Presumptive diagnosis of spina bifida in canine patient / Diagnóstico presuntivo de espinha bífida em paciente canino / Diagnóstico presuntivo de espina bífida en un paciente canino

The aim of this report is to describe a presumptive diagnosis of spina bifida in a mixed breed dog, due to previous diagnostic inconsistencies. Spina bifida is an uncommon congenital anomaly characterized by poor bone formation due to incomplete closure orthe absence of the dorsal arch of the vertebral structure during the process of embryogenesis. Animals with this condition may have difficulties in the locomotion process, which constantly threatens the quality and survival of those affected. Spina bifidacan present itself in four different forms and degrees. A 5-month-old mixed breed dog was assisted at a veterinary clinic in Conselheiro Lafaiete/MG with difficulties in the locomotion process and previous diagnostic inconsistencies in other veterinary services. On physical examination, he had kyphosis in the thoracic region and decreased proprioceptive capacity in the hind limbs. After radiographs were taken, morphological thoracic alterations were observed in the segment between the T5 to T9 vertebrae, with duplicated spinous processes and a decrease in the dimensions of the intervertebral space. The radiographic examination suggested presumptive evidence of thoracic spina bifida due to the unavailability of the tutor to perform more sensitive exams such as tomography and magnetic resonance. Therefore, drugs for pain and neuropathic control such as gabapentin and pregabalin were prescribed, at different times, until new recommendations, which have shown therapeutic efficacy to the patient. Currently, the patient uses a wheelchair adapted for locomotion due to the loss of movement of the hind limbs, in addition to weekly physical therapy follow-up and acupuncture sessions.(AU)

O objetivo do presente relato é descrever um diagnóstico presuntivo de espinha bífida em um cão sem raça definida, mediante inconsistências diagnósticas prévias. A espinha bífida é uma anomalia congênita incomum, caracterizada pela má formação óssea mediante o fechamento incompleto ou a inexistência do arco dorsal da estrutura vertebral durante o processo de embriogênese. Os animais portadores dessa condição podem apresentar principalmentedificuldades no processo de locomoção, o que ameaça constantemente a qualidade e a sobrevida dos afetados. A espinha bífida pode se apresentar de quatro diferentes formas e em graus variados. Um cão sem raça definida de 5 meses foi atendido em uma clínicaveterinária em Conselheiro Lafaeite/MG com dificuldades no processo de locomoção e inconsistências diagnósticas prévias em outros serviços veterinários. No exame físico, ele apresentava cifose em região torácica e diminuição da capacidade proprioceptiva nos membros posteriores. Após a realização de radiografias, foram observadas alterações morfológicas torácicas no segmento entre as vértebras T5 a T9, com processos espinhosos duplicados e decréscimo nas dimensões do espaço intervertebral. O exame radiográfico sugeriu evidências presuntivas de espinha bífida torácica, em virtude da indisponibilidade financeira da tutora para a realização de exames mais sensíveis como tomografia e ressonância. Diante dos sinais clínicos e exames apresentados, prescreveu-se fármacos para controle álgico e neuropático como gabapentina e pregabalina, em momentos distintos, até novas recomendações, sendo que estes demonstraram eficácia terapêutica ao paciente. Atualmente, o paciente faz uso de cadeirinha adaptada para locomoção devido à perda da movimentação dos membros posteriores, além do acompanhamento fisioterápico semanal e sessões de acupuntura.(AU)

El objetivo de este informe es describir un diagnóstico presuntivo de espina bífida en un perro sin raza definida, debido a inconsistencias diagnósticas previas. La espina bífida es una anomalía congénita poco frecuente caracterizada por una mala formación ósea debido a un cierre incompleto o la ausencia del arco dorsal de la estructura vertebral durante el proceso de embriogénesis. Los animales con esta condición pueden tener dificultades en el proceso de locomoción, lo que amenaza constantemente la calidad y supervivencia de los afectados. La espina bífida puede presentarse en cuatro formas diferentes y en diversos grados. Un perro mestizo de 5 meses de edad fue atendido en una clínica veterinaria en Conselheiro Lafaiete/MG con dificultades en el proceso de locomoción e inconsistencias diagnósticas previas en otros servicios veterinarios. Al examen físico presentaba cifosis en región torácica y disminución de la capacidad propioceptiva en miembros posteriores. Después de la toma de radiografías, se observaron alteraciones morfológicas torácicas en el segmento entre las vértebras T5 a T9, con procesos espinosos duplicados y disminución de las dimensiones del espacio intervertebral. El examen radiográfico sugirió evidencia presuntiva de espina bífida torácica debido a la falta de disponibilidad del tutor para realizar exámenes más sensibles como tomografía y resonancia magnética. Por ello, fármacos para el control del dolor y neuropático como la gabapentina y la pregabalina fueron prescritos, en diferentes momentos, hasta nuevas recomendaciones, que han demostrado eficacia terapéutica al paciente. Actualmente el paciente utiliza una silla de ruedas adaptada para la locomoción debido a la pérdida de movimiento de los miembros posteriores, además de seguimiento semanal de fisioterapia y sesiones de acupuntura.(AU)

Echocardiographic diagnosis of interventricular septum defect with Eisenmenger syndrome in an adult dog - case report / Diagnóstico ecocardiográfico de defeito do septo interventricularcom agravo de síndrome de Eisenmenger em cão adulto ­ relato de caso

Interventricular septal defect (IVSD) is a congenital heart disease characterized by communication or non-closure of the interventricular septum in the embryonic or postnatal period, causing a failure in the separation between the systemic and pulmonary circulation. The severity of the hemodynamic consequences depends on the extent of the defect and the magnitude of the flow through it. Blood flow commonly occurs from left to right, because systemic vascular resistance is greater than pulmonary resistance. This report describes the echocardiographic findings in a 4-year-old male Poodle treated at the Veterinary Hospital with a history of exercise intolerance, cyanosis and episodes of syncope. On echocardiography, perimembranous IVSD was diagnosed with atrial and right ventricular dilatation, discontinuity of the interventricular septum in the subaortic region measuring approximately 5 mm. In the Doppler evaluation, reverse turbulent flow was evidenced, characterizing shunt from right to left (Eisenmenger syndrome). Despite preserved systolic function, abnormal relaxation was observed. Doppler echocardiography was a fundamental complementary imaging test for the diagnosis of this congenital heart disease since its suspicion is not commonly raised in adult patients. Doppler echocardiography allowed us to identify the defect, define its size and extension, determine the direction of blood flow as well as its hemodynamic consequences.(AU)

O defeito do septo interventricular (DSIV) é uma cardiopatia congênita caracterizada pela comunicação ou não fechamento do septo interventricular no período embrionário ou pós-natal, causando falha na separação entre a circulação sis-têmica e pulmonar. A gravidade das consequências hemodinâmicas depende da extensão do defeito e da magnitude do fluxo através dele. O fluxo sanguíneo comumente ocorre da esquerda para a direita, porque a resistência vascular sistêmica é maior do que a pulmonar. Este relato descreve os achados ecocardiográficos em um Poodle, macho, de 4 anos atendido no Hospital Veterinário com história de intolerância ao exercício, cianose e episódios de síncope. Ao ecocardiograma foi diagnosticado DSIV do tipo perimembranoso com dilatação atrial e ventricular direita, descontinuidade do septo interventricular em região subaórtica medindo aproximadamente 5 mm. Na avaliação Doppler, evidenciou-se fluxo turbulento reverso, caracterizando shunt da direita para a esquerda (síndrome de Eisenmenger). Apesar da função sistólica preservada, foi observado relaxamento anormal. A ecocardiografia Doppler foi um exame de imagem complementar fundamental para o diagnóstico dessa cardio-patia congênita, uma vez que sua suspeita não é comumente levantada em pacientes adultos. A ecocardiografia Doppler per-mitiu identificar o defeito, definir seu tamanho e extensão, determinar a direção do fluxo sanguíneo, bem como suas conse-quências hemodinâmicas.(AU)

Electrocardiographic findings in dogs with obstructive airway diseases / Achados eletrocardiográficos em cães com doenças obstrutivas das vias aéreas

Cardiac rhythm disorders are diagnosed through electrocardiography, which is an important tool to investigate other systemic conditions that may be related to the cardiac conduction system. Cardiac regulation is controlled by the autonomic nervous system, and in dogs, it is mainly modulated by a parasympathetic action exerted by the vagus nerve, called vagal tone. Increased vagal tone can occur physiologically or pathologically, leading to the occurrence of bradyarrhythmias. However, some studies report that airway diseases can exacerbate this tone, together with the reduction of sympathetic pathway activities. This study aimed to analyze the cardiac rhythms in dogs presenting with electrocardiographic alterations related to respiratory diseases, in connection with the exacerbation of vagal tone. Medical records of animals whose diagnoses involved at least one respiratory condition and who underwent electrocardiographic assessment between March 2017 to March 2021 were compiled. Data obtained were compiled in Microsoft Excel®1 spreadsheets and evaluated using descriptive statistics through the BioEstat®2 software. Pearson's correlation was used for quantitative data. A correlation between autonomic regulation and vagal exacerbation was observed in cases with obstructive airways diseases.(AU)

Os distúrbios do ritmo cardíaco são diagnosticados por meio da eletrocardiografia, que é uma importante ferra-menta para investigar outras condições sistêmicas que podem estar relacionadas ao sistema de condução cardíaco. A regulação cardíaca é controlada pelo sistema nervoso autônomo e, em cães, é modulada principalmente pela ação parassimpática exer-cida pelo nervo vago, denominada tônus vagal. O aumento do tônus vagal pode ocorrer fisiologicamente ou patologicamente, levando à ocorrência de bradiarritmias. No entanto, alguns estudos relatam que as doenças das vias aéreas podem exacerbar esse tônus, juntamente com a redução das atividades das vias simpáticas. Este estudo teve como objetivo analisar os ritmos cardíacos em cães com alterações eletrocardiográficas relacionadas a doenças respiratórias, relacionadas à exacerbação do tônus vagal. Foram compilados os prontuários dos animais cujos diagnósticos envolvessem pelo menos uma condição respiratória e que realizaram avaliação eletrocardiográfica, no período entre março de 2017 a março de 2021. Os dados obtidos foram com-pilados em planilhas do Microsoft Excel®1 e avaliados por meio de estatística descritiva por meio do software BioEstat®2. A correlação de Pearson foi usada para dados quantitativos. Foi observada correlação entre regulação autonômica e exacerbação vagal em casos com doenças obstrutivas das vias aéreas.(AU)

Ocorrência de sorogrupos/sorovares de Leptospira spp. em cães com suspeita clínica de leptospirose em Santa Maria ­ RS / Occurrence of serogroups/serovars of Leptospira spp. in dogs with clinical suspicion of leptospirosis in Santa Maria ­ RS

A leptospirose é uma zoonose de distribuição mundial que pode acometer cães e ser altamente letal para a espécie. No Brasil, tal enfermidade tem caráter endêmico na espécie canina e configura-se como um sério problema de saúde pública. Objetivou-se verificar a ocorrência dos sorogrupos/sorovares de Leptospira spp. que mais acometem cães com suspeita clínica de leptospirose na cidade de Santa Maria ­ RS, Brasil, analisando sua titulação de anticorpos. No estudo, utilizou-se os laudos dos exames de soroaglutinação microscópica (SAM) para leptospirose de 218 cães provenientes da cidade de Santa Maria ­ RS durante o período de janeiro de 2015 a dezembro de 2019. Todos os laudos foram emitidos pelo Laboratório de Leptospirose (LabLepto - UFSM). Das 218 amostras de soro processadas nos cinco anos, 101 (46,33%) resultaram positivas para, pelo menos, um sorogrupo/sorovar testado. Este estudo demonstrou maior ocorrência do sorogrupo Icterohaemorrhagiae (53,37%) contemplado pelas sorovares Copenhageni e Icterohaemorrhagiae, com 49 (30,06%) e 38 (23,31%) soros reagentes, respectivamente. As titulações variaram de 100 a 6400, sendo que a mais recorrente encontrada nas amostras deste estudo foi 100, representando 47,85% dos títulos de anticorpos. Os dados obtidos neste estudo são de grande valia para o conhecimento dos sorogrupos/sorovares circulantes na região e sua epidemiologia podendo, inclusive, auxiliar para futuras formulações vacinais considerando sorogrupos/sorovares mais frequentemente detectados, contribuindo, assim, com a saúde pública.

Leptospirosis is a worldwide distribution zoonosis that can affect dogs and be highly lethal for the species. In Brazil, this disease is endemic in the canine species and represents a serious public health problem. The aim of this study was to verify the occurrence of Leptospira spp. that most affect dogs with clinical suspicion of leptospirosis in the city of Santa Maria ­ RS, Brazil, analyzing their antibody titers. In the study, we used the reports of microscopic agglutination tests (MAS) for leptospirosis in 218 dogs from the city of Santa Maria - RS during the period from January 2015 to December 2019. All reports were issued by the Leptospirosis Laboratory (LabLepto - UFSM). Of the 218 serum samples processed over the five years, 101 (46.33%) were positive for at least one serogroup/serovar tested. This study showed a higher occurrence of serogroup Icterohaemorrhagiae (53.37%) covered by serovars Copenhageni and Icterohaemorrhagiae, with 49 (30.06%) and 38 (23.31%) reagent sera, respectively. The titers ranged from 100 to 6400, and the most recurrent found in the samples in this study was 100, representing 47.85% of the antibody titers. The data obtained in this study are of great value for understanding the serogroups/serovars circulating in the region and their epidemiology, and may even contribute to future vaccine formulations considering the most frequently detected serogroups/serovars, thus contributing to public health.

Desordens hiperostóticas em American Bully / Hiperostotic disorders in american bully

O complexo de desordens hiperostóticas é uma condição rara e autolimitante, que tem as mesmas características histopatológicas, que cursa com proliferação óssea de caráter não neoplásico. Acomete cães jovens de raças distintas, com variabilidade quanto ao tipo de proliferação óssea e quanto aos ossos acometidos. O complexo é composto pela osteopatia craniomandibular, hiperostose da calota craniana e osteodistrofia hipertrófica. Podendo estar presente nos ossos da calota craniana, mandíbulas, coluna cervical e esqueleto apendicular. O presente relato, descreveu o quadro de uma cadela, da raça American Bully, não castrada, três meses de idade, que foi atendida com queixa de aumento de volume doloroso das mandíbulas, hiporexia e sialorreia há 15 dias, apresentando ao exame físico, amplitude de movimento diminuída e sensibilidade dolorosa da articulação temporomandibular, espessamento firme bilateral do crânio em região de fossa temporal, espessamento palpável de consistência firme das mandíbulas e crepitação respiratória. Após avaliação clínica e realização de exames complementares, chegou-se ao diagnóstico presuntivo, de complexo de desordens hiperostóticas. Foi instituído como conduta terapêutica o suporte analgésico, sendo eficaz para a manutenção das necessidades fisiológicas até a paciente alcançar a fase adulta. O prognóstico para esta paciente foi considerado bom, uma vez que não havia indícios de anquilose da articulação temporomandibular e/ou manifestações neurológicas.

The complex of hyperostotic disorders is a rare and self-limiting condition, which has the same histophatological characteristics, which courses with non-neoplastic bone proliferations. It affects young dogs of different breeds, with variability the bones affected. The complex is composed of craniomandibular osteopathy, calvarial hyperostotic syndrome and hypertrophic osteodystrophy. It may be present in the bones of the skullcap, jaws, cervical spine and appendicular skeleton. The present report describes the condition of a female dog, American Bully breed, entire, three months old, with a complaint of painful swelling of the jaws, hyporexia and drooling for 15 days, presenting on physical examination, reduced amplitude and pain of the temporomandibular joint, bilateral firm thickening of the skull in the temporal fossa region, palpable firm-consistent thickening of the mandibles and respiratory crackle. After clinical evaluation and complementary tests, a presumptive diagnosis of hyperostotic disorders complex was reached. It was instituted pain management as a treatment, being effective for the maintenance of physiological needs until the patient reaches the adulthood. The prognosis for this patient was considered good, since there was no evidence of temporomandibular joint ankylosis and/or neurological manifestations.

Linfoma extranodal de células B em vesícula urinária de um cão / Extranodal B-cell lymphoma in the urinary bladder in a dog

O linfoma é uma neoplasia de alta recorrência na rotina oncológica de medicina veterinária. Pode ser classificado em linfoma Hodgking-liked, com raros casos descritos somente em felinos,e não Hodgking, sendo este segundo o mais comum, subdividido em linfomas B ou T. O objetivo deste trabalho foi relatar a conduta clínica, diagnóstica e terapêutica do caso de uma cadela, de 12 anos, sem raça definida, que manifestava disúria, prostração, dor abdominal e ao exame físico a presença de uma massa na região hipogástrica. Esta foi diagnosticada com linfoma de grandes células por meio de exames de citologia e biópsia, com solicitação do exame de imunoistoquímica que confirmou linfoma difuso de grandes células de imunofenótipo B. Sem o envolvimento de nenhum outro sistema, classificou-se como linfoma primário de bexiga extranodal. O animal passou pelo tratamento quimioterápico realizando nove sessões de quimioterapia pelo protocolo de CHOP, contudo devido ao agravamento do caso a paciente veio a óbito cerca de sete meses após o diagnóstico da doença. O caso estudado foi de extrema importância para a compreensão de linfomas primários de bexiga em razão da escassez de informações relacionadas na literatura. Ainda, o cão é um excelente modelo experimental de linfomas não Hodgking em humanos, consequentemente compreender essa doença em cães promove a evolução conjunta da medicina humana.

Lymphoma is a highly recurrent rate neoplasm in the oncology routine of veterinary medicine. It can be classified into Hodgking-like, rarely described just in felines, and non-Hodgking lymphoma, the latter being the most commun, subdivided into B-cell lymphoma and T-cell lymphoma. The objective of this study was to report the clinical and therapeutic conduct within the diagnosis procedures of a 12-years-old female dog, mixed breed, who manifested dysuria, prostation, abdominal pain and on the physical examination a mass in the hypogastric region was noticed. This was diagnosed as a large cell lymphoma by means cytology and biopsy, also immunohistochemistry was required which confirmed the diffuse large cell lymphoma of immunophenotyping B. Without any other sistem envolved, the neoplasm was classified as primary urinary bladder lymphoma extranodal. The animal underwent chemotherapy, performing nine sessions according to the Madison protocol, however, due to the worsening of the case, the patient died about seven months after the diagnosis of the disease. This case was extremely importante for the understanding of primary urinary bladder lymphomas due to the scarcity of informations in the literature. Also, dog is an excellent experi,emtal model of non Hodgking lymphomas in humans, thus understandig this disease in dogs promotes the joint evolution of human medicine.

Clostridioides difficile: achados epidemiológicos em animais domésticos em um Hospital Veterinário Universitário em ­ Teresina, PI / Clostridioides difficile: epidemiological findings in domestic animals in a University Veterinary Hospital in Teresina, PI

O objetivo deste estudo foi analisar a prevalência de Clostridioides difficile e suas toxinas (A/B) nas fezes de animais domésticos de um Hospital Veterinário Universitário de Teresina - PI. A detecção de C. difficile e suas toxinas foi realizada por meio de um ensaio imunoenzimático, denominado C. Diff Quik Chek Complete® (TECHLAB), capaz de detectar antígeno Glutamato Desidrogenase (GDH) e as toxinas A/B produzidas pelo bacilo, realizado em amostras fecais de cães (C. lupus) e e gatos (Felis catus) coletadas entre agosto de 2019 a setembro de 2020. Um total de 54 amostras fecais foram analisadas, das quais 16 foram positivas para C. difficile (29,63%). 68,75% (11/16) pertenciam a caninos, enquanto 31,25% (5/16) a felinos. Amostras diarreicas e não diarreicas foram utilizadas para o estudo e uma maior prevalência do bacilo pôde ser identificada em amostras diarreicas (33%). Nenhuma das amostras apresentou toxinas do patógeno. Os achados deste estudo evidenciam que C.difficile está presente no estado do Piauí. Foi possível identificá-lo em todas as espécies e em amostras diarreicas ou não, demonstrando que essa infecção pode se manifestar de formasintomática e assintomática, levantando a possibilidade de infecção cruzada entre o animal e seu tutor.

The aim of this study was to analyze the prevalence of Clostridioides difficile and its toxins (A/B) in the feces of domestic animals at a University Veterinary Hospital in Teresina - PI. The detection of C. difficile and its toxins was performed by an immunogenic enzyme, called C. Diff Quik Chek Complete® (TECHLAB), capable of detecting antigen glutamate dehydrogenase (GDH) and A/B toxins produced by this bacillus, performed in fecal samples of dogs (C. lupus) and cats (Felis catus) collected between August 2019 and September 2020.:54 stools were analyzed, of which 16 were positive for C. difficile (29.63%). 68.75% (11/16) belonged to canines, while 3.25% (5/16) to felines. Diarrheal and non-diarrheal diseases are used for the study and a higher prevalence of bacillus can be identified in diarrheal diseases (33%). None of the samples present pathogen toxins. The results of this study show that C. difficile is present in the state of Piauí. It can be identified in all species and in diarrheal or non-diarrheic samples, demonstrating that this infection can be symptomatic and asymptomatic, giving the possibility of cross-infection between the animal and its owner.

Clitoridectomy and urethrostomy in a pseudohermaphrodite dog

Background: Hermaphroditism is a rare congenital disease that causes ambiguous sexual features. True hermaphroditeshave testicular and ovarian tissue, whereas pseudohermaphrodites have only one type of gonadal tissue and genitalia, butsecondary characteristics of the opposite sex. Pseudohermaphrodites are classified as male or female according to theirgonads. Treatment of pseudohermaphroditism consists of surgical removal of the gonads including reconstruction of abnormal genitalia, especially if the urethra is involved. Therefore, the objective of this report is to describe a case of a malepseudohermaphrodite in a dog treated with clitoridectomy with urethrostomy.Case: A 7-month-old, mixed-breed dog was referred due to the presence of a flaccid structure similar to a small penis,containing an os clitoris, bulbourethral glands, and urethra protruding from the vulva. Physical examination, completeblood count and serum biochemistry were within normal ranges. Hormonal levels of estradiol, testosterone, and progesterone were 56.39 pg/mL, 127.9 ng/mL, and 0.892 ng/mL, respectively. The abdominal ultrasound and posteriorly theexploratory celiotomy found a normal size prostate and two round organs resembling testicles connected to a uterus-liketubular structure. The patient underwent surgical abdominal exploration that confirmed the ultrasonographic findings andled to gonadohysterectomy. Also, clitoridectomy and urethrostomy were performed to excise the protruded structure andmaintain normal urethral patency. The histopathological examination of the clitoris and penis confirmed it was a malegenital organ, however, the abdominal structures were compatible with the testicles, epididymis, uterus, and even a broadligament. These organs are normally found in cases of male pseudohermaphroditism. The...

Ultrasonographic detection of interstitial nephritis in a canine fetus

Background: A detailed ultrasound examination of the fetal urinary tract as part of prenatal care is important to detect possibleabnormalities. Early diagnosis can prevent more serious damage such as loss of kidney function. Interstitial nephritis cancompromise renal functionality. Also, acute interstitial nephritis is a frequent cause of acute kidney injury and can becomechronic if not treated. Besides, a renal biopsy can help in the diagnosis and at the staging of the disease. Therefore, thisreport aims to describe the ultrasonographic findings of the renal tissues in a canine fetus affected by interstitial nephritis.Case: Gestational ultrasound evaluations were performed in a female Pug, at the 25th, 45th, and 58th gestational days.Ultrasound examination was performed with a 9.0 MHz linear transducer and a high-resolution digital transducer with afrequency standardized at 17.0 MHz. During the first evaluation, embryonic vesicles were detected and were compatible withthe gestational period. At 45 days of gestation, some abnormalities were observed in the kidneys of one of the fetuses, suchas increased cortical echogenicity, cortical thickening, loss of corticomedullary ratio (1:1), renal pelvis and ureter dilatationby echogenic content. Biparietal and abdominal diameters were also lower than that from the other fetuses, which did notshow abnormalities, being compatible with the estimated gestational age. However, the heart rate was similar among allfetuses. On the 58th day, we observed in the underdeveloped fetus that both kidneys still presented the abnormalities seenpreviously, in addition to the presence of a cystic structure in the right kidney, in the cranial...

Clitoridectomy and urethrostomy in a pseudohermaphrodite dog

Background: Hermaphroditism is a rare congenital disease that causes ambiguous sexual features. True hermaphroditeshave testicular and ovarian tissue, whereas pseudohermaphrodites have only one type of gonadal tissue and genitalia, butsecondary characteristics of the opposite sex. Pseudohermaphrodites are classified as male or female according to theirgonads. Treatment of pseudohermaphroditism consists of surgical removal of the gonads including reconstruction of abnormal genitalia, especially if the urethra is involved. Therefore, the objective of this report is to describe a case of a malepseudohermaphrodite in a dog treated with clitoridectomy with urethrostomy.Case: A 7-month-old, mixed-breed dog was referred due to the presence of a flaccid structure similar to a small penis,containing an os clitoris, bulbourethral glands, and urethra protruding from the vulva. Physical examination, completeblood count and serum biochemistry were within normal ranges. Hormonal levels of estradiol, testosterone, and progesterone were 56.39 pg/mL, 127.9 ng/mL, and 0.892 ng/mL, respectively. The abdominal ultrasound and posteriorly theexploratory celiotomy found a normal size prostate and two round organs resembling testicles connected to a uterus-liketubular structure. The patient underwent surgical abdominal exploration that confirmed the ultrasonographic findings andled to gonadohysterectomy. Also, clitoridectomy and urethrostomy were performed to excise the protruded structure andmaintain normal urethral patency. The histopathological examination of the clitoris and penis confirmed it was a malegenital organ, however, the abdominal structures were compatible with the testicles, epididymis, uterus, and even a broadligament. These organs are normally found in cases of male pseudohermaphroditism. The...(AU)

Ultrasonographic detection of interstitial nephritis in a canine fetus

Background: A detailed ultrasound examination of the fetal urinary tract as part of prenatal care is important to detect possibleabnormalities. Early diagnosis can prevent more serious damage such as loss of kidney function. Interstitial nephritis cancompromise renal functionality. Also, acute interstitial nephritis is a frequent cause of acute kidney injury and can becomechronic if not treated. Besides, a renal biopsy can help in the diagnosis and at the staging of the disease. Therefore, thisreport aims to describe the ultrasonographic findings of the renal tissues in a canine fetus affected by interstitial nephritis.Case: Gestational ultrasound evaluations were performed in a female Pug, at the 25th, 45th, and 58th gestational days.Ultrasound examination was performed with a 9.0 MHz linear transducer and a high-resolution digital transducer with afrequency standardized at 17.0 MHz. During the first evaluation, embryonic vesicles were detected and were compatible withthe gestational period. At 45 days of gestation, some abnormalities were observed in the kidneys of one of the fetuses, suchas increased cortical echogenicity, cortical thickening, loss of corticomedullary ratio (1:1), renal pelvis and ureter dilatationby echogenic content. Biparietal and abdominal diameters were also lower than that from the other fetuses, which did notshow abnormalities, being compatible with the estimated gestational age. However, the heart rate was similar among allfetuses. On the 58th day, we observed in the underdeveloped fetus that both kidneys still presented the abnormalities seenpreviously, in addition to the presence of a cystic structure in the right kidney, in the cranial...(AU)

Partial obstruction and intestinal bleeding secondary to a congenital duodenal diverticulum in a dog

Background: Intestinal diverticulum is an abnormality resulting in the formation of a blind-ended saccular pouch that canbe acquired either congenital, true (involving all intestinal layers) or false (involving the mucosa and submucosa), withextraluminal and intraluminal type. In humans, the acquired is more frequent, the colon is the most affected segment followed by duodenum; and majority cases of duodenal diverticula remains asymptomatic, but biliary obstruction, recurrentacute pancreatitis, hemorrhagic ulcer, proximal intestinal obstruction and perforation may occur. The aim of this report isto present a case of a congenital disease in dogs, prone to misdiagnosis due to non-specific clinical signs.Case: An 8-month-old male Boxer was evaluated due to recurrent hyporexia, vomiting, melena and syncope over threemonths with signs of a possible intestinal obstruction. Physical examination showed no abnormalities except for palemucous membranes. Complete blood count revealed anemia and leukocytosis. Platelets and biochemical profiles werenormal. Abdominal ultrasound examination indicated a dilated duodenum, measuring approximately 3.36 cm in diameter,with heterogeneous fluid content and hyperechoic structures with acoustic shadow, peristalsis appeared decreased andnon-progressive. The gastrointestinal positive contrast study was performed to better evaluate abnormalities detected atultrasonography. Images after 30 min of contrast administration demonstrated a marked distension of the duodenum, filledwith contrast and a mildly filled stomach displaced to the left. Sixty min after contrast administration a marked distensionof the entire duodenum, with tortuous aspect and filled with contrast was seen. The caudal duodenal flexure was connectedto a large barium filled saccular structure that measured approximately 7 cm in diameter...

Tratamento do rádio curvo em cão jovem com associação das técnicas de grampeamento fisário radial, ostectomia ulnar e fixador externo dinâmico transarticular / Treatment of radius curvus in a young dog with association of radial physeal stapling, ulnar ostectomy and transarticular dynamic external fixator techniques

Background: Radius curvus is a clinical manifestation of the premature closure of the distal ulnar physis and the mostcommon physeal disease in dogs, representing 63% of all physeal injuries. There are few reports indicating the techniqueof stapling for treatment of radius curvus in squeletically immature dogs. The aim of this study is to report a case of radiuscurvus in a young dog successfully treated with a combination of 3 surgical tecniques: 1- Stapling the medial and cranialportions of the distal radial physis; 2- Oblique osteotomy of the proximal ulna and ostectomy of the distal ulna, and 3-Dynamic external skeletal fixation in the elbow joint.Case: A 5-month-old female dog was referred to the University Veterinary Hospital with a history of left thoracic limb deformity for 2 months. There was a history of possible traumatic event on the front limb, in addition to providing nutritionalsupplements daily. In the radiographic evaluation the changes were identified in the left thoracic limb: shortening of theulna, procurvatum and medial angulation of the distal radius, increased joint space and articular incongruity of the elbowjoint. The dog was subjected to surgical treatment by the combination of three main surgical techniques. For the staplingof the distal radial physis the surgical approach on the cranial-medial surface of the distal radius was made. Two surgicalstaples were positioned in the distal radial physis. Thereafter a caudal approach was made to the distal region of the ulnardiaphysis for the distal ostectomy of the ulna. A bone segment of 1 cm in length of the distal ulnar diaphysis was removed.Another caudal approach was made to the proximal region of the ulnar diaphysis and a proximal oblique osteotomy of theulna was performed. For the dynamic external skeletal fixation in the elbow joint two Steinmann pins were inserted. Thefirst pin was proximal to the supracondilar...

Ultrasonographic and radiographic diagnosis of ectopic ureter in a dog

Background: Ureteral ectopia (or ectopic ureter) is a congenital anomaly of the urinary system in which the ureter insertsanywhere other than the vesical trigone. This anatomical change may have unilateral or bilateral involvement. The mostevident clinical sign, occurring mostly in females, is urinary incontinence, however in some cases the condition may progressto nephritis and dilation of the renal pelvis. The diagnosis is established through imaging, and definitive treatment requiressurgical approach. The present study reports a case of ureteral ectopia in a dog which was diagnosed by ultrasound andcontrast radiography (excretory urography) and successfully treated by neoureterostomy.Case: A 10-month-old female American Pit Bull Terrier was attended at the Veterinary Hospital of the Federal Rural University of the Semi-Arid (UFERSA), in Mossoró, RN. Her owner reported incontinence of dark, malodorous urine sincebirth as the chief complaint. After clinical examination, cystitis was suspected, and a complete blood count, urinalysis,and abdominal ultrasound was requested. The blood count and creatinine were within the reference values. The presenceof struvite crystals were found on urinalysis. Ultrasound examination revealed a tortuous, dilated right ureter from therenal pelvis to the urinary bladder; no uroliths were identified as a cause of potential obstruction, but the ipsilateral kidneyshowed increased cortical echogenicity, loss of corticomedullary definition, and moderate pelvic dilation. These findingssupported a presumptive diagnosis of ectopic ureter. For the purpose of confirming this suspicion, excretory urography wasperformed, revealing unilateral ureteral dilation and radiopaque contrast uptake following the path of the urethra. Once thediagnosis was confirmed, surgery was performed to correct the ureteral ectopia using the standard...

Partial obstruction and intestinal bleeding secondary to a congenital duodenal diverticulum in a dog

Background: Intestinal diverticulum is an abnormality resulting in the formation of a blind-ended saccular pouch that canbe acquired either congenital, true (involving all intestinal layers) or false (involving the mucosa and submucosa), withextraluminal and intraluminal type. In humans, the acquired is more frequent, the colon is the most affected segment followed by duodenum; and majority cases of duodenal diverticula remains asymptomatic, but biliary obstruction, recurrentacute pancreatitis, hemorrhagic ulcer, proximal intestinal obstruction and perforation may occur. The aim of this report isto present a case of a congenital disease in dogs, prone to misdiagnosis due to non-specific clinical signs.Case: An 8-month-old male Boxer was evaluated due to recurrent hyporexia, vomiting, melena and syncope over threemonths with signs of a possible intestinal obstruction. Physical examination showed no abnormalities except for palemucous membranes. Complete blood count revealed anemia and leukocytosis. Platelets and biochemical profiles werenormal. Abdominal ultrasound examination indicated a dilated duodenum, measuring approximately 3.36 cm in diameter,with heterogeneous fluid content and hyperechoic structures with acoustic shadow, peristalsis appeared decreased andnon-progressive. The gastrointestinal positive contrast study was performed to better evaluate abnormalities detected atultrasonography. Images after 30 min of contrast administration demonstrated a marked distension of the duodenum, filledwith contrast and a mildly filled stomach displaced to the left. Sixty min after contrast administration a marked distensionof the entire duodenum, with tortuous aspect and filled with contrast was seen. The caudal duodenal flexure was connectedto a large barium filled saccular structure that measured approximately 7 cm in diameter...(AU)

Tratamento do rádio curvo em cão jovem com associação das técnicas de grampeamento fisário radial, ostectomia ulnar e fixador externo dinâmico transarticular / Treatment of radius curvus in a young dog with association of radial physeal stapling, ulnar ostectomy and transarticular dynamic external fixator techniques

Background: Radius curvus is a clinical manifestation of the premature closure of the distal ulnar physis and the mostcommon physeal disease in dogs, representing 63% of all physeal injuries. There are few reports indicating the techniqueof stapling for treatment of radius curvus in squeletically immature dogs. The aim of this study is to report a case of radiuscurvus in a young dog successfully treated with a combination of 3 surgical tecniques: 1- Stapling the medial and cranialportions of the distal radial physis; 2- Oblique osteotomy of the proximal ulna and ostectomy of the distal ulna, and 3-Dynamic external skeletal fixation in the elbow joint.Case: A 5-month-old female dog was referred to the University Veterinary Hospital with a history of left thoracic limb deformity for 2 months. There was a history of possible traumatic event on the front limb, in addition to providing nutritionalsupplements daily. In the radiographic evaluation the changes were identified in the left thoracic limb: shortening of theulna, procurvatum and medial angulation of the distal radius, increased joint space and articular incongruity of the elbowjoint. The dog was subjected to surgical treatment by the combination of three main surgical techniques. For the staplingof the distal radial physis the surgical approach on the cranial-medial surface of the distal radius was made. Two surgicalstaples were positioned in the distal radial physis. Thereafter a caudal approach was made to the distal region of the ulnardiaphysis for the distal ostectomy of the ulna. A bone segment of 1 cm in length of the distal ulnar diaphysis was removed.Another caudal approach was made to the proximal region of the ulnar diaphysis and a proximal oblique osteotomy of theulna was performed. For the dynamic external skeletal fixation in the elbow joint two Steinmann pins were inserted. Thefirst pin was proximal to the supracondilar...(AU)

Ultrasonographic and radiographic diagnosis of ectopic ureter in a dog

Background: Ureteral ectopia (or ectopic ureter) is a congenital anomaly of the urinary system in which the ureter insertsanywhere other than the vesical trigone. This anatomical change may have unilateral or bilateral involvement. The mostevident clinical sign, occurring mostly in females, is urinary incontinence, however in some cases the condition may progressto nephritis and dilation of the renal pelvis. The diagnosis is established through imaging, and definitive treatment requiressurgical approach. The present study reports a case of ureteral ectopia in a dog which was diagnosed by ultrasound andcontrast radiography (excretory urography) and successfully treated by neoureterostomy.Case: A 10-month-old female American Pit Bull Terrier was attended at the Veterinary Hospital of the Federal Rural University of the Semi-Arid (UFERSA), in Mossoró, RN. Her owner reported incontinence of dark, malodorous urine sincebirth as the chief complaint. After clinical examination, cystitis was suspected, and a complete blood count, urinalysis,and abdominal ultrasound was requested. The blood count and creatinine were within the reference values. The presenceof struvite crystals were found on urinalysis. Ultrasound examination revealed a tortuous, dilated right ureter from therenal pelvis to the urinary bladder; no uroliths were identified as a cause of potential obstruction, but the ipsilateral kidneyshowed increased cortical echogenicity, loss of corticomedullary definition, and moderate pelvic dilation. These findingssupported a presumptive diagnosis of ectopic ureter. For the purpose of confirming this suspicion, excretory urography wasperformed, revealing unilateral ureteral dilation and radiopaque contrast uptake following the path of the urethra. Once thediagnosis was confirmed, surgery was performed to correct the ureteral ectopia using the standard...(AU)

Hypertrophic osteopathy associated with pulmonary metastasis of carcinoma mammary solid grade III in a dog: case report / Osteopatia hipertrófica associada à metástase pulmonar de carcinoma mamário sólido grau III de malignidade em um cão: relato de caso

The hypertrophic osteopathy is a syndrome characterized by bone proliferation as a consequence of lung disease, such as metastatic nodules. The diagnosis is based on radiography of the appendicular bones evidencing the proliferation. Mammary neoplasms are the ones that affect dogs the most and, their malignant variants, frequently metastasize. The present report describe the case of a bitch with carcinoma mammary solid grade III of malignancy that presented pulmonary metastasis and, consequently, developed hypertrophic osteopathy. Due to advanced stage of the neoplasm the patient was submitted to euthanasia. In this way, the osteopathy can act as a sinalizer for the veterinarian for pulmonary diseases, especially metastatic nodules.

A osteopatia hipertrófica é uma síndrome caracterizada por proliferação óssea em consequência de doença pulmonar, como nódulos metastáticos. O diagnóstico é baseado na radiografia dos ossos apendiculares evidenciando a proliferação. As neoplasias mamárias são as que mais acometem os cães e, suas variantes malignas, frequentemente metastatizam. O presente relato apresenta o caso de uma cadela com carcinoma mamário sólido grau III de malignidade que apresentou metástase pulmonar e, em decorrência, desenvolveu a osteopatia hipertrófica. Devido o estágio avançado da neoplasia, a paciente foi submetida à eutanásia. Desse modo, a osteopatia pode atuar como um sinalizador para o médico veterinário para doenças pulmonares, sobretudo nódulos metastáticos.

Hypertrophic osteopathy associated with pulmonary metastasis of carcinoma mammary solid grade III in a dog: case report / Osteopatia hipertrófica associada à metástase pulmonar de carcinoma mamário sólido grau III de malignidade em um cão: relato de caso

The hypertrophic osteopathy is a syndrome characterized by bone proliferation as a consequence of lung disease, such as metastatic nodules. The diagnosis is based on radiography of the appendicular bones evidencing the proliferation. Mammary neoplasms are the ones that affect dogs the most and, their malignant variants, frequently metastasize. The present report describe the case of a bitch with carcinoma mammary solid grade III of malignancy that presented pulmonary metastasis and, consequently, developed hypertrophic osteopathy. Due to advanced stage of the neoplasm the patient was submitted to euthanasia. In this way, the osteopathy can act as a sinalizer for the veterinarian for pulmonary diseases, especially metastatic nodules.(AU)

A osteopatia hipertrófica é uma síndrome caracterizada por proliferação óssea em consequência de doença pulmonar, como nódulos metastáticos. O diagnóstico é baseado na radiografia dos ossos apendiculares evidenciando a proliferação. As neoplasias mamárias são as que mais acometem os cães e, suas variantes malignas, frequentemente metastatizam. O presente relato apresenta o caso de uma cadela com carcinoma mamário sólido grau III de malignidade que apresentou metástase pulmonar e, em decorrência, desenvolveu a osteopatia hipertrófica. Devido o estágio avançado da neoplasia, a paciente foi submetida à eutanásia. Desse modo, a osteopatia pode atuar como um sinalizador para o médico veterinário para doenças pulmonares, sobretudo nódulos metastáticos.(AU)

Schwannoma maligno em face de cão - relato de caso / Malignant schwannoma in dog face - case report

O Schwannoma trata-se de um tipo de tumor maligno da bainha dos nervos periféricos (TMBNP) incomum em pequenos animais. Não há predileção por raça e são mais comumente diagnosticados em cães de meia idade a idosos, podendo acometer diferentes regiões do corpo, entretanto, há raros relatos de acometimento em face. O presente trabalho tem por objetivo relatar um caso de TMBNP em face de um cão, macho, SRD, de 14 anos. O paciente apresentava uma formação de aproximadamente 10 cm em região facial esquerda, acometendo maxila e arco zigomático, com comprometimento também de seu globo ocular. Considerou-se a remoção cirúrgica paliativa devido a extensão da formação e seu posterior diagnóstico se deu através do exame histopatológico. Após a evolução clínica desfavorável que o paciente apresentou após o procedimento cirúrgico e devido ao prognóstico desfavorável frente ao diagnóstico de TMBNP, optou-se então pela eutanásia do paciente.

Schwannoma is a type of malignant tumor of the peripheral nerve sheath (TMBNP) uncommon in small animals. There is no predilection for breed and are most commonly diagnosed in middle-aged to elderly dogs, which may affect different regions of the body, however, there are rare reports of involvement in the face. dog, male, SRD, 14 years old. The patient had a formation of approximately 10 cm in the left facial region, affecting the maxilla and zygomatic arch, also affecting his eyeball. Consider whether the palliative surgical removal due to the extension of the formation and its subsequent diagnosis was made through histopathological examination. After the unfavorable clinical evolution that the patient presents after the surgical procedure and due to the unfavorable prognosis regarding the diagnosis of TMBNP, the patient was then euthanized.