Nasal dermoid sinus in an American cocker spaniel

An American cocker spaniel was presented for a subcutaneous mass and draining tract located between its eyes. Contrast radiography and surgical excision showed communication of the tract with the left frontal sinus and rostral cerebral dura, respectively. A dermoid sinus was diagnosed by a combination of gross and histologic findings.     

Nasal dermoid cyst extending through the frontal bone with no sinus tract in a Dalmatian

A Dalmatian was presented with a subcutaneous swelling in the dorsal midline between the eyes. No opening in the skin was identified at the dorsal nasal planum and there was no discharge. Positive contrast sinography showed contrast material filling a cyst that extended to the frontal bone. At surgery, the cyst had a tubular shape and was embedded in a fibrous dermal tissue strand running into the bony nasal septum. The nasal dermoid sinus cyst was surgically removed by limited dorsal rhinotomy, followed by excision of the remaining strand from a bony recess in the lamina perpendicularis ethmoidalis. It is proposed that this nasal dermoid cyst that extends through the frontal bone with no sinus tract is classified as a type V subtype c.     

A nasal dermoid sinus in an English bull terrier

A five-year-old, entire female English bull terrier was presented with a six-week history of intermittent facial swelling and nasal pain, following an incident of nasal trauma. A small opening was present at the mucocutaneous junction on the dorsal nasal planum. Examination under general anaesthesia allowed catheterisation of this opening and confirmed the presence of a tract passing caudally. Plain radiographic examination of the region was unremarkable. Positive contrast sinography demonstrated contrast material filling a midline tract that passed caudally and subcutaneously towards the nasal bone. This tract was surgically excised. Histopathological examination of the excised tissue, together with the clinical findings, led to the diagnosis of nasal dermoid sinus.     

Dermoid sinus removal in a rhodesian ridgeback dog

A three year old Rhodesian Ridgeback dog with a history of a small draining tract in the dorsal cervical area, was found to have a dermoid sinus on surgical exploration. The affected tissue was removed and histopathology done. The sinus is an inherited condition in this breed of dog, with surgical correction and neutering of affected individuals the treatments of choice to reduce the incidence of the dermoid sinus condition in the next generation.     

Spinal dermoid sinus in a Burmese cat with paraparesis

A 2-year-old, male, Burmese cat was evaluated for chronic progressive hindlimb weakness, ataxia and urinary incontinence. Radiographic examination, myelography and magnetic resonance imaging defined congenital vertebral anomalies and a space-occupying intradural, extramedullary mass. A dermoid sinus was subsequently identified dorsal to the affected spine. Surgical excision of the tract necessitated a dorsal laminectomy and removal of a 1-cm diameter intradural dermoid sinus 'cyst' that contained hair and sebaceous debris. The cat recovered hindlimb function after surgery and remains asymptomatic 50 months after surgery except for a persistent inability to urinate voluntarily.     

Dermoid sinus at the lumbosacral junction in an English springer spaniel

A dermoid sinus was identified in a springer spaniel that presented with hindlimb neurological deficits. The sinus was continuous with the dura mater at the level of the lumbosacral junction. The presence of hair and debris adjacent to neural tissue had elicited a myelitis. A dorsal laminectomy was required to allow complete surgical resection of the sinus. The dog's neurological status improved after treatment and this improvement was maintained over a five-month follow-up period.     

Autosomal dominant mutation causing the dorsal ridge predisposes for dermoid sinus in Rhodesian ridgeback dogs

OBJECTIVES: To define the mode of inheritance of the dorsal ridge and investigate if the ridge predisposes to the congenital abnormality dermoid sinus in the Rhodesian ridgeback. METHODS: Segregation analysis was performed, including 87 litters (n=803) produced in Sweden between 1981 and 2002. Data were corrected to avoid bias in the segregation ratio. Chi-squared analysis was performed including 402 litters (n=3598) for the evaluation of a possible genetic correlation between the ridge and dermoid sinus. RESULTS: The ridge is inherited in an autosomal dominant mode and predisposes for dermoid sinus. The frequency of ridgeless offspring in the Swedish Rhodesian ridgeback population is estimated to be 5.6 per cent. CLINICAL SIGNIFICANCE: Rhodesian ridgeback dogs that carry the ridge trait are predisposed to dermoid sinus.     

Intrapericardial Cysts in the Dog

Intrapericardial cysts were identified as the cause of impaired cardiac filling in six young dogs. Pneumo-pericardiography and two-dimensional echocardiography showed the cysts in 2 of 2 dogs and in 4 of 4 dogs, respectively. One dog, which was also infected with heartworms, died before surgical excision of the cyst could be performed. In the remaining dogs, surgical excision of the cysts and subtotal pericar-diectomy was successfully accomplished. Histologic examination of the excised tissue from one dog suggested that it was a pericardial coelomic cyst. The gross and histologic characteristics of the cysts removed from the other five dogs resembled those of acquired cystic hematomas. The etiopathogenesis of these cysts was uncertain, but all cysts were connected to a fatty pedicle of tissue. In one dog, a stalk of tissue was observed to enter the pericardium through a small peritoneopericardial diaphragmatic hernia. In four dogs, the stalk of tissue was adhered to the apex of the parietal pericardium. These observations suggested that intrapericardial cysts, in some dogs, develop in association with, and possibly as a result of, congenital herniation and entrapment of omentum or a portion of the falciform ligament into the pericardial sac. (Journal of Veterinary Internal Medicine 1993; 7:364–369. Copyright © 1993 by the American College of Veterinary Internal Medicine.)     

Epidermal (infundibular) and dermoid cysts in the dorsal midline of a three-year-old thoroughbred-cross gelding

Epidermal (infundibular) and dermoid cysts are unusual in the horse in contrast with other species. The diagnosis and treatment of six lesions in the dorsal midline of a three-year-old Thoroughbred-cross gelding is described. The lesions were believed to be congenital and presented asymptomatically but required attention because five of them were in the saddle region, thus preventing ridden exercise. Under general anaesthesia, the cysts were excised and subsequently examined histologically. The horse recovered uneventfully. This report is novel in that such midline cysts have not previously been described outside Australia and North America.     

True dermoid cyst in a Rhodesian ridgeback

A case of a true dermoid cyst in a Rhodesian ridgeback is described. The mass was located in the dorsal cervical midline at the level of the first cervical vertebra, and was resected surgically. In contrast to other types of dermoid sinus described in the literature, the mass did not have a tract connecting it to, nor an opening on to, the surface of the skin. A diagnosis of true dermoid cyst was made.     

Multiple dermoid sinuses of type Vb and IIIb on the head of a Saint Bernard dog

Dermoid sinus, a congenital malformation of neural tube development, has been reported in humans and several animal species including dogs. It is typically found in the dorsal midline and commonly occurs in the Rhodesian Ridgeback breed. A case of multiple dermoid sinuses in the fronto-occipital region is described. An 11-month-old, intact female Saint Bernard dog was presented with a 2 day history of discharge from a large irregular subcutaneous mass in the fronto-occipital region. The dog was otherwise healthy. The dog had two circular skin lesions (approximately 4 × 4 and 4 × 2 cm diameter) surrounded by multiple irregular elevated masses. The masses had multiple small openings on the skin surface with tufts of hair protruding from the apertures. The masses were surgically removed, and the diagnosis of multiple dermoid sinuses was confirmed by histological examination. Histopathological examination showed multiple, variably sized, spherical to tubular cysts expanding the dermis and subcutis. Cysts were filled with hair shafts and lamellar keratin and were lined by a stratified squamous epithelium. Sebaceous and apocrine gland adnexal structures were also observed. To the best of our knowledge, this is the first reported case of multiple dermoid sinuses of two different types in the head of a Saint Bernard dog.     

Congenital keratoconjunctivitis sicca and ichthyosiform dermatosis in the cavalier King Charles spaniel

OBJECTIVES: To record a previously unreported congenital and hereditary condition affecting the eyes and skin in the cavalier King Charles spaniel. METHODS: Nineteen cases (13 litters) were investigated, with particular reference to eye and skin clinical signs. In addition, five generation pedigrees were obtained and studied from all cases with the exception of one. RESULTS: The eye signs were due to keratoconjunctivitis sicca, a common ocular disease in the dog, but rarely of congenital origin. The skin signs were of an ichthyosiform dermatosis; ichthyosis being a rare skin disease in the dog. In human beings, ichthyosis is a similar disease, mainly inherited and with a neonatal onset, and sometimes accompanied by other developmental defects. In the cavalier King Charles spaniel, the coat abnormality was noted at birth by the breeders as a 'curly coat', with deterioration of the skin signs as the animal became adult. CLINICAL SIGNIFICANCE: These two conditions occurring together in this breed is well recognised by some breeders but rarely by the veterinary profession. Successful treatment is not possible, although some improvement, particularly of the keratoconjunctivitis sicca, can be obtained. The probable hereditary nature of the condition is an important factor for control.     

ENTERIC DUPLICATION IN TWO DOGS

Enteric duplication, a developmental malformation of the alimentary tract resulting in juxtaintestinal cyst-like formations, was diagnosed in 2 dogs. The sonographic, gross, and histopathologic characteristics of the malformation reported in people include: a fusion between the wall of the duplication cyst and the adjoining segment of the alimentary tract, a hypoechoic tunica muscularis layer in the outer free wall of the cyst, a shared muscular wall between the cyst and the adjoining normal bowel, and a similar or heterotopic epithelial lining of the lumen of the cyst. Both dogs in this series had characteristic sonographic, gross and histopathologic patterns described for enteric duplication in people. Three adjoining cysts that communicated and shared a common wall with the ileum were present in the first dog. Ectopic gastric mucosa was present in the single cyst that shared a common wall with the jejunum in the second dog. Other abdominal cystic masses may mimic the gross appearance of the duplication cyst and can potentially result in a misdiagnosis of the underlying etiology. Sonographic findings are characteristic for duplication cysts and are the preferred primary diagnostic modality, however, histopathology is warranted to confirm the diagnosis.     

Dermoid Cyst in the Intermandibular Space of a 3-Year-Old Thoroughbred Gelding: A Case Report

Soft tissue swelling located in the intermandibular space is very common in horses and presents a significant diagnostic challenge. Although the possible etiologies of intermandibular swelling are many, dermoid cysts are rarely included within the differential diagnoses list. This may be due to their low prevalence and to the lack of English written literature reporting dermoid cysts in this location in horses. This is the first report describing the clinical signs, diagnosis, and management of a dermoid cyst arising in the intermandibular space of a Thoroughbred horse. In this case, an enlarging soft tissue mass located in the intermandibular space was diagnosed as a dermoid cyst following complete subcutaneous surgical excision and histopathology.     

Congenital orbital cysts of neural tissue in two dogs

A 3-month-old English Cocker Spaniel and a 6-month-old miniature poodle presented with clinical signs related to an abnormal right eye since birth. In both dogs, the right globe could not be identified and was replaced by a fluctuant intraorbital mass covered by a vascularized mucous membrane. Ultrasonography demonstrated that both masses were cystic structures markedly larger in size than the normal contralateral globes. In both cases, surgical excision revealed a multilobular cyst filling the whole orbital cavity. Histopathologic examination and immunostaining for glial fibrillary acid protein and S100 protein supported a diagnosis of neural cysts associated with ocular dysplasia. The definitive diagnosis was congenital cystic eye and microphthalmos with cyst for the Cocker Spaniel and miniature poodle, respectively. Karyotype was normal in both dogs. Congenital cystic eye and microphthalmos with cyst result from defects in early embryonic life that arise following formation of the optic vesicle and prior to closure of the optic fissure. To the authors' knowledge neither has been reported in the canine species. They should be considered in the differential diagnosis of orbital cysts in dogs.     

Use of positive contrast rhinography and intranasal sinography for diagnosis of a nasofacial sinus tract in a dog

Twelve days after a dog fight, a 2-year-old sexually intact female Bulldog was evaluated because of subcutaneous emphysema of increasing severity throughout the dogs body. Thoracic radiography revealed severe pneumomediastinum from which free air had extended into the retroperitoneal space, resulting in pneumoperitoneum. Tracheoscopic examination did not reveal a discontinuity of the trachea, pharynx, or larynx. A breach between the nasal cavity and subcutaneous tissues of the nasal region was suspected. Further diagnostic investigations included positive contrast rhinography and intranasal sinography. Via an angiographic catheter inserted into the left naris, positive contrast intranasal sinography revealed a sinus tract extending between the left nasal cavity and the subcutaneous tissue of the dorsal aspect of the nasal planum. Resolution of subcutaneous emphysema, pneumomediastinum, and pneumoretroperitoneum began 1 day after surgical closure of the intranasal opening of the sinus tract. To the authors' knowledge, this radiographic technique has not been reported.     

Cor triatrium dexter with Budd-Chiari syndrome and a review of ascites in young dogs

Ascites with accumulation of a true or modified transudate, is relatively uncommon in young dogs. When it does occur, congenital defects of the cardiovascular, gastrointestinal, or renal systems, infectious diseases and trauma must be considered. Cor triatrium dexter, an abnormal membrane obstructing the caudal vena cava at the level of the right atrium, was diagnosed in an eight-month-old cocker spaniel presented with ascites.     

Excision of Tumors in the Nasal Vestibule of Two Dogs

Two dogs with tumors in the left nasal vestibule were treated by surgical excision of the affected part of the nose. Radiation and chemopotentiation were used in one dog, which remained tumor-free after 12 months. When recovering from anesthesia, the second dog developed respiratory distress associated with upper airway obstruction and failure to mouth breathe. The dog was successfully treated by temporary tracheostomy and remained tumor-free after 3 months. Surgery preserved the function of the right nostril and gave an acceptable cosmetic result in both cases.     

Results of rhinoscopy alone or in conjunction with sinuscopy in dogs with aspergillosis: 46 cases (2001-2004)

OBJECTIVE: To determine results of diagnostic testing, including detection of nasal or frontal sinus fungal plaques, in dogs with nasal aspergillosis. DESIGN: Retrospective case series. ANIMALS: 46 dogs with nasal aspergillosis. PROCEDURES: Medical records were reviewed for information on computed tomographic findings; rhinoscopic findings, including whether fungal plaques were seen in the nasal cavity; results of frontal sinus trephination and sinuscopy, including whether fungal plaques were seen in the frontal sinus; and results of histologic examination of biopsy specimens. RESULTS: In 38 (83%) dogs, fungal plaques were seen in the nasal cavity during rhinoscopy, whereas in the remaining 8 (17%), fungal plaques were not seen in the nasal cavity but were seen in the frontal sinus. Duration of clinical signs, proportions of dogs in which the referring veterinarian had performed a nasal examination prior to referral, proportions of dogs with computed tomographic evidence of nasal cavity cavitation or sinus involvement, and proportions of dogs with rhinoscopic evidence of destructive rhinitis were not significantly different between dogs with nasal fungal plaques and dogs with fungal plaques only in the frontal sinus. CONCLUSIONS AND CLINICAL RELEVANCE: Results confirm that frontal sinus involvement is common in dogs with nasal aspergillosis and suggest that frontal sinus trephination and sinuscopy may aid in the diagnosis of aspergillosis in dogs, particularly dogs with rhinoscopic evidence of destructive rhinitis and computed tomographic evidence of sinus involvement that lack detectable fungal plaques in the nasal cavity.     

Outcome and complication rate of nasal planectomy reconstructed with direct mucocutaneous apposition

Nasal planectomy is recommended in cases of squamous cell carcinoma of the nasal planum in dogs and can be curative if excision is complete. Due to the noticeable alteration in appearance inherent in nasal planectomy, several techniques are described for reconstruction. The goal of this study is to report the complication rate and owner satisfaction following nasal planectomy with repair by direct mucocutaneous apposition compared to other reported reconstruction techniques meant to be more cosmetic. Eleven dogs were identified that underwent nasal planectomy with reconstruction via mucocutaneous apposition. Complications were noted in 8/11 dogs: all minor. All dogs underwent CT preoperatively for surgical planning. Complete excision was noted in 10/11 cases. Results suggest that direct mucocutaneous apposition is a viable surgical option for reconstruction following nasal planectomy with favorable major complication rates and owner satisfaction. In addition, direct mucocutaneous apposition for closure following nasal planectomy should be considered, especially in cases in which bone is not resected, because of low complication rates and reasonable cosmetic outcome.