Diagnostic ultrasonography in cattle with abdominal fat necrosis

This study describes the ultrasonographic findings in 14 cows with abdominal fat necrosis. Ultrasonography of the abdomen revealed the presence of heterogeneous hyperechoic masses and hyperechoic omentum with localized masses floating in a hypoechoic peritoneal fluid. A hyperechogenic rim was imaged around both kidneys. The intestines were coated with hyperechoic capsules and the intestinal lumens were constricted. Ultrasonographic examination of the pancreatic parenchyma showed an overall increased echogenicity which was homogenously distributed in 3 cases. A diagnosis of abdominal fat necrosis was made with ultrasound-guided biopsy of the echogenic masses, and thereafter at postmortem examination. Results from this study demonstrate the efficacy of ultrasonography as an imaging modality for antemortem diagnosis of abdominal lipomatosis in cattle. To the authors' knowledge, this study is the first that illustrates ultrasonographic findings in cattle affected with abdominal lipomatosis.     

A microsporidian infection in sheepshead minnow (Cyprinodon variegatus)

Approximately 500 fish were delivered to the Department of Fish Toxicology for routine experiments. Post-mortem examination of 19 fish (10 males and 9 females) revealed the presence of greyish white cysts in the abdominal cavity, loosely attached to the viscera. Apparently, 50 percent of the total 500 fish were affected, none of which showed clinical abnormality. Pathological results are described and discussed.     

Radiography and ultrasonography in the diagnosis and treatment of abdominal enlargements in five guinea pigs

Five guinea pigs with palpable abdominal masses were examined by radiography and ultrasonography, and laparotomy was performed. Splenic haematoma, splenic and uterine haemangioma, uterine fibroma and ovarian teratoma were found on histological examination after excision of the relevant organs. Both of the imaging methods allowed localisation of the affected organs, but the inner structure of the masses could only be imaged by ultrasonography. Ultrasonography served as an aid in decision-making with respect to the laparotomy. Surgery was successful in four out of the five cases. Both imaging methods were found to be useful in diagnosis and in determining the choice of treatment in cases of abdominal masses in guinea pigs.     

Malignant histiocytosis in a Bernese mountain dog presenting as a mandibular mass.

A Bernese mountain dog was evaluated because of a gingival mass, multiple abdominal masses, and a pulmonary mass. Malignant histiocytosis was diagnosed based on cytological examination of splenic and bone marrow aspirates and histological examination of a bone marrow biopsy and the gingival mass. The case demonstrates that malignant histiocytosis is difficult to diagnose due to the variety of histiocytic disorders.     

Polycystic kidney disease in goldfish (Cusrassius auratus)

Abstract Thirty percent of 60 goldfish in an outside pond showed progressive development of swollen abdomens and floatation problems. The occasional fish was found dead. Necropsy of an affected fish showed an abdomen almost filled with a large bilobed ventral mass comprised of masses of cysts filled with clear fluid. On histopathological examination, this mass appeared to be composed of large cystic spaces lined by a single flattened epithelium. Occasional remnants of normal kidney tissue were seen withen the mass.     

Algal dermatitis in cichlids

Three varieties of a popular African cichlid aquarium species, Pseudotropheus zebra, from 2 tropical fish farms in east central Florida were submitted for diagnostic evaluation because of the development of multifocal green lesions. The percentage of infected fish in these populations varied from 5 to 60%. Fish were otherwise clinically normal. Microscopic examination of fresh and fixed lesions confirmed algal dermatitis, with light invasion of several internal organs in each group. A different alga was identified from each farm. Fish from farm A were infected with Chlorochytrium spp, whereas fish from farm B were infected with Scenedesmus spp. Because of the numbers of fish involved, bath treatments to remove the algae from affected fish from farm B were attempted, with different dosages of several common algaecides including copper sulfate pentahydrate, diuron, and sodium chloride. However, none of these treatments were successful, possibly because of the location of the algae under the scales and within the dermis, and also because of the sequestering effect of the granulomatous response. To our knowledge, this is the first report of algal dermatitis in ornamental cichlids, as well as the first report of Scenedesmus spp infection in any fish.     

Lymphoma and Mycobacterium avium infection in a ferret (Mustela putorius furo).

A 6-year-old, neutered male ferret presented with weight loss. Radiography revealed an enlarged liver and other abdominal masses. The ferret was euthanized, and at necropsy, the stomach wall was thickened, mesenteric lymph nodes were enlarged, and the liver contained multifocal tan nodules. Histopathology confirmed lymphoma and granulomatous inflammation in all affected organs. Acid-fast bacilli were present in the lesions and were confirmed to be Mycobacterium avium by PCR.     

一例猫卵巢恶性颗粒细胞瘤的病理学分析

本文报道猫伴发腹腔种植性转移的卵巢恶性颗粒细胞瘤1例,较为罕见,国内外文献未见报道。1例15岁雌性家猫,因不食和腹围增大就诊。超声检查显示,左肾尾侧可见一大小约4.27 cm×2.63 cm的肿物。开腹探查,可见大网膜、肠壁及胃壁弥散性分布大量大小不等的球形肿物,左侧卵巢明显增大,表面形成坚实或柔软的结节。对肿物进行组织病理学检查,诊断为卵巢恶性颗粒细胞瘤。本文提供该病例临床和组织病理学资料,并回顾相关文献资料,希望对该肿瘤的诊疗和研究提供帮助。     

Polycystic kidney disease in goldfish (Cusrassius auratus)

Thirty percent of 60 goldfish in an outside pond showed progressive development of swollen abdomens and floatation problems. The occasional fish was found dead.

Necropsy of an affected fish showed an abdomen almost filled with a large bilobed ventral mass comprised of masses of cysts filled with clear fluid. On histopathological examination, this mass appeared to be composed of large cystic spaces lined by a single flattened epithelium. Occasional remnants of normal kidney tissue were seen withen the mass.     

Uterine myxoid leiomyosarcoma with widespread metastases in a cat

A 10-year-old domestic shorthair cat was spayed to remove bilateral ovarian masses and an enlarged uterus. Both ovaries were effaced by large, irregular, firm, glistening, white cystic masses filled with clear viscous fluid. The uterine lumen was filled with copious amounts of clear viscous fluid, and the uterus contained multiple, firm, glistening, white nodules. Histologic examination revealed an invasive spindle cell neoplasm with features of malignancy, and extensive hypocellular areas containing an alcian blue-positive myxoid matrix. Tumor cells expressed caldesmon, alpha-smooth muscle actin, and estrogen receptor but were negative for desmin. The animal was euthanized 1 month later because of suspected local tumor recurrence. At necropsy, the abdominal cavity contained 120 ml of mucoid ascites; multiple tumor nodules were present in the abdominal and thoracic cavities. The clinical behavior and gross, microscopic, and immunohistochemical findings established a diagnosis of myxoid leiomyosarcoma.     

Diagnosis and clinical management of multiple chromatophoromas in an eastern yellowbelly racer (Coluber constrictor flaviventris).

A wild-caught subadult eastern yellowbelly racer (Coluber constrictor flaviventris) presented with three raised, circumscribed, freely moveable subcutaneous masses over the dorsal and right epaxial musculature. Microscopic examination and special staining of surgically excised masses were diagnostic for chromatophoroma. No metastases were apparent on whole-body plain film radiographs and computed tomography. Additional excisional biopsies of previously affected sites performed 13 wk later demonstrated normal skin and subcutis. The snake recovered uneventfully and continued to do well 18 mo later. Surgical excision of chromatophoromas remains the treatment of choice in snakes. Subcutaneous masses in snakes should be thoroughly investigated.     

Squamous cell carcinoma of the reticulum and liver in a Simmental cow

This report describes an 8.8-year-old Simmental cow with squamous cell carcinoma of the reticulum and liver. The cow had calved recently and was referred to our clinic because of intractable fever, anorexia and progressive indigestion. The general condition and mental status were moderately affected and rectal temperature and respiratory rate were significantly elevated. There were no ruminal sounds and pinching of the withers consistently elicited a grunt. Serum activities of gamma glutamyl transferase, glutamate dehydrogenase and sorbitol dehydrogenase were elevated. Radiographic examination of the reticulum and ultrasonographic examination of the reticulum, liver and abdominal cavity revealed multifocal, poorly demarcated, heterogeneous and echogenic changes in the liver. Biopsy of these lesions yielded a diagnosis of squamous cell carcinoma. The cow was euthanized and a postmortem examination confirmed the diagnosis. A 15 by 15 cm neoplasm was found in the reticular wall, and histological examination showed squamous cell carcinoma. It was assumed that the reticular mass was the primary tumour, which metastasized to the liver via the portal vein.     

Large granular lymphoma in an FIV-positive and FeLV-negative cat

The clinical course of a feline leukaemia virus (FeLV)-negative and feline immunodeficiency virus (FIV)-positive cat affected with a large granular lymphocyte lymphoma is presented. Cyto-logical examination showed neoplastic cells in the pleural effusion and in two abdominal masses. Bone marrow and peripheral blood were moderately involved and chemotherapy was used to control the tumour. Cytochemistry, immunohis-tochemistry and ultrastructural studies were applied to define the cellular lineage; cytochemistry suggested a T-cell lineage.     

Use of x-ray-computed tomography as an aid in localization of adrenal masses in the dog

Four dogs with clinical evidence of hyperadrenocorticism were evaluated by use of x-ray-computed tomography (CT). Adrenal masses were identified accurately and localized. Unilateral adrenal masses were diagnosed accurately in dogs 1, 2, and 3 and were removed surgically via a paracostal retroperitoneal approach to the adrenal gland. Using CT and IV contrast medium, the adrenal mass in dog 3 also was accurately diagnosed as being highly vascular. The histopathologic diagnosis was adrenal adenoma in dogs 1, 2, and 3. In dog 4, the CT-roentgen diagnosis was asymmetric bilateral adrenal enlargement. Necropsy examination of dog 4 indicated moderate enlargement of the left adrenal gland and severe enlargement of the right adrenal gland. Results of microscopic examination indicated chronic inflammation of the left adrenal gland and adenocarcinoma of the right adrenal gland. Use of CT facilitated localization of adrenal masses and fulfilled the needs of a localizing technique. A unilateral mass can be removed surgically via a limited exposure, retroperitoneal incision on the affected side of the animal instead of removal via abdominal laparotomy, which is more invasive. Advantages of CT can reduce the needs of other imaging modalities for the localization of adrenal masses.     

Lymphangiosarcomas in cats: a retrospective study of 12 cases

Clinical, macroscopic, and histologic features of 12 lymphangiosarcomas in cats are described. Nine tumors were located in the subcutaneous tissue at the caudoventral abdominal wall (eight cats) or in the neck (one cat). The remaining three cats had lymphangiosarcomas around the cranial mesenteric artery (two cats) or precardial in the mediastinum (one cat). Macroscopically, the tumors were noncircumscribed, white, edematous, and intermixed with fat tissue. Histologic features varied from cleft-forming and cavernous growth to papilliform and solid patterns. Follow-up data were available for seven cats with subcutaneous lymphangiosarcomas. All these cats died or were euthanatized within 6 months after surgery because of poor wound healing, local recurrence, or distant metastases. The cats with abdominal or thoracic masses were either euthanatized at surgery or within 6 months after the first surgery because of recurrent chylothorax, chyloperitoneum, or distant metastases.     

An abdominal teratoma in a yearling Irish Cob with a strangulating obstruction of the small intestine

A yearling Irish Cob stallion was presented to De Morette Equine clinic for severe acute abdominal pain, nonresponsive to analgesics and sedatives. Rectal palpation and a limited transabdominal ultrasonographic examination led to the presumptive diagnosis of a strangulated obstruction of the small intestine. The painful behaviour of the pony did not allow conservative treatment and surgical exploration was denied by the owners for financial considerations. On necropsy, a large cystic mature teratoma was adhered to the ventral body wall, the mesenteric root, omentum and intestines. Teratomas are rare in man and animals, and an extragonadal intraperitoneal location has not previously been reported in the equine species.     

ULTRASONOGRAPHIC DIAGNOSIS OF GASTROINTESTINAL SMOOTH MUSCLE TUMORS IN THE DOG

Historical, physical examination, clinicopathologic, radiographic and ultrasonographic findings of 13 dogs with gastrointestinal (GI) smooth muscle tumors (11 leiomyosarcomas, 2 leiomyomas) were reviewed. History, including signalment and chief complaint, physical examination and bloodwork were neither sensitive nor specific for GI neoplasia. Imaging procedures, radiology and ultrasonography, detected the presence of abdominal masses in 12 patients, including 9 animals lacking a palpable mass on initial examination. Survey radiographs of 10 of the 13 dogs revealed a mass effect in 5/10 dogs, evidence of peritoneal effusion or free abdominal gas in 3/10 dogs, and an obstructive pattern with gas and fluid distension of the intestinal tract in 1/10 dogs. Ultrasonography identified an abdominal mass in 12/13 dogs, and peritoneal effusion in 5 animals. Ultrasonography correctly recognized an association of the mass with bowel segments by the presence of intraluminal gas, within or adjacent to the mass effect, in 10 dogs, and strongly suggested an intestinal origin in one additional animal. GI smooth muscle tumors often appeared as large masses, eccentrically projecting from the bowel wall, frequently containing single or multiple hypo/anechoic regions. Based on this study we conclude that ultrasonography is more sensitive than survey radiography in the detection of GI smooth muscle tumors, and may present specific features to distinguish smooth muscle tumors from other types of GI tumors. Ultrasonography is recommended as a screening procedure for cases where GI neoplasia is suspected.     

Ultrasound as a diagnostic tool in the investigation of a pony with intestinal lymphoma

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.     

Small intestinal pseudodiverticulosis in a pony mare

A 14-y-old pony mare was referred after 30-d duration of intermittent pyrexia, anorexia, weight loss, and change in manure consistency. Physical examination revealed a palpable but reducible ventral abdominal mass. Transabdominal ultrasonography revealed multiple distended, hypomotile, and thickened small intestinal loops in close approximation with numerous, well-defined, hyperechoic masses. There was a large amount of echogenic peritoneal fluid; abdominocentesis revealed a neutrophilic and macrophagic inflammatory exudate, and a mixed bacterial population was cultured. Given the poor prognosis, the mare was euthanized. The autopsy findings included a large abdominal abscess, serosanguineous peritoneal fluid with fibrin strands, and ~50 outpouches communicating with the lumen and extending from the anti-mesenteric aspect of the duodenum, jejunum, and ileum. These structures were classified as pseudodiverticula based on the histologic absence of the tunica muscularis layer of the intestinal wall. Pseudodiverticula should be included as a differential etiology in horses when clinical signs consistent with colic, diarrhea, or weight loss are recognized and, when on examination, one or more organized masses are palpated or visualized on transabdominal ultrasound, as well as visualization of small intestinal loops with thickened walls.     

CYSTIC ENDOMETRIAL HYPERPLASIA AND BACTERIAL ENDOMETRITIS ASSOCIATED WITH AN INTRAUTERINE FOREIGN BODY IN A GUINEA PIG WITH OVARIAN CYSTIC DISEASE

A 3-year-old, 920 g intact female guinea pig presented with a 4-month history of nonpruritic hair loss on the ventral abdomen. The physical examination revealed flank and ventral abdominal alopecia, mucoid vulvar discharge, and abdominal distension. Bilateral rounded masses just caudal to the kidneys and structures consistent with enlarged uterine horns were detected on abdominal palpation. Abdominal ultrasound revealed bilateral ovarian cysts, thickened uterine horns, and multiple circular hypoechoic and anechoic structures in the uterine wall. The patient underwent ovariohysterectomy. Gross examination of the uterus revealed a piece of hay in the left uterine horn. A final diagnosis was hormonally active ovarian follicular cysts, cystic endometrial hyperplasia, and purulent bacterial endometritis caused by Escherichia coli, Fusobacterium nucleatum, and Arthrobacter spp. Cystic endometrial hyperplasia is infrequently reported in guinea pigs, and this report describes an associated bacterial endometritis and uterine foreign body with concurrent ovarian cysts.