loss of normal wall layering. These findings were confirmed grossly at exploratory celiotomy and histopathological examination of affected tissues confirmed lymphoma. The ultrasound findings facilitated a preoperative presumptive diagnosis that allowed informed decision‐making and aided case management. 相似文献