Migration of a retained surgical swab into the jejunum in a dog.

A two-year-old spayed female shih-tzu was referred with a 10-month history of lethargy, chronic diarrhoea and weight loss. On presentation, a partial response to antibiotics was noted. Physical examination revealed an abdominal mass, and serum biochemistry and haematology revealed a mature neutrophilia, hypoalbuminaemia and a non-regenerative anaemia. Contrast radiography and abdominal ultrasound were suggestive of an intraluminal foreign body. Exploratory laparotomy revealed a surgical swab in the lumen of the jejunum that was associated with severe adhesions. Histopathology showed evidence of transmural migration of the swab from the peritoneal cavity to the lumen of the jejunum.

Occult metastatic intestinal adenocarcinoma resulting in pathological fracture of the proximal humerus.

Intestinal adenocarcinomas are rare but have been described in the literature. The present case is unusual in both its clinical presentation and in the distribution of metastatic lesions. The sequestrum formation and pathological fracture present are most commonly associated with osteomyelitis in horses and the details of the case highlight the need for differential diagnosis in these particular circumstances and of which clinicians should be aware.

Effect of hyperbaric oxygen treatment on incorporation of an autogenous cancellous bone graft in a nonunion diaphyseal ulnar defect in cats.

OBJECTIVE: To determine whether hyperbaric oxygen treatment (HBOT) would affect incorporation of an autogenous cancellous bone graft in diaphyseal ulnar defects in cats. ANIMALS: 12 mature cats. PROCEDURE: Bilateral nonunion diaphyseal ulnar defects were created in each cat. An autogenous cancellous bone graft was implanted in 1 ulnar defect in each cat, with the contralateral ulnar defect serving as a nongrafted specimen. Six cats were treated by use of hyperbaric oxygen at 2 atmospheres absolute for 90 minutes once daily for 14 days, and 6 cats were not treated (control group). Bone labeling was performed, using fluorochrome markers. Cats were euthanatized 5 weeks after implanting, and barium sulfate was infused to evaluate vascularization of grafts. Ulnas were evaluated by use of radiography, microangiography, histologic examination, and histomorphometric examination. RESULTS: Radiographic scores did not differ between treatment groups. Microangiographic appearance of grafted defects was similar between groups, with all having adequate vascularization. Differences were not observed between treated and nontreated groups in the overall histologic appearance of decalcified samples of tissue in grafted defects. Mean distance between fluorescent labels was significantly greater in cats given HBOT than in nontreated cats. Median percentage of bone formation in grafted defects was significantly greater in cats given HBOT. CONCLUSIONS: Hyperbaric oxygen treatment increased the distance between fluorescent labels and percentage of bone formation when incorporating autogenous cancellous bone grafts in induced nonunion diaphyseal ulnar defects in cats, but HBOT did not affect revascularization, radiographic appearance, or qualitative histologic appearance of the grafts.

Tetraparesis due to vertebral physeal fracture in an adult dog with congenital hypothyroidism.

A four-year-old male affenpinscher was referred for evaluation of hindlimb weakness that had progressed to tetraparesis over a period of four weeks. Neurological examination was suggestive of a cervical spinal cord lesion. Radiographic examination revealed diffuse skeletal immaturity with open physes and epiphyseal dysplasia in long bones and vertebrae, consistent with a diagnosis of congenital hypothyroidism. Total and free serum T4 concentrations were very low, indicative of hypothyroidism. Survey radiographs of the cervical spine revealed a dorsally displaced Salter-Harris type I fracture of the cranial portion of the fourth cervical vertebra with the endplate present in the vertebral canal. Although signs of transverse myelopathy are uncommon in dogs with congenital hypothyroidism, they may be associated with either intervertebral disc protrusion or endplate displacement into the vertebral canal secondary to the epiphyseal abnormalities associated with congenital hypothyroidism.

Large bowel transit times using radiopaque markers in normal cats.

Seven normal, young adult, female cats each had its colon evacuated with warm-water enemas (at 24 hours, 12 hours, and one hour) before oral administration of a gelatin capsule containing 20 radiopaque markers to determine normal colonic transit times. Abdominal radiographs were taken twice daily until all markers were expelled. There were no significant differences between animals or trials (p = 0.05 or less). Markers accumulated in the first section of large bowel within eight hours. Evacuation from the colon took another 40 hours. Cecum (right side midline), left side midline, and rectum were defined radiographically. This study establishes large bowel transit times in normal cats and provides the basis for similar evaluation in constipated cats.

Traumatic ear canal separations and para-aural abscessation in three dogs.

Three dogs were presented for para-aural abscessation. Ear canal separations were suspected preoperatively, based on histories of trauma, physical examination findings of minimally inflamed external ear canals with abrupt endings, and radiographic evidence of discontinuity of the ear canals. Concurrent otitis media, based on radiographic findings, was diagnosed in all three dogs. Disruptions of the external ear canals were confirmed at surgery, and the dogs each responded to total ear canal ablation and lateral bulla osteotomy.

Perineal herniorrhaphy: perioperative data from 100 dogs.

One hundred dogs (83 intact males, 15 castrated males, and two intact females) underwent 110 perineal herniorrhaphy procedures. Mixed-breed dogs (n = 32), miniature poodles (n = 14), Boston terriers (n = 11), and Pekingese (n = 9) were represented most frequently. Perineal swelling (n = 48) and a perineal defect on rectal palpation (n = 31) were common clinical signs. Twenty dogs had urinary bladder retroflexion and were significantly more likely to have elevated serum urea nitrogen and creatinine concentrations, hyperkalemia, hyperphosphatemia, and neutrophilic leukocytosis. Only five of 43 dogs evaluated radiographically had prostatomegaly. Of 30 dogs receiving oral barium, all had rectal deviation. The most frequent complications during the hospitalization period were incisional (n = 35), followed by rectal prolapse (n = 9), tenesmus (n = 8), and depression (n = 8). Fifty-six of 70 dogs with follow-up had no complications.

Hypertrophic osteopathy associated with Mycobacterium fortuitum pneumonia in a dog.

Mycobacterium fortuitum was isolated from the lung of a dog that had new periosteal bone formation consistent with hypertrophic osteopathy. Fever, weight loss, and bilateral hind limb lameness were the initial clinical signs. The tarsi were swollen and a pain response was elicited on palpation of the hind limb. Radiography revealed periosteal new bone formation on the metatarsi, femurs, and ischii. Thoracic radiography revealed pulmonary mass lesions in the right middle and left caudal lung lobes. After right middle and left caudal lung lobectomy, M fortuitum was isolated from the excised tissues. Amoxicillin trihydrate/clavulanic acid and amikacin were administered, on the basis of susceptibility test results.

Femoral capital physeal fractures in dogs: 34 cases (1979-1989).

Complications associated with femoral capital physeal (CP) fractures in 34 dogs were evaluated. Fractures were surgically repaired, using divergent K-wires or lag screws; radiographic follow-up was available for 21 CP fractures. In all cases, radiographic abnormalities such as degenerative joint disease and resorption of the femoral neck and/or head were seen. Changes were more severe when fracture occurred at an early age. For 4 of 21 dogs (20%), femoral head and neck excision was performed because of complications associated with CP fracture repair. Prognosis for femoral CP fractures is guarded, although affected dogs should be able to function as pets.

Use of external coaptation for the treatment of avascular necrosis of the femoral head in a dog.

Avascular necrosis of the femoral head was diagnosed in a 5-month-old Schipperke, before the development of femoral head and neck collapse and resultant degenerative joint disease. External coaptation, consisting of an Ehmer sling, was used to prevent the bearing of weight during revascularization and reossification of the subchondral bone. Results of pelvic radiography (at 10 and 24 weeks) indicated that the early use of conservative treatment was successful in promoting resolution of the aseptic necrosis and in maintaining normal coxofemoral anatomic features and function.

Ultrasonographic evaluation of induced testicular lesions in male goats.

To study testicular ultrasonographic features, unilateral testicular artery ligation was performed in 12 bucks to induce predictable ischemic necrosis of the testis. Both scrotal testes then were scanned subsequently on days 1, 3, 5, 7, 15, and 30. On each of the designated days, 2 bucks each were castrated and the excised testes were rescanned outside the scrotum before gross and histologic examinations. In each goat, the testis without the ligated artery served as a control. Gross and histopathologic findings in the testis were compared with ultrasonographic observations. As the study progressed from day 0 to day 15, visually and microscopically, the testis involved in the testicular artery ligation had edema that changed to areas of peripheral necrosis with thickening of the testicular capsule. On day 30, the affected testis had granulation tissue in the areas that previously had been necrotic. Ultrasonographically, the testicular changes were consistent with the gross and histopathologic findings. There were areas of decreased echogenicity that corresponded to the necrotic areas and foci of high echogenicity that corresponded to areas of tubular mineralization. On day 30, the granulation tissue was difficult to differentiate ultrasonographically from normal testicular parenchyma. Between days 3 and 15, hydrocele was seen ultrasonographically in several goats. The excellent association between ultrasonographic findings and gross and histologic changes suggested that testicular ultrasonography might be a valuable diagnostic tool for assessing testicular disease in domestic animals.

Ultrasonographic and biometric evaluation of the eye and orbit of dogs.

The normal B-scan ultrasonographic anatomic features of the eye and orbit of mesocephalic and dolichocephalic dogs were described. The B-scan appearance of ocular and orbital structures correlated well with the visual morphologic features of the specimens. The eyes of mesocephalic and dolichocephalic dogs were measured by use of ultrasonographic methods; those measurements were compared with direct measurements of the specimens. The 2-tailed Student t-test was used for all statistical analyses (P = 0.05). Measurements made included mid-cornea to anterior lens surface, lens thickness, vitreous body (posterior lens surface to retina), and axial globe length. The A-scan measurements of all 4 ocular distances were significantly different, compared with direct measurements. The B-scan measurements of mid-cornea to anterior lens surface, lens thickness, and vitreous body were significantly different from direct measurements; however, there was no significant difference between B-scan and direct measurements of axial globe length. There was no significant difference between A- and B-scan measurements. These findings suggest that A- and B-scan measurements are similar and that B-scan measurements are reasonably accurate for axial globe determination. Several variables were compared by B-scan and direct measurement methods. The axial globe length of dolichocephalic dogs was significantly longer than that of mesocephalic dogs. The axial globe length of male and female dogs was not significantly different in mesocephalic or dolichocephalic dogs. There was no significant difference in the axial globe length of right and left eyes in mesocephalic or dolichocephalic dogs.

B-mode ultrasound observations of bull testes during breeding soundness examinations.

The testes of 78 adult Beefmaster bulls (13 to > 31 mo old) were scanned with a 5 MHz, linear array portable ultrasound unit during routine breeding soundness examinations. Videotape recordings were used to measure mediastinum testis width and fluid width between visceral and parietal tunics (fluid width), and to count the number of fibrotic foci. Ultrasound results were compared to breeding soundness score parameters, which included total score, age classification, and percentage of primary and secondary sperm abnormalities. The overall mean mediastinum testis width and fluid width were 0.33 cm +/- 0.133 and 0.10 cm +/- 0.13, respectively; 15 testes had 1-8 fibrotic foci. There were no significant differences in mediastinum testis width and fluid width between left and right testes when compared by breeding soundness score classification or by age classification. There were no significant differences in mediastinum testis width, fluid width, breeding soundness score, or primary or secondary sperm abnormalities in bulls with fibrotic foci compared to bulls without fibrotic foci. There appears to be no significant information that routine testicular ultrasound examination adds to accepted breeding soundness evaluations performed on the same day.

Neuroradiology.

Neuroradiographs are an invaluable part of the diagnostic plan in most cases involving nervous system dysfunction in companion animals. High MAS, low KvP techniques used on standard radiographic equipment available in most veterinary practices will provide good-quality neuroradiographs of the skull and spine. Proper positioning of the animal, which necessitates use of general anesthesia, is required to obtain neuroradiographs of good diagnostic quality. A working knowledge of the normal anatomy of the skull and spine is required to make correct interpretations of the neuroradiographs.

Use of ultrasonography to diagnose Sertoli cell neoplasia and cryptorchidism in a dog.

Unilateral cryptorchidism and Sertoli cell tumor in the descended testis were provisionally diagnosed by use of ultrasonography in a 7-year-old Keeshond. The left testis was thought to have degenerated, but ultrasonography of the scrotum did not reveal evidence of testicular or epididymal tissue. The contralateral testis contained a hypoechoic mass believed to be a testicular tumor. Surgery and histopathologic findings confirmed the diagnosis. Ultrasonography of the scrotum and its contents should be considered for use in animals with suspected testicular neoplasia and/or degeneration.