Surgical removal of a seminoma from a black sea bass

An adult black sea bass was examined because of abdominal distention and decreased appetite. A large abdominal swelling was evident and was firm on palpation. Differential diagnoses included neoplasia, abscess or granuloma, hematoma, or swim bladder abnormality. Diagnostic tests included survey radiography, positive-contrast radiography, and computed tomography. The sea bass was anesthetized with tricaine methanesulfonate. A ventral midline abdominal incision was made, and adhesions to the mass were gently dissected. The fish recovered without complications. Radiography was repeated 8 weeks after surgery, and there was no evidence of mass regrowth. To the authors' knowledge, this is the first report of a barium enema being performed in a fish. Although surgical procedures are performed more commonly on fish for research, a few reports of clinical surgical cases have been described. Our experience supports the conclusions of other reports that certain surgical procedures can be performed safely in fish.     

IMAGING A SPINAL FRACTURE IN A KOHAKU KOI (Cyprinus carpio): TECHNIQUES AND CASE HISTORY REPORT

An ornamental pet fish was diagnosed with a spinal fracture and subluxation involving truncal vertebrae 5 and 6 (T5-T6) using conventional radiography, nuclear scintigraphy, and computed tomography. Attempts to evaluate the dynamic nature of the lesion using conventional fluoroscopy in the unanesthetized, moving patient were unsuccessful. Adaptation of imaging techniques to accommodate a fish patient was not difficult and diagnostic images were obtained. The use of multiple imaging techniques was useful in the diagnosis and determination of the treatment plan of the spinal fracture in this patient.     

Abdominal ultrasonography in pet guinea pigs

Ultrasonographic examination of 40 pet guinea pigs was performed in the framework of this study. Preparation of the patient for ultrasonography and the examination procedure are described. Normal ultrasonographic findings of the abdominal organs including the liver, spleen, kidney and urinary bladder are presented and illustrated for the first time in this species. Ultrasonography was found to be a useful investigative tool in the diagnosis of abdominal diseases in guinea pigs. In comparison to other diagnostic methods like physical examination including palpation, haematological examination, radiography and diagnostic laparotomy, ultrasonography offers a rapid, non-invasive and reliable means of diagnosing abdominal diseases in this species.     

Tropical fish medicine. Biopsy and rapid postmortem techniques for diagnosing diseases of fish

Biopsy and rapid postmortem techniques are simple to perform with commonly available instruments. Because the skin and gills are the target organs for so many infectious agents, biopsy is a very useful tool in pet fish medicine. The major requisite for successful diagnosis using biopsy materials is the ability to recognize different taxonomic groups of pathogens. Many of these pathogens may be present in clinically normal individuals, and their importance must be interpreted with other clinical findings. Rapid postmortem techniques can identify several common systemic diseases affecting pet fish. The usefulness of these procedures is highly dependent on the state of tissue preservation of the specimens presented.     

Use of pneumocystoplasty for overinflation of the swim bladder in a goldfish

A Ryukin goldfish was evaluated because of a 6-month history of progressive abdominal distention and positive buoyancy. Overinflation of the swim bladder was diagnosed, and the fish was anesthetized with tricaine methanesulfonate. Archimedes' principle was used to determine the volume of swim bladder that was removed surgically. The caudal swim bladder was exteriorized through an abdominal incision and 2 surgical clips were placed across it to limit its size. After surgery, the fish remained in a state of negative buoyancy in sternal and lateral recumbency on the bottom of the tank. Sutures were removed 15 days after surgery, but the fish died 24 days after surgery. A full necropsy could not be performed because of autolysis of the tissues, but the surgical clips and the swim bladder appeared unremarkable. Pneumocystoplasty may be a viable treatment for this condition.     

Diagnostic radiology of pet and wild birds: a review. I. Radiographic techniques and radiographs of healthy birds.

By the radiographic examination of pet and wild birds, veterinary clinicians may relatively easily obtain additional information that can be used routinely in their everyday diagnostic and therapeutic work. The first part of the present review summarizes the basic technical conditions of radiological examinations, analyses the radiographic features of healthy birds, and describes the procedure and radiological indications of contrast radiography.     

Surgery in fish.

Surgery in fish is feasible and practical for clinical and research applications. Certain adjustments in standard surgical procedures are necessary to accommodate piscine tissue handling, skin sensitivity, aqueous respiration, anatomic variations, and patient size. General considerations for fish surgery, including anesthesia, presurgical evaluation, equipment, suture selection, and surgical site preparation, have been presented here. Procedures described include celiotomy, enucleation, pseudobranchectomy, swim bladder surgery, gonadectomy, liver and kidney biopsy techniques, telemetry device implantation, and vascular catheterization.     

Radiodiagnostic examination of the swimbladder of some fish species

Radiodiagnostic methods have not been used previously for studying the anatomy and diseases of the swimbladder of freshwater fish species. In this study, the radiographic anatomy of the swimbladder and species-related differences in swimbladder structure were studied on plain radiographs taken of 12 Hungarian fish species of major economic importance. Changes observed by radiography were also studied by conventional parasitological methods. The radiodiagnostic method reported here appears to be a useful complement to diagnostic examinations that have been based merely on dissection so far. It enables evaluation of the pathological lesions in live condition, without causing damage to the fish.     

First Description of Partial Atrioventricular Septal Defect in a Rabbit

Congenital heart diseases have rarely been described in rabbits. The purpose of the present case report is to describe the clinical, radiographic, echocardiographic, and pathological features of a partial atrioventricular septal defect in a pet rabbit. A 3-month-old, 380-g male vaccinated pet rabbit was presented for decreased activity, increased respiratory rate and effort, anorexia, and decreased fecal output of 2 days duration. Total body radiographic images revealed severe cardiomegaly associated with enlarged caudal pulmonary vessels and increased interstitial to alveolar lung pattern. Echocardiographic imaging showed evidence of distended heart chambers, abnormal flow through the atria, and mitral valve regurgitation. The rabbit was treated with furosemide and an angiotensin-converting enzyme inhibitor but rapidly deteriorated and died. Necropsy confirmed the dilation of both ventricles and the presence of a partial atrioventricular septal defect associated with an ostium primum atrial septal defect just over the tricuspid valve and the mitral valve.     

The use of advanced vs. conventional imaging modalities for the diagnosis of subchondral bone injuries

Damage to the subchondral bone has been associated with a number of orthopaedic diseases. Diagnostic imaging is, therefore, critical in identifying disease and damage of the subchondral bone, not only for the diagnosis of joint and subchondral bone disease causing lameness, but also for identifying early/pre-symptomatic damage. The aims of this Critically Appraised Topic (CAT) were to assess the published evidence for the use of advanced imaging techniques (magnetic resonance imaging [MRI] and computed tomography [CT]) in the diagnosis of subchondral bone disease in the distal limb joints (metacarpo/metatarsophalangeal and interphalangeal joints) of the adult horse, and to compare the diagnostic value of these techniques with radiography. In the studies reviewed in this CAT, advanced imaging modalities (MRI and CT) were superior to routine radiography for the diagnosis of subchondral bone injury of the distal limb joints. In a small percentage of horses, post-MRI reevaluation of the initial radiographs or acquiring further lesion-orientated radiographs allowed the identification of the subchondral bone injury. Extended radiographic examinations, including non-standard views, might increase the sensitivity of radiography to detect subchondral bone injuries, however, currently CT and MRI may be considered the “gold standard” imaging modalities. More studies comparing the identification of subchondral bone lesions on imaging and by histopathological/gross examination would be useful to assess more precisely the sensitivity and specificity of the different modalities.     

Two-dimensional, gray-scale ultrasonography. Applications in canine prostatic disease

The technique of and general appearance of suprapubic gray-scale prostatic ultrasonography in the dog are described. Using case examples, the various spontaneous diseases of the canine prostate are described and compared to the defined normal appearance of the prostate. An integrated approach to imaging the canine prostate gland is advocated and includes radiographic techniques, specifically distension retrograde urethrocystography. A clinically relevant classification scheme for use with microbiologic, cytologic, and imaging techniques is proposed.     

REVIEW OF DIAGNOSTIC IMAGING OF EAR DISEASES IN THE DOG AND CAT

Diagnostic imaging techniques (conventional radiography, computed tomography and magnetic resonance imaging) are an essential tool in the diagnostic work-up of ear diseases. Conventional radiography is commonly used, but often lacks sensitivity. Computed tomography (CT) and magnetic resonance (MR) are complementary imaging studies of the middle ear, labyrinth, internal auditory canal and their contents. CT provides excellent images of bony structures and is indicated where osseous changes are of greatest diagnostic importance. MR is superior in imaging soft tissue components including intralabyrinthine fluid. Therefore, more than one of these imaging techniques may be required in order to make a diagnosis.     

Abdominal and thoracic radiography in the neonate.

Plain and contrast radiographic techniques are used infrequently in the diagnostic evaluation of abdominal or thoracic disease in the adult horse because of the animal's large body size and the limited availability and expense of suitable equipment. The importance of radiography as a critical tool has also been lessened through the accessibility of ultrasound, although this technique is limited by depth and offers only a superficial window. Traditional radiographic techniques can be readily used in young foals because of their small body size, and radiography frequently provides critical information that aids in decision making. The ability to physically restrain a foal allows not only standing lateral images, but laterally recumbent and ventrodorsal views without the necessity for general anesthesia.     

LOSS OF UROCYSTOLITH ARCHITECTURAL CLARITY DURING IN VIVO RADIOGRAPHIC SIMULATION VERSUS IN VITRO VISUALIZATION

Urocystoliths of 9 mineral types from 434 canine patients submitted to the University of Minnesota Urolith Bank were imaged in a urinary bladder phantom. Imaging techniques simulated were survey radiography and double contrast cystography. Morphologic characteristics visually observed in vitro or by interpretation of high-resolution specimen radiographs were compared to those seen using the simulated in vivo imaging techniques. Shape characteristics that were accurately detected > or = 25% of the time on simulated survey or double contrast radiography were faceted, irregular, jackstone, ovoid, and round. Surface characteristics that were accurately detected > or = 25% of the time on simulated survey or double contrast radiography were rough, smooth, and smooth with blunt tips. Internal architecture characteristics that were accurately detected > or = 25% of the time on simulated survey or double contrast radiography were lucent center, random-nonuniform, and uniform. Shapes such as bosselated, faceted-ovoid, and rosette; surfaces such as botryoidal, and knife-edged; and internal architecture characteristics such as dense center, dense shell, laminated, and fissures were of almost no value either due to poor detectability or poor accuracy of recognition. Based on optimized simulated survey and double contrast radiographic procedures, it appears that a number of shape, surface, and internal architecture characteristics may be of limited or no value in discriminating among urocystolith mineral types under clinical circumstances. Shapes and surfaces were more accurately characterized by the simulated double contrast technique, but for internal architecture, the simulated survey radiographic technique seemed slightly superior overall.     

Fungal diseases of fish.

Fungal diseases of fish have become increasingly important over the past 20 years. The traditional "fungi" are comprised of members from several different taxonomic kingdoms. Saprolegnia and other typical water molds are the "classic" secondary invaders, infecting more superficial areas of the body and requiring compromise of the exterior of the fish, poor water quality, or general immunosuppression. An increasing number of other environmental fungi are being reported from diseased fish, further testament to the opportunistic nature of many fungi. Common procedures such as air bladder deflation for many marine species collected at depth under nonsterile conditions may result in fungal infections of the swim bladder. Some fungi such as Aphanomyces and Fusarium can cause more invasive or systemic disease, often associated with changes in environmental factors such as temperature and salinity. Other fungi such as I. hoferi can be even more insidious and chronic, mimicking mycobacteriosis to a degree. Fungal diseases, in general, are very difficult to control or treat once they have taken hold. Prevention is, as always, the best medicine. Increased knowledge of basic biology will help guide treatment and control methods. Further research on general predisposing factors, species susceptibilities, immune system effects and other protective mechanisms in fish and more effective chemotherapeutics for external and systemic infections are needed.     

COMPARATIVE ORGAN IMAGING Lower Urinary Tract

Survey and contrast radiography, ultrasonography, and computed tomography are diagnostic imaging modes used to evaluate the urinary bladder, prostate gland, and urethra. Their comparative advantages and limitations for evaluation of the lower urinary tract are described and illustrated. Veterinary Radiology, Vol. 25, No. 4, 1984; pp 146–153 .     

Comparison of radiography and CT to identify changes in the skulls of four rabbits with dental disease

Four domestic pet rabbits with dental pathology were presented at a university clinic. In addition to conducting physical examinations of the rabbits, radiographic and computed tomographic (CT) images of the rabbits' heads were obtained. Three rabbits were euthanized at the owners' request, and anatomic sections of the skulls were made. The observations of the anatomic sections, radiographs, and CT images are described. The abnormalities found on the radiographs and CT images were very similar to the findings on the anatomic sections. Compared to radiography, the CT images provided more details about the extent of the dental pathology, which is likely to be important for establishing a more precise prognosis and a more informed decision making process.     

DIAGNOSIS OF URINARY BLADDER RUPTURE USING ULTRASOUND CONTRAST CYSTOGRAPHY: IN VITRO MODEL AND TWO CASE-HISTORY REPORTS

Because urinary bladder rupture can be life threatening, a simple, safe technique for evaluating patients is desirable. Current diagnostic protocols involve radiographic imaging, but ultrasound-based contrast techniques have not been methodically evaluated in veterinary patients with urologic trauma. Ultrasound contrast cystography (contrast cystosonography) involves infusion of microbubbled saline solution through a urinary catheter. It was performed in an in vitro model and in 2 dogs with naturally occurring urinary bladder rupture. A positive result consisted of visualizing microbubbles sonographically in fluid surrounding the bladder immediately after infusion of contrast into the urinary catheter. A positive result was obtained both in the in vitro model and in the 2 dogs, with radiographic and surgical confirmation of naturally occurring intraperitoneal urinary bladder rupture in the dogs. Based on the results of this study, ultrasound contrast cystography appears to be more sensitive than two-dimensional (2D) abdominal sonography for detecting naturally occurring urinary bladder rupture in dogs.     

Comparison of radiography and ultrasonography for the diagnosis of osteochondritis dissecans in the equine femoropatellar joint

Reasons for performing study: Osteochondritis dissecans (OCD) lesions of the femoropatellar (FP) joint are diagnosed routinely by radiography, but lesions located in the trochlear groove or without accompanying subchondral bone changes can be difficult to visualise. Ultrasonography allows evaluation of articular cartilage and subchondral bone in the FP joint. Objectives: To document the radiographic and ultrasonographic appearance of OCD lesions in the equine FP joint, grade ultrasonographic lesions and compare their accuracy in the diagnosis of these lesions. Methods: The medical records of all horses diagnosed with FP OCD between 1995 and 2006 were assessed. Inclusion criteria included availability of both radiographic and ultrasonographic images. Lesion characteristics were evaluated in each trochlear ridge and trochlear groove. For assessment of the accuracy (sensitivity and specificity) of both imaging techniques in the diagnosis of OCD, only cases with an arthroscopic or necropsy examination were studied. Results: Twenty‐one horses were included. OCD lesions were diagnosed by radiography (30/32 joints) and ultrasound (32/32 joints). The lateral trochlear ridge (LTR, 91%) and the medial trochlear ridge (MTR, 17%) were involved on radiography. The localisation on ultrasound examination was similar (97% LTR, 25% MTR). All but one lesion seen on radiography were also detected with ultrasound; 2 LTR and 3 MTR lesions, not seen on radiography were diagnosed by ultrasound and confirmed at arthroscopy or necropsy. The specificity was 100% regardless of the site and imaging procedure except for the distal third of the MTR (94% for ultrasound). The sensitivity varied, depending on lesion site. Conclusion: Ultrasonography is a valuable diagnostic tool to diagnose OCD lesions in the FP joint and more sensitive than radiography for lesions affecting the MTR of the distal femur. Clinical relevance: Ultrasound should be considered as a useful adjunct to radiography for diagnosing equine FP OCD, especially in cases of high clinical suspicion but equivocal radiographic findings. Images can be generated immediately when digital radiography is not available, permitting an immediate on‐site diagnosis.     

Comparison of ultrasonographic and radiographic measurements of bladder dimensions and volume determinations

The purpose of this study was to compare the linear dimensions of the bladder measured by ultrasonographic and radiographic methods and the accuracy of these methods for evaluation of bladder volume. Forty dogs were included in this study. Each dog was placed in right lateral recumbency and a plain lateral caudal abdominal radiograph was made. The bladder length and depth were measured in centimetres from the radiograph, taking into account magnification errors. Immediately after radiography was completed, ultrasonographic measurements of bladder length and depth on longitudinal section were measured in centimetres. The bladder was then emptied by catheterisation and the actual urine volume measured. 'Best subsets' analysis indicated that radiographic and ultrasonographic bladder lengths were the best predictors of actual bladder volume. Formulae were derived from radiographic and ultrasonographic bladder dimensions for estimating bladder volume. The formula using radiographic measurements was found to be a better predictor of actual bladder volume than the formula derived from ultrasonographic measurements, since it had higher F and lower error mean square values.