Onfaloflebite em bezerra - tratamento com marsupialização da veia umbilical / Omphalophlebitis in a calf - treatment with umbilical vein marsupialization

Background: Omphalophlebitis is characterized as an omphalopathy that affects the umbilical vein. In these cases, ultrasonography can help identify the severity of abdominal lesions and guide the choice of treatment. Marsupialization of the umbilical vein is a surgical procedure indicated in cases where this vessel presents with purulent secretion up to the liver parenchyma. This report describes a case of omphalophlebitis in a calf treated by marsupialization of the umbilical vein. The preoperative and postoperative sonographic findings are also described. Case: A 4-day-old Holstein calf was attended at the Veterinary Hospital (HV) of the Universidade Federal de Goiás (UFG), Goiânia, Brazil. On physical examination, the animal was found to be apathetic, with tachycardia, tachypnea, hyperthermia, hyperemic mucous membranes, and moderate dehydration. An increase in volume was observed in the umbilical region, with local hyperthermia, firm consistency, and sensitivity to palpation. On deep palpation of the abdomen, a mass originating in the umbilical region and extending cranially was observed, leading to the suspicion of omphalophlebitis. Abdominal ultrasonography revealed external umbilical abscess and omphalophlebitis. Initially, conservative treatment with antibacterial and anti-inflammatory drugs was performed; however, there was no improvement in the clinical picture. Therefore, exploratory celiotomy was performed to remove the umbilical infectious focus. During the procedure, it was verified that the umbilical vein was dilated with a thickened wall until its insertion in the hepatic parenchyma, hence removal of the infected region through a ligature was not possible. Thus, marsupialization of the umbilical vein was performed to create a cutaneous opening for drainage of the purulent contents. In the postoperative period, antibacterial, anti-inflammatory, and analgesic drugs were administered. Dressing of the surgical wound and of the umbilical vein lumen was performed with topical polyvidone at 0.2%. Removal of the stitches was done 14 days postoperatively. Weekly ultrasonographic examinations were performed, which showed a gradual reduction in the diameter of the umbilical vein throughout the postoperative period. Thirty days after the surgical procedure, no further drainage of the purulent content was observed from the umbilical vein, and healing of the stump was demonstrated. After 7 months, a repeat ultrasonography was performed, revealing normal echogenicity and echotexture of the hepatic parenchyma and complete atrophy of the umbilical vein. Discussion: Umbilical vein marsupialization is a surgery rarely described in the literature, and no report has followed the evolution of a case by ultrasonography. The ultrasound examination of the umbilical structures was essential for the definitive diagnosis and choice of surgical treatment. Marsupialization of the umbilical vein was chosen due to the impossibility of ligature of this vessel, which presented with thickened walls and lumen filled with purulent content until its insertion into the liver. Postoperative monitoring via serial ultrasonography examinations allowed follow up of the evolution of the case and animal recovery. At the sonographic reevaluation after 7 months, the findings were unremarkable, indicating complete recovery of the patient. Umbilical marsupialization is a surgical technique that allows complete recovery of calves with severe omphalophlebitis. Ultrasonography is fundamental for the diagnosis of omphalophlebitis and in determining the best therapeutic protocol. Sonographic evaluation during the postoperative period allows follow-up of the progression of lesions in abdominal structures and helps in defining the prognosis.

Marsupialization for the treatment of nictitating membrane cyst in a dog: case report / Marsupialização para o tratamento de cisto em membrana nictitante de cão: relato de caso

This study aims to describe the first Brazilian report of a nictitating membrane cyst's surgical treatment in a dog. A 6-month-old female French Bulldog presented at HOSVET-UNIME with a reddish mass-like structure in the medial canthus of both eyes, with a history of recurrent third eyelid gland prolapse previously treated with two surgeries performed at another clinic. Physical examination revealed a third eyelid gland prolapse in the right eye and a cyst in the left eye's third eyelid. The animal was submitted to surgical correction of the right eye's third eyelid prolapse using pocket technique and of the left eye's third eyelid using marsupialization technique for the cyst's treatment. 180 days after th1e surgical procedure no recurrence was observed. The marsupialization technique for the treatment of a third eyelid's lacrimal cyst in a dog allowed the maintenance of its gland and prevented the formation of a new cystic cavity.(AU)

O objetivo do presente trabalho é descrever o primeiro relato no Brasil de tratamento cirúrgico de um cisto da membrana nictitante em um cão. Um Buldogue Francês, fêmea, seis meses, foi atendido no Hosvet-Unime, com queixa de aumento de volume avermelhado no canto medial de ambos os olhos, com histórico de recidiva de prolapso de glândula da terceira pálpebra, onde haviam sido realizadas duas cirurgias anteriormente em outro local. Ao exame físico, foi observado prolapso de glândula da terceira pálpebra no olho direito e a presença de um cisto na terceira pálpebra do olho esquerdo. O animal foi submetido ao procedimento cirúrgico de sepultamento de glândula da terceira pálpebra no olho direito e uma marsupialização na terceira pálpebra do olho esquerdo para o tratamento do cisto. Cento e oitenta dias após o procedimento cirúrgico, não foi observada recidiva. A técnica de marsupialização para tratamento de cisto lacrimal na terceira pálpebra em um cão possibilitou a manutenção da sua glândula e impediu a formação de nova cavidade cística.(AU)

Marsupialization for the treatment of nictitating membrane cyst in a dog: case report / Marsupialização para o tratamento de cisto em membrana nictitante de cão: relato de caso

This study aims to describe the first Brazilian report of a nictitating membrane cyst's surgical treatment in a dog. A 6-month-old female French Bulldog presented at HOSVET-UNIME with a reddish mass-like structure in the medial canthus of both eyes, with a history of recurrent third eyelid gland prolapse previously treated with two surgeries performed at another clinic. Physical examination revealed a third eyelid gland prolapse in the right eye and a cyst in the left eye's third eyelid. The animal was submitted to surgical correction of the right eye's third eyelid prolapse using pocket technique and of the left eye's third eyelid using marsupialization technique for the cyst's treatment. 180 days after th1e surgical procedure no recurrence was observed. The marsupialization technique for the treatment of a third eyelid's lacrimal cyst in a dog allowed the maintenance of its gland and prevented the formation of a new cystic cavity.(AU)

O objetivo do presente trabalho é descrever o primeiro relato no Brasil de tratamento cirúrgico de um cisto da membrana nictitante em um cão. Um Buldogue Francês, fêmea, seis meses, foi atendido no Hosvet-Unime, com queixa de aumento de volume avermelhado no canto medial de ambos os olhos, com histórico de recidiva de prolapso de glândula da terceira pálpebra, onde haviam sido realizadas duas cirurgias anteriormente em outro local. Ao exame físico, foi observado prolapso de glândula da terceira pálpebra no olho direito e a presença de um cisto na terceira pálpebra do olho esquerdo. O animal foi submetido ao procedimento cirúrgico de sepultamento de glândula da terceira pálpebra no olho direito e uma marsupialização na terceira pálpebra do olho esquerdo para o tratamento do cisto. Cento e oitenta dias após o procedimento cirúrgico, não foi observada recidiva. A técnica de marsupialização para tratamento de cisto lacrimal na terceira pálpebra em um cão possibilitou a manutenção da sua glândula e impediu a formação de nova cavidade cística.(AU)

Symptomatic orthotopic ureterocele in a dog

Background: Ureteroceles are cystic dilatations of the terminal ureter and is a rare diagnosed condition in dogs. They can be classified as orthotopic when it is entirely within the bladder and the ureteral orifice emerges normally or ectopic if the ureteral orifice is not in the normal position in the trigone. Orthotopic are usually clinically silent. Ureterocele can contribute to lower urinary tract disease leading to infections and loss of the renal function. As long as this injury can arise slowly, it might be underdiagnosed in companion animals. This case aims to report a case of a bitch with diagnosed symptomatic orthotopic ureterocele efficacious surgical treatment. Case: A 5-month-old female mixed breed was referred to the veterinary hospital, with a major complaint of urinary incontinence since the birth date after the first attendance in a colleague who have suspected of ureterocele considering ultrasound report of a vesicle of 1.4 x 1.5 cm in lefts ureter bladder’s insertion topography with ipsilateral hydroureter and renal dilatation. Beside the urinary dysfunction, the animal presented good general status and normal vital signs. Complete blood count and biochemical analysis were within normal ranges. A new ultrasound exam and Computerized Urotomography with contrast gave the definitive diagnosis of left orthotopic ureterocele with twisted hydroureter (proximal 1.29 cm and distally 0.98 cm) and hydronephrosis (3.32 cm). The marsupialization was chosen scientifically based to correct the ureterocele and the patient presented good general condition since then with prompt improvement of clinical signs. The patient was submitted to serial image exams in six weeks following up to check the consequent urinary tract dilatation from the previous disease regression. After the last follow up animal received...

Symptomatic orthotopic ureterocele in a dog

Background: Ureteroceles are cystic dilatations of the terminal ureter and is a rare diagnosed condition in dogs. They can be classified as orthotopic when it is entirely within the bladder and the ureteral orifice emerges normally or ectopic if the ureteral orifice is not in the normal position in the trigone. Orthotopic are usually clinically silent. Ureterocele can contribute to lower urinary tract disease leading to infections and loss of the renal function. As long as this injury can arise slowly, it might be underdiagnosed in companion animals. This case aims to report a case of a bitch with diagnosed symptomatic orthotopic ureterocele efficacious surgical treatment. Case: A 5-month-old female mixed breed was referred to the veterinary hospital, with a major complaint of urinary incontinence since the birth date after the first attendance in a colleague who have suspected of ureterocele considering ultrasound report of a vesicle of 1.4 x 1.5 cm in lefts ureter bladders insertion topography with ipsilateral hydroureter and renal dilatation. Beside the urinary dysfunction, the animal presented good general status and normal vital signs. Complete blood count and biochemical analysis were within normal ranges. A new ultrasound exam and Computerized Urotomography with contrast gave the definitive diagnosis of left orthotopic ureterocele with twisted hydroureter (proximal 1.29 cm and distally 0.98 cm) and hydronephrosis (3.32 cm). The marsupialization was chosen scientifically based to correct the ureterocele and the patient presented good general condition since then with prompt improvement of clinical signs. The patient was submitted to serial image exams in six weeks following up to check the consequent urinary tract dilatation from the previous disease regression. After the last follow up animal received...(AU)

Rânula bilateral com recidiva em glândula mandibular e sublingual em cão / Ranula bilateral with recurrence in submandibular gland and sublingualin dog

A mucocele sublingual é uma afecção incomum em cães, porém de grande importância para a medicina veterinária, devido aosprejuízos gerados por suas consequências. Deste modo, o presente relato tem como objetivo descrever o caso de mucocelesublingual em cão com posterior recidiva em glândula mandibular e sublingual, bem como discutir sua importância para a medicinaveterinária. Foi atendido no Hospital Veterinário Dix-Huit Rosado Maia HOVET/ Universidade Federal Rural de Semiárido(UFERSA), um cão macho, com um ano e 10 meses de idade, apresentando aumento de volume bilateral na região sublingualhá, aproximadamente, dois meses. Após exame clínico suspeitou-se de mucocele da glândula sublingual bilateral (rânula)indicando-se o tratamento de ressecção da glândula sublingual esquerda devido ao aspecto nodular e marsupalização da glândulasublingual direita. Passado um mês da alta médica o animal retornou ao HOVET UFERSA com queixa de aparecimento de umnovo aumento de volume sublingual e na região cervico-ventral suspeitando-se de uma possível mucocele cervical e recidivada mucocele sublingual esquerda. Indicou-se como tratamento a sialoadenectomia sublingual e mandibular. Cerca de dez diasapós a última cirurgia o cão não apresentava mais aumento de volume da área afetada e não havia sinais de alteração quanto àprodução de saliva. O tratamento sugerido proporcionou bons resultados promovendo a reparação tecidual e reestruturação dolocal afetado e diminuindo o índice de recidiva.(AU)

The sublingual mucocele is a rare disease in dogs, but very important for veterinary medicine due to losses generated by itsconsequences. Thus, this report aims to describe the case of sublingual mucocele in a dog with subsequent relapse in mandibularand sublingual gland and discuss their importance to veterinary medicine. It was the Veterinary Hospital Dix-Huit Rosado Maia -HOVET / Universidade Federal Rural de Semi-árido (UFERSA), a male dog with one year and 10 months, an increase of bilateralvolume in the sublingual region for approximately two months. After clinical examination was suspected of mucocele of bilateralsublingual gland (ranula) indicating the treatment of sublingual left gland resection due to nodular and marsupalização the rightsublingual gland. After one month of a medical release the animal returned to HOVET - UFERSA with emergence of complaint froma further increase in sublingual volume and cervical-ventral region suspecting it is a possible cervical mucoceles and recurrenceof sublingual mucocele left. It is stated as a treatment to sublingual and mandibular sialoadenectomy. About ten days after the lastsurgery, the dog had no more swelling of the affected area and no signs of change with saliva production. However, the suggestedtreatment provided good results by promoting tissue repair and restructuring of the affected area and decreasing the recurrence rate.(AU)

Obstrução respiratória causada por mucocele salivar faríngea em um cão / Respiratory obstruction caused by salivary mucocele pharyngeal in a dog

Conforme Dunnig (2007) não é recomendado o tratamento apenas por aspiração ou drenagem, devido à ocorrência de recidiva em poucos dias. A relevância clínica deste caso está relacionada à viabilidade da cricotireoidotomia para melhora da angústia respiratória e a utilização da técnica de marsupialização como tratamento eficaz, pois não ocorreu recidiva no caso relatado, embora a realização dessa técnica possa apresentar comprometimento da via aérea superior e possibilidade de disfunção da deglutição em caso de recidiva.

Obstrução respiratória causada por mucocele salivar faríngea em um cão / Respiratory obstruction caused by salivary mucocele pharyngeal in a dog

Conforme Dunnig (2007) não é recomendado o tratamento apenas por aspiração ou drenagem, devido à ocorrência de recidiva em poucos dias. A relevância clínica deste caso está relacionada à viabilidade da cricotireoidotomia para melhora da angústia respiratória e a utilização da técnica de marsupialização como tratamento eficaz, pois não ocorreu recidiva no caso relatado, embora a realização dessa técnica possa apresentar comprometimento da via aérea superior e possibilidade de disfunção da deglutição em caso de recidiva.(AU)

Ureterocele ortotópica em cadela (Canis familiaris) - relato de caso / Orthotopic ureterocele in bitch (Canis familiaris) - a case report / Ureterocele ortotópico en perra (Canis familiaris) - relato de caso

A ureterocele é uma dilatação da porção final do ureter decorrente de falha embriológica sem causa ainda definida. Foi atendida uma cadela da raça poodle de três meses de idade com queixa de incontinência urinária. Os exames de imagem foram os responsáveis pelo fechamento do diagnóstico, sendo visualizada uma dilatação cística intravesical. A técnica cirúrgica utilizada foi a ressecção da ureterocele com marsupialização das bordas, obtendo-se remissão completa dos sinais clínicos dois meses após a cirurgia. Aos dois anos de idade, a cadela permanece continente.

Ureterocele is a dilation of the final portion of the ureter, which results from an embryological failure of unknown cause. This article describes the case of a three-month-old female poodle with complaints of urinary incontinence. Imaging exams helped establish the diagnosis by disclosing an orthotopic cystic dilation. The surgical technique employed to treat the condition was resection of the ureterocele with marsupialization of the edges. Complete remission of clinical signs was achieved two months post-surgery; the dog remains continent two years after the procedure.

El ureterocele es una dilatación de la porción final del uréter provocado por una falla en su desarrollo embriológico, cuya causa aún no ha sido definida. Se atendió una perra Caniche de tres meses con cuadro de incontinencia urinaria. Los exámenes de imagen, a través de los cuales se pudo llegar al diagnóstico de la enfermedad, permitieron comprobar la presencia de una dilatación quística en el lumen vesical. En la cirugía se realizó la resección del ureterocele y marsupialización de los bordes; dos meses después de realizada la cirugía, el paciente no presentaba cuadros de incontinencia. A los dos años de edad, la perra permanece sin síntomas.

Ureterocele ortotópica em cadela (Canis familiaris) - relato de caso / Orthotopic ureterocele in bitch (Canis familiaris) - a case report / Ureterocele ortotópico en perra (Canis familiaris) - relato de caso

A ureterocele é uma dilatação da porção final do ureter decorrente de falha embriológica sem causa ainda definida. Foi atendida uma cadela da raça poodle de três meses de idade com queixa de incontinência urinária. Os exames de imagem foram os responsáveis pelo fechamento do diagnóstico, sendo visualizada uma dilatação cística intravesical. A técnica cirúrgica utilizada foi a ressecção da ureterocele com marsupialização das bordas, obtendo-se remissão completa dos sinais clínicos dois meses após a cirurgia. Aos dois anos de idade, a cadela permanece continente.(AU)

Ureterocele is a dilation of the final portion of the ureter, which results from an embryological failure of unknown cause. This article describes the case of a three-month-old female poodle with complaints of urinary incontinence. Imaging exams helped establish the diagnosis by disclosing an orthotopic cystic dilation. The surgical technique employed to treat the condition was resection of the ureterocele with marsupialization of the edges. Complete remission of clinical signs was achieved two months post-surgery; the dog remains continent two years after the procedure. (AU)

El ureterocele es una dilatación de la porción final del uréter provocado por una falla en su desarrollo embriológico, cuya causa aún no ha sido definida. Se atendió una perra Caniche de tres meses con cuadro de incontinencia urinaria. Los exámenes de imagen, a través de los cuales se pudo llegar al diagnóstico de la enfermedad, permitieron comprobar la presencia de una dilatación quística en el lumen vesical. En la cirugía se realizó la resección del ureterocele y marsupialización de los bordes; dos meses después de realizada la cirugía, el paciente no presentaba cuadros de incontinencia. A los dos años de edad, la perra permanece sin síntomas.(AU)

Marsupialização da vesícula urinária em um cão / Urinary bladder m arsupialization in a dog

Relata-se um caso em que a marsupialização temporária da vesícula urinária em decorrência de uma lesãode uretra pélvica foi transformada com eficiência em definitivo. Este paciente teve a uretra lesionadadevido a uma fratura de pelve causada por atropelamento e que foi reparada, mas sem sucesso. Na literaturarevisada, nenhuma publicação foi encontrada em que tenha sido feito acompanhamento por umperíodo superior a dois meses de pós-operatório em cães, após o emprego desta técnica.(AU)

A case of urinary bladder marsupialization was efficiently adopted as a temporary solution for urethralinjury and became the final procedure. This patient had injured the urethra due to a pelvis fracturecaused by a car accident. It was repaired but didn´t work out well. There is no publication describing aperiod exceeding two months post-operative evaluation of this technique in dogs.(AU)

Marsupialização da vesícula urinária em um cão / Urinary bladder m arsupialization in a dog

Relata-se um caso em que a marsupialização temporária da vesícula urinária em decorrência de uma lesãode uretra pélvica foi transformada com eficiência em definitivo. Este paciente teve a uretra lesionadadevido a uma fratura de pelve causada por atropelamento e que foi reparada, mas sem sucesso. Na literaturarevisada, nenhuma publicação foi encontrada em que tenha sido feito acompanhamento por umperíodo superior a dois meses de pós-operatório em cães, após o emprego desta técnica.

A case of urinary bladder marsupialization was efficiently adopted as a temporary solution for urethralinjury and became the final procedure. This patient had injured the urethra due to a pelvis fracturecaused by a car accident. It was repaired but didn´t work out well. There is no publication describing aperiod exceeding two months post-operative evaluation of this technique in dogs.