Resumo
Background: Malignant tumors of the peripheral nerve sheath (MTPNS`s) are considered rare tumors that can affect soft tissues. In dogs, the occurrence is more common in the nerves of the brachial plexus, but they can affect the lumbosacral plexus and cranial nerves. Rarely, they can affect spinal nerves and nerve roots and the urinary tract, especially in kidneys. The present report aims to describe a clinical case of a 10-year-old sterilized female whippet, who had a history of persistent hematuria for months, with subsequent diagnosis of MTPNS as the cause of hematuria. Case: The patient came for evaluation with a history of persistent hematuria. Evaluation of abnormal elements and sedimentation, showed the description of numerous red blood cells and the presence of proteinuria. The abdominal ultrasound revealed a left kidney with enlarged dimensions, irregular contour, loss of corticomedullary definition. The urinary vesicle showed an increase in cellularity. On physical examination, the patient had vital parameters within the normal range. A Snap 4DX® Plus exam was requested, which showed a reaction for Dirofilaria immitis. With this result, it was initially suspected that renal vasculitis. After starting the treatment, the patient started to present normal colored urine. However, after the end of this period, the patient returned to hematuria. After six months of treatment and without justification for the permanence of hematuria, urethrocystoscopy was indicated, which revealed a urinary vesicle with a hemorrhagic focus. A urinary bladder wall biopsy was performed, which showed no changes. Four months after the urethrocystoscopic exam, the patient had her first azotemic crisis. This time that the left renal neoformation observed on ultrasound examination. With the discovery of the origin of the problem, a therapeutic approach could be instituted, consisting of the left...
Assuntos
Feminino , Animais , Cães , Neoplasias de Bainha Neural/veterinária , Nervos Periféricos/patologia , Rim/patologia , Imuno-Histoquímica/veterinária , Nefropatias/veterináriaResumo
Background: Malignant tumors of the peripheral nerve sheath (MTPNS`s) are considered rare tumors that can affect soft tissues. In dogs, the occurrence is more common in the nerves of the brachial plexus, but they can affect the lumbosacral plexus and cranial nerves. Rarely, they can affect spinal nerves and nerve roots and the urinary tract, especially in kidneys. The present report aims to describe a clinical case of a 10-year-old sterilized female whippet, who had a history of persistent hematuria for months, with subsequent diagnosis of MTPNS as the cause of hematuria. Case: The patient came for evaluation with a history of persistent hematuria. Evaluation of abnormal elements and sedimentation, showed the description of numerous red blood cells and the presence of proteinuria. The abdominal ultrasound revealed a left kidney with enlarged dimensions, irregular contour, loss of corticomedullary definition. The urinary vesicle showed an increase in cellularity. On physical examination, the patient had vital parameters within the normal range. A Snap 4DX® Plus exam was requested, which showed a reaction for Dirofilaria immitis. With this result, it was initially suspected that renal vasculitis. After starting the treatment, the patient started to present normal colored urine. However, after the end of this period, the patient returned to hematuria. After six months of treatment and without justification for the permanence of hematuria, urethrocystoscopy was indicated, which revealed a urinary vesicle with a hemorrhagic focus. A urinary bladder wall biopsy was performed, which showed no changes. Four months after the urethrocystoscopic exam, the patient had her first azotemic crisis. This time that the left renal neoformation observed on ultrasound examination. With the discovery of the origin of the problem, a therapeutic approach could be instituted, consisting of the left...(AU)
Assuntos
Animais , Feminino , Cães , Nervos Periféricos/patologia , Neoplasias de Bainha Neural/veterinária , Rim/patologia , Nefropatias/veterinária , Imuno-Histoquímica/veterináriaResumo
Relatos de ingestão de corpos estranhos dos mais diferentes materiais são comuns em aves, especialmente nas mais jovens. Os corpos estranhos podem causar intoxicação (dependendo da composição do material) ou mesmo perfuração do canal alimentar ou obstrução gastrintestinal. Quando há suspeita de ingestão de corpos estranhos, exames de imagem como a radiologia, ultrassonografia e endoscopia são ferramentas valiosas para o diagnóstico. Objetivou-se relatar um caso de uma ave da espécie Gallus gallus domesticus, raça Brahma, sete meses de idade, macho, pesando 4,3 Kg com quadro de sensibilidade na cavidade corporal e histórico de regurgitação, hiporexia e prostração há cinco dias. As radiografias simples indicaram a presença de corpo estranho radiopaco (parafuso) alojado na região do ventrículo (moela). Após tratamento clínico com lavagens gástricas por cinco dias sem êxito, optou-se por realizar uma endoscopia digestiva alta sob anestesia geral com quetamina e isoflurano. O corpo estranho foi satisfatoriamente removido com pinça de alça de polipectomia e a ave apresentou rápida melhora clínica sem complicações. A endoscopia mostrou-se um procedimento pouco invasivo e eficaz para a resolução do presente caso. Os clínicos veterinários de aves devem considerar a possibilidade de usar a endoscopia como ferramenta para diagnóstico e resolução de corpos estranhos no canal alimentar das