Hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia in a cat

Hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia was diagnosed in an 11-year-old, desexed female Persian cat. The cat was initially referred for investigation of tachypnoea and dyspnoea. Peritoneopericardial diaphragmatic hernia is a common incidental finding in cats and is usually asymptomatic. Myelolipoma is an extremely rare benign tumour, composed of extramedullary haematopoietic cells and adipose tissue. Myelolipomas are hypothesised to result from metaplastic alteration, rather than a neoplastic process, although this theory cannot be substantiated. The present case is only the fourth report of such an unusual occurrence in cats and displays significant differences to previous reports. Hepatic entrapment and burgeoning of the mass within the pericardial sac resulted in cardiac tamponade and overt signs of right-sided cardiac failure. Surgical intervention was successful and despite concerns regarding the cat's clinical presentation and the gross appearance of the lesion(s), a good long-term outcome is anticipated.     

The impact of dietary protein source on observed and predicted metabolizable energy of dry extruded dog foods

Fifty-five observations were used to determine the ME content of 8 foods containing different protein sources. The major protein sources tested included low-oligosaccharide whole soybeans; 2 low-oligosaccharide, low-phytate whole soybeans; 2 conventional soybean meals; low-ash poultry meal; low-oligosaccharide, low-phytate soybean meal; and conventional whole soybeans. The ME content of all foods ranged from 3,463 to 4,233 kcal/kg of DM. The first objective was to utilize the observed ME data and test the accuracy of the modified Atwater equation. In this study, the modified Atwater equation generally underpredicted ME compared with the observed ME (residual mean = 247 kcal/kg). The second objective was to use individual data to develop an equation, based on the chemical composition of the food, to predict the ME content of the foods. A multivariate regression analysis was used to predict ME content based on chemical composition. Five models were fitted to the data. Model 1 included CP, ether extract (EE), and crude fiber (CF). Because the foods varied in protein sources, and the ratio of total AA (TAA) to non-AA (NAA) CP ranged from 3.5:1 to 14.4:1, it was hypothesized that accounting for the proportion of TAA and NAA in CP would improve the fit of the model. Therefore, model 2 included TAA, NAA, EE, and CF. Defining CP in terms of TAA and NAA improved the r2 of the model from 0.46 to 0.79. Subsequently, models 3, 4, and 5 replaced the CF term with ADF, NDF, and hemicellulose (HEM). Model 3 included TAA, NAA, EE, and NDF. Model 4 included TAA, NAA, EE, ADF, and HEM. Model 5 included TAA, NAA, EE, and HEM. Defining dietary fiber in terms of HEM improved the r2 of model 2 from 0.79 to 0.81. Residual analysis suggested that replacing the CF term with HEM (model 5) improved the prediction of ME content. In contrast, defining fiber in terms of NDF (model 3) did not result in an improvement over model 2, whereas the ADF term (model 4) did not (P > 0.34) contribute to the overall model. Fractionating CP into TAA and NAA components further defined the chemical composition of the food. These data suggest that defining protein composition improves the accuracy of predicting the ME content of dog foods.     

Evaluation of cognitive learning, memory, psychomotor, immunologic, and retinal functions in healthy puppies fed foods fortified with docosahexaenoic acid-rich fish oil from 8 to 52 weeks of age

Objective-To assess effects of foods fortified with docosahexaenoic acid (DHA)-rich fish oil on cognitive, memory, psychomotor, immunologic, and retinal function and other measures of development in healthy puppies. Design-Evaluation study. Animals-48 Beagle puppies. Procedures-Puppies were assigned to 3 groups after weaning (n = 16/group) and received 1 of 3 foods (low-DHA, moderate-DHA, or high-DHA food) as their sole source of nutrition until 1 year of age. Visual discrimination learning and memory tasks, psychomotor performance tasks, and physiologic tests including blood and serum analysis, electroretinography, and dual-energy x-ray absorptiometry were performed at various time points. Anti-rabies virus antibody titers were evaluated 1, 2, 4, and 8 weeks after vaccination at 16 weeks of age. Results-Foods had similar proximate analysis results but varied in concentration of DHA from fish oil; the high-DHA food also contained higher concentrations of vitamin E, taurine, choline, and l-carnitine than did other foods. The high-DHA group had significantly better results for reversal task learning, visual contrast discrimination, and early psychomotor performance in side-to-side navigation through an obstacle-containing maze than did the moderate-DHA and low-DHA groups. The high-DHA group had significantly higher anti-rabies antibody titers 1 and 2 weeks after vaccination than did other groups. Peak b-wave amplitudes during scotopic electroretinography were positively correlated with serum DHA concentrations at all evaluated time points. Conclusions and Clinical Relevance-Dietary fortification with fish oils rich in DHA and possibly other nutrients implicated in neurocognitive development following weaning improved cognitive, memory, psychomotor, immunologic, and retinal functions in growing dogs.     

Successful treatment of a pancreatic pseudocyst by omentalisation in a dog

CASE HISTORY A 3-year-old male Labrador retriever was presented with a history of dietary indiscretion followed by vomiting and abdominal pain.

CLINICAL FINDINGS AND TREATMENT: Abdominal ultrasonography revealed the presence of a fluid-filled cystic structure in the region of the pancreas. Flocculent, dark fluid was drained from the cystic structure during exploratory celiotomy prior to resection of the lateral cystic wall. Omentum was sutured into the cystic cavity to provide drainage and enhance immune response. A jejunostomy feeding tube was placed. Post-surgical care consisted of antibiotic therapy. The dog was clinically normal at 1 and 7 months post-operatively and the pancreas appeared normal on final ultrasonographic examination.

CLINICAL RELEVANCE: This case describes the use of omentum to provide physiological drainage of a pancreatic pseudocyst. This surgical technique may help clinicians manage patients with this condition in the future.     

Male pseudohermaphroditism in a Labrador Retriever,and a review of mammalian sexual differentiation

CASE HISTORY: An 8-month-old Labrador Retriever was referred with a history of ambiguous external genitalia.

CLINICAL FINDINGS AND TREATMENT: Clitoromegaly within apparent vulval folds, and an adjacent subcutaneous mass were noticed on external examination. An intra-abdominal testicle, with epididymis and suspected vas deferens ducts, was found during exploratory celiotomy. Incision over the subcutaneous mass revealed the accompanying testicle. Clitoridectomy was performed and an os clitoris removed. Normal juvenile testes were diagnosed on histology of the gonads. Chromosomal studies revealed a normal 78, XY male chromosomal constitution. Due to the combination of a male karyotype (78, XY), the presence of testicular tissue in the gonads, and the appearance of the external genitalia, a diagnosis of male pseudohermaphroditism (MPH) was made.

CLINICAL RELEVANCE: This case presents the first report of MPH in a Labrador Retriever, and highlights the diagnostic steps recommended when confronted with a dog with ambiguous external genitalia.     

Acute toxicity in five dogs after ingestion of a commercial snail and slug bait containing iron EDTA

This case series of five dogs describes the effects of ingesting large amounts of an iron EDTA snail-bait product. In all cases signs of toxicity occurred between 6 and 24 h after ingestion and included abdominal pain and haemorrhagic gastroenteritis. Two of the dogs had pretreatment serum iron levels measured and in both cases the levels were above normal limits. All of the dogs were treated with iron chelation therapy and supportive care including intravenous fluids, analgesics, gastric protectants and antibiotics. Chelation therapy with desferrioxamine mesylate did not cause adverse effects in any of the dogs and all survived to discharge. The effects of iron EDTA snail bait in dogs requires further study and minimum toxic doses need to be established.