Radicular (periapical) cyst causing exophthalmos in a dog

IF 0.3 Q4 VETERINARY SCIENCES Veterinary Record Case Reports Pub Date : 2024-07-08 DOI:10.1002/vrc2.938
Luis Alejandro Pérez López, Robert Brash, Agata Tsvetanova, Beatriz García González, José Carlos Almansa Ruiz
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Abstract

A 10‐year‐old male neutered Bichon Frise presented for assessment of right unilateral exophthalmos. The ophthalmological assessment revealed signs of retrobulbar disease. Computed tomography of the head showed a cavitary, well‐defined, fluid‐filled structure, which displayed a strong peripheral rim of contrast enhancement, and was centred around the tooth roots of the right maxillary first and second molar teeth (109 and 110). Focused ultrasound‐guided fluid sampling and fine needle aspirates were obtained for diagnostic purposes. After discussing the case with a veterinary dentist, extraction of the 109 and 110 and debridement of the cyst were performed. Histopathology supported the suspicion of a radicular cyst. Radicular cysts, despite being benign lesions, need to be included as a possible differential in cases with exophthalmos due to their potential retrobulbar mass effect.
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引起狗眼球外翻的根状(根尖周围)囊肿
一只 10 岁的雄性比熊犬因右侧单眼外翻前来就诊。眼科检查发现了球后疾病的迹象。头部计算机断层扫描显示出一个空腔状、轮廓清晰、充满液体的结构,其外围显示出强烈的对比度增强边缘,并以右侧上颌第一和第二磨牙(109 和 110)的牙根为中心。为诊断目的,进行了聚焦超声引导下的液体取样和细针抽吸。与兽医牙医讨论后,拔除了 109 和 110,并对囊肿进行了清创。组织病理学证实了对根状囊肿的怀疑。尽管放射状囊肿是良性病变,但由于其潜在的球后肿块效应,需要将其作为眼球外翻病例的可能鉴别病因。
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来源期刊
Veterinary Record Case Reports
Veterinary Record Case Reports Veterinary-Veterinary (all)
CiteScore
0.50
自引率
33.30%
发文量
266
期刊介绍: Vet Record Case Reports is an online resource that publishes articles in all fields of veterinary medicine and surgery so that veterinary professionals, researchers and others can easily find important information on both common and rare conditions. Articles may be about a single animal, herd, flock or other group of animals managed together. Common cases that present a diagnostic, ethical or management challenge, or that highlight aspects of mechanisms of injury, pharmacology or histopathology are deemed of particular educational value. All articles are peer reviewed and copy edited before publication.
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