The feline eosinophilic granuloma complex is a well‐known dermatological problem that affects domestic cats. It has three characteristic components: eosinophilic plaque, eosinophilic granuloma and indolent ulcer. In this case report, we report a 5‐year‐old, mixed‐breed cat with pruritic plaque formation, which was typical for eosinophilic plaque by dermatological examination. The diagnosis was established by histopathological and clinical findings. As previous literature showed, hair follicle epithelium mucinosis as a histopathological finding could potentially give us fundamental clues about the microscopic diagnosis of this complex. We discuss the presentation, histopathology and treatment response in detail. This case highlights how intricate feline eosinophilic granuloma complex can be, and underscores the significance of hair follicle epithelium mucinosis as a diagnostic tool in histopathology.
{"title":"Prominent hair follicle epithelial mucinosis in a cat with eosinophilic plaque","authors":"Mehmet Emre Topcu, Funda Yıldırım","doi":"10.1002/vrc2.895","DOIUrl":"https://doi.org/10.1002/vrc2.895","url":null,"abstract":"The feline eosinophilic granuloma complex is a well‐known dermatological problem that affects domestic cats. It has three characteristic components: eosinophilic plaque, eosinophilic granuloma and indolent ulcer. In this case report, we report a 5‐year‐old, mixed‐breed cat with pruritic plaque formation, which was typical for eosinophilic plaque by dermatological examination. The diagnosis was established by histopathological and clinical findings. As previous literature showed, hair follicle epithelium mucinosis as a histopathological finding could potentially give us fundamental clues about the microscopic diagnosis of this complex. We discuss the presentation, histopathology and treatment response in detail. This case highlights how intricate feline eosinophilic granuloma complex can be, and underscores the significance of hair follicle epithelium mucinosis as a diagnostic tool in histopathology.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"7 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141505806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 1‐year‐old, male, neutered German shepherd dog was presented for a chronic atraumatic non‐healing fracture of the right accessory carpal bone, stranguria and polyuria/polydipsia. Biochemistry and urinalysis showed azotaemia. Ultrasound and computed tomography of the abdomen both demonstrated bilateral renal infarcts with pyelectasia, bilateral ureteral dilation and bladder distension. Cystoscopy of the bladder identified a fungal ball obstructing the pelvic urethral sphincter, which was adhered to the bladder mucosa in the region of the ureterovesicular junction. The obstruction was traversed endoscopically, but could not be removed transurethrally. The combination of elevated serum galactomannan titres (6.4) and Aspergillus terreus cultured from urine, confirmed a diagnosis of disseminated aspergillosis. The dog was euthanased due to poor quality of life, guarded prognosis and lengthy timeframe before an expected medical response. This is the first case report describing Aspergillus fungal balls in a dog causing partial urethral and bilateral ureteral obstruction, identified using cystoscopy.
{"title":"Endoscopic diagnosis of an obstructive fungal ball in the urethra of a dog","authors":"Sarah Langton, Richard Burchell","doi":"10.1002/vrc2.921","DOIUrl":"https://doi.org/10.1002/vrc2.921","url":null,"abstract":"A 1‐year‐old, male, neutered German shepherd dog was presented for a chronic atraumatic non‐healing fracture of the right accessory carpal bone, stranguria and polyuria/polydipsia. Biochemistry and urinalysis showed azotaemia. Ultrasound and computed tomography of the abdomen both demonstrated bilateral renal infarcts with pyelectasia, bilateral ureteral dilation and bladder distension. Cystoscopy of the bladder identified a fungal ball obstructing the pelvic urethral sphincter, which was adhered to the bladder mucosa in the region of the ureterovesicular junction. The obstruction was traversed endoscopically, but could not be removed transurethrally. The combination of elevated serum galactomannan titres (6.4) and <jats:italic>Aspergillus terreus</jats:italic> cultured from urine, confirmed a diagnosis of disseminated aspergillosis. The dog was euthanased due to poor quality of life, guarded prognosis and lengthy timeframe before an expected medical response. This is the first case report describing <jats:italic>Aspergillus</jats:italic> fungal balls in a dog causing partial urethral and bilateral ureteral obstruction, identified using cystoscopy.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"26 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141526132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Larissa Vahia Malliagros, Camila de Oliveira Ferreira Mendes, Ayla Cerqueira Aleluia dos Santos, André Luis de Souza Teixeira, Márcia Carolina Salomão Santos
A 13‐year‐old female cat was presented at our Veterinary Teaching Hospital with hyporexia and prostration. The animal underwent cholecystectomy 2 months previously due to partial biliary obstruction resulting from cholecystitis, multiple cholelithiasis, choledocholithiasis, dilation and tortuosity of the bile ducts. Due to the impossibility of puncturing the gall bladder and the persistence of dilation and tortuosity of the extra‐ and intrahepatic ducts identified by ultrasound, a dilated intrabiliary duct was punctured. The objective of the present study was to report the ultrasound‐guided percutaneous choledochocentesis technique, which, to our knowledge, is the first report of its performance in cats. The material was obtained for bile culture and antibiogram, which identified the bacterium Klebsiella pneumoniae, which was multiresistant to most antibiotics and uncommon in the biliary system. The technique was performed uneventfully, and was essential in the present report to assist in the presumptive diagnosis and treatment of cholangitis associated with cholelithiasis and choledocholithiasis.
{"title":"Ultrasound‐guided percutaneous choledochocentesis in a cat with cholelithiasis, choledocholithiasis and cholangitis due to Klebsiella pneumoniae","authors":"Larissa Vahia Malliagros, Camila de Oliveira Ferreira Mendes, Ayla Cerqueira Aleluia dos Santos, André Luis de Souza Teixeira, Márcia Carolina Salomão Santos","doi":"10.1002/vrc2.905","DOIUrl":"https://doi.org/10.1002/vrc2.905","url":null,"abstract":"A 13‐year‐old female cat was presented at our Veterinary Teaching Hospital with hyporexia and prostration. The animal underwent cholecystectomy 2 months previously due to partial biliary obstruction resulting from cholecystitis, multiple cholelithiasis, choledocholithiasis, dilation and tortuosity of the bile ducts. Due to the impossibility of puncturing the gall bladder and the persistence of dilation and tortuosity of the extra‐ and intrahepatic ducts identified by ultrasound, a dilated intrabiliary duct was punctured. The objective of the present study was to report the ultrasound‐guided percutaneous choledochocentesis technique, which, to our knowledge, is the first report of its performance in cats. The material was obtained for bile culture and antibiogram, which identified the bacterium <jats:italic>Klebsiella pneumoniae</jats:italic>, which was multiresistant to most antibiotics and uncommon in the biliary system. The technique was performed uneventfully, and was essential in the present report to assist in the presumptive diagnosis and treatment of cholangitis associated with cholelithiasis and choledocholithiasis.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"12 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141505807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An 8‐month‐old, male, entire Staffordshire terrier was presented for acute lethargy. The patient was severely anaemic. Diagnostic and clinical findings indicated severe upper gastrointestinal haemorrhage of unknown aetiology. Large‐volume transfusion (a total of 64.2 mL/kg of blood product) and medical management resulted in fleeting stabilisation. Serial imaging documented persistent non‐obstructive foreign material within the stomach. Due to continued gastrointestinal haemorrhage, failure to respond to medical management, and the persistent abnormal material within the stomach, surgical exploration was recommended. Exploratory laparotomy and gastrotomy resulted in the removal of a large volume of pine stall shavings. There was gross evidence of diffuse mucosal haemorrhage and mechanical gastritis. No additional blood product was required following gastrotomy. To the authors’ knowledge, this is the first case report of a dog with critical bleeding necessitating large‐volume transfusion due to mechanical gastritis from ingestion of pine stall shavings, a material which is typically considered innocuous.
{"title":"Critical upper gastrointestinal bleeding secondary to pine stall shaving ingestion and mechanical gastritis in a young dog","authors":"Caitlin M. Bowen, Miryam Reems","doi":"10.1002/vrc2.904","DOIUrl":"https://doi.org/10.1002/vrc2.904","url":null,"abstract":"An 8‐month‐old, male, entire Staffordshire terrier was presented for acute lethargy. The patient was severely anaemic. Diagnostic and clinical findings indicated severe upper gastrointestinal haemorrhage of unknown aetiology. Large‐volume transfusion (a total of 64.2 mL/kg of blood product) and medical management resulted in fleeting stabilisation. Serial imaging documented persistent non‐obstructive foreign material within the stomach. Due to continued gastrointestinal haemorrhage, failure to respond to medical management, and the persistent abnormal material within the stomach, surgical exploration was recommended. Exploratory laparotomy and gastrotomy resulted in the removal of a large volume of pine stall shavings. There was gross evidence of diffuse mucosal haemorrhage and mechanical gastritis. No additional blood product was required following gastrotomy. To the authors’ knowledge, this is the first case report of a dog with critical bleeding necessitating large‐volume transfusion due to mechanical gastritis from ingestion of pine stall shavings, a material which is typically considered innocuous.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"111 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141526146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandra Dehesa Golding, Fabia Scarampella, Paola Roccabianca, Antonella Baldassarre
This case report describes the clinical, dermoscopic and histopathological findings of three different neoplastic lesions (angiokeratoma, squamous cell carcinoma and multiple melanocytomas) and non‐tumoral skin in a hairless Chinese crested dog following chronic sun exposure. The non‐tumoral skin was characterized by “sunburn cells”, collagen degeneration, dermal elastosis and fibrosis, described in most species as caused by UV light exposure. Cutaneous angiokeratomas have been rarely reported in the canine literature. In this particular case we consider a possible correlation with UV damage.
{"title":"Clinical, dermoscopic and histopathological features of multiple cutaneous tumours ascribed to sun damage in a Chinese crested dog","authors":"Alexandra Dehesa Golding, Fabia Scarampella, Paola Roccabianca, Antonella Baldassarre","doi":"10.1002/vrc2.891","DOIUrl":"https://doi.org/10.1002/vrc2.891","url":null,"abstract":"This case report describes the clinical, dermoscopic and histopathological findings of three different neoplastic lesions (angiokeratoma, squamous cell carcinoma and multiple melanocytomas) and non‐tumoral skin in a hairless Chinese crested dog following chronic sun exposure. The non‐tumoral skin was characterized by “sunburn cells”, collagen degeneration, dermal elastosis and fibrosis, described in most species as caused by UV light exposure. Cutaneous angiokeratomas have been rarely reported in the canine literature. In this particular case we consider a possible correlation with UV damage.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"31 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141196715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Multilobular tumour of bone is a rare, slow growing, locally aggressive malignancy in dogs. Surgical resection of the primary tumour is currently the recommended treatment for local disease control. Wide or definitive extent excision to obtain a histologically complete excision is ideal when possible; however, wide excision can be challenging for caudally located calvarial tumours in which the excision will include removal of the confluence of the two transverse sinuses and dorsal sagittal sinus. Acute sacrifice to the dorsal sagittal sinus has the potential for fatal cerebral oedema. To manage this risk, gradual occlusion of the dorsal sagittal sinus before wide excision of caudally located multilobular tumour of bones has been successfully reported in two patients. The current case report documents another successfully managed case with this technique, and includes the computed tomography angiographic findings during the gradual occlusion process.
{"title":"Computed tomography angiographic findings following gradual occlusion of the dorsal sagittal sinus for definitive excision of a caudal calvarial multilobular tumour of bone in a dog","authors":"Vaughan W. Moore, Richard Lam, Tristram Bennett","doi":"10.1002/vrc2.916","DOIUrl":"https://doi.org/10.1002/vrc2.916","url":null,"abstract":"Multilobular tumour of bone is a rare, slow growing, locally aggressive malignancy in dogs. Surgical resection of the primary tumour is currently the recommended treatment for local disease control. Wide or definitive extent excision to obtain a histologically complete excision is ideal when possible; however, wide excision can be challenging for caudally located calvarial tumours in which the excision will include removal of the confluence of the two transverse sinuses and dorsal sagittal sinus. Acute sacrifice to the dorsal sagittal sinus has the potential for fatal cerebral oedema. To manage this risk, gradual occlusion of the dorsal sagittal sinus before wide excision of caudally located multilobular tumour of bones has been successfully reported in two patients. The current case report documents another successfully managed case with this technique, and includes the computed tomography angiographic findings during the gradual occlusion process.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"45 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141166165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tatiana Vasquez, Paul M. Gignac, Peter Brewer, Maria Eugenia Leone Gold
We report on a previously healthy zoo specimen of an adult budgerigar (Melopsittacus undulatus, obtained with permission from Southwick's Zoo) found deceased in its enclosure. To assess cause of death and ensure the absence of an infectious neoplasia, we used an integrated multiscale brain‐imaging workflow, previously only used on mammals. The specimen was imaged with microcomputed tomography before and after enhancing soft‐tissue contrast with diffusible iodine‐based contrast‐enhanced microcomputed tomography. Scans revealed an orbital blowout fracture and an unidentified large mass across majority of the diencephalon, striatum and midbrain caudal to the right orbit. After destaining, neural pathohistology confirmed the mass as a brain haemorrhage with no evidence of neoplasia or inflammation. We conclude that this specimen died of head trauma, likely from a head‐on collision within its enclosure. This multiscale imaging workflow (diffusible iodine‐based contrast‐enhanced microcomputed tomography followed by destaining and pathohistology) can improve our evaluation of differential diagnoses in avian specimens.
{"title":"Tumour or haemorrhage?: Differential diagnosis of an unknown mass within the brain of a budgerigar (Melopsittacus undulatus) using a novel imaging pipeline","authors":"Tatiana Vasquez, Paul M. Gignac, Peter Brewer, Maria Eugenia Leone Gold","doi":"10.1002/vrc2.899","DOIUrl":"https://doi.org/10.1002/vrc2.899","url":null,"abstract":"We report on a previously healthy zoo specimen of an adult budgerigar (<jats:italic>Melopsittacus undulatus</jats:italic>, obtained with permission from Southwick's Zoo) found deceased in its enclosure. To assess cause of death and ensure the absence of an infectious neoplasia, we used an integrated multiscale brain‐imaging workflow, previously only used on mammals. The specimen was imaged with microcomputed tomography before and after enhancing soft‐tissue contrast with diffusible iodine‐based contrast‐enhanced microcomputed tomography. Scans revealed an orbital blowout fracture and an unidentified large mass across majority of the diencephalon, striatum and midbrain caudal to the right orbit. After destaining, neural pathohistology confirmed the mass as a brain haemorrhage with no evidence of neoplasia or inflammation. We conclude that this specimen died of head trauma, likely from a head‐on collision within its enclosure. This multiscale imaging workflow (diffusible iodine‐based contrast‐enhanced microcomputed tomography followed by destaining and pathohistology) can improve our evaluation of differential diagnoses in avian specimens.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141165713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michela De Lucia, Paola Orlandini, Daria Denti, Laura Berto, Giorgia Mezzalira, Andrea Peserico, Anna Belloni Fortina
We describe 20 cases of canine pyoderma responsive to immunosuppressive treatments and resembling human pyoderma gangrenosum. All dogs presented with a rapidly evolving, focal to multifocal, painful ulcerative dermatitis, non‐responsive to multiple antibiotic and anti‐inflammatory therapies. Elevations of C‐reactive protein (100%), neutrophilia (75%) and fever (25%) were also present. Histopathology showed a severe, ulcerative, superficial to deep, predominantly neutrophilic dermatitis. Bacterial infection was the most challenging differential diagnosis. Resolution of the lesions was obtained within 4–8 weeks in 83% of dogs treated with ciclosporin. Maintenance treatment was required in the majority of the dogs.
我们描述了 20 例对免疫抑制治疗有反应且与人类脓皮病相似的犬脓皮病病例。所有病犬均表现为快速发展、局灶性至多发性、疼痛的溃疡性皮炎,对多种抗生素和消炎疗法均无反应。此外,还出现了 C 反应蛋白升高(100%)、中性粒细胞增多(75%)和发热(25%)。组织病理学显示,患者患有严重的溃疡性、浅表至深部、以中性粒细胞为主的皮炎。细菌感染是最具挑战性的鉴别诊断。83%的狗在接受环孢素治疗后 4-8 周内皮损消退。大多数狗需要进行维持治疗。
{"title":"Ciclosporin‐responsive pyoderma in dogs: A comparison to human pyoderma gangrenosum","authors":"Michela De Lucia, Paola Orlandini, Daria Denti, Laura Berto, Giorgia Mezzalira, Andrea Peserico, Anna Belloni Fortina","doi":"10.1002/vrc2.894","DOIUrl":"https://doi.org/10.1002/vrc2.894","url":null,"abstract":"We describe 20 cases of canine pyoderma responsive to immunosuppressive treatments and resembling human pyoderma gangrenosum. All dogs presented with a rapidly evolving, focal to multifocal, painful ulcerative dermatitis, non‐responsive to multiple antibiotic and anti‐inflammatory therapies. Elevations of C‐reactive protein (100%), neutrophilia (75%) and fever (25%) were also present. Histopathology showed a severe, ulcerative, superficial to deep, predominantly neutrophilic dermatitis. Bacterial infection was the most challenging differential diagnosis. Resolution of the lesions was obtained within 4–8 weeks in 83% of dogs treated with ciclosporin. Maintenance treatment was required in the majority of the dogs.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"4 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140932147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natasha May, Louise McLean, Francesca Pitorri, Lara Baptista
A 12‐week‐old, female, entire miniature dachshund presented with a 3‐week history of progressive vulval enlargement with an associated clear serous sanguinolent discharge. Vulval oedema was noted on clinical exam. Further investigations included a complete cell count, computer tomography and a guarded vaginal swab, which revealed vaginal epithelial cell keratinisation. After thorough anamnesis, the clinical signs were concluded to be a result of exogenous oestrogen exposure.
{"title":"Vulvar oedema secondary to exogenous oestrogen exposure in a paediatric canine patient","authors":"Natasha May, Louise McLean, Francesca Pitorri, Lara Baptista","doi":"10.1002/vrc2.893","DOIUrl":"https://doi.org/10.1002/vrc2.893","url":null,"abstract":"A 12‐week‐old, female, entire miniature dachshund presented with a 3‐week history of progressive vulval enlargement with an associated clear serous sanguinolent discharge. Vulval oedema was noted on clinical exam. Further investigations included a complete cell count, computer tomography and a guarded vaginal swab, which revealed vaginal epithelial cell keratinisation. After thorough anamnesis, the clinical signs were concluded to be a result of exogenous oestrogen exposure.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"130 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140932105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa Piper, Natalie West, Rodolfo Capello, Roger Medina‐Serra
A 4‐year‐old, male, neutered French bulldog weighing 13.5 kg presented with urinary and faecal incontinence, progressive, non‐painful paraparesis and pelvic limb proprioceptive ataxia. Magnetic resonance imaging revealed a T12 constrictive myelopathy in association with multiple thoracic vertebral malformations, and mildly impinging thoracic intervertebral disc protrusions. Additionally, there was a sacral axial defect and degenerative lumbosacral stenosis. Surgical treatment comprised bilateral dorsal vertebral stabilisation of T9–T13. This case report summarises the peri‐anaesthetic management, which included an ‘in‐plane’ ultrasound‐guided placement of an epidural catheter at the level of L3–L4 and advancement cranially to T12 as a component of a multimodal analgesic regimen. Following the cessation of postoperative epidural bupivacaine administration, the patient remained comfortable without requiring rescue analgesia, and was discharged within 24 hours of surgery. At the latest recheck 5 months after surgery, the dog's neurological status remained static. This technique and application remain unexplored in existing veterinary literature.
{"title":"Perioperative epidural catheter analgesia as a component of a multimodal analgesic approach in a dog with thoracic hemivertebrae and kyphosis undergoing thoracic vertebral stabilisation","authors":"Melissa Piper, Natalie West, Rodolfo Capello, Roger Medina‐Serra","doi":"10.1002/vrc2.888","DOIUrl":"https://doi.org/10.1002/vrc2.888","url":null,"abstract":"A 4‐year‐old, male, neutered French bulldog weighing 13.5 kg presented with urinary and faecal incontinence, progressive, non‐painful paraparesis and pelvic limb proprioceptive ataxia. Magnetic resonance imaging revealed a T12 constrictive myelopathy in association with multiple thoracic vertebral malformations, and mildly impinging thoracic intervertebral disc protrusions. Additionally, there was a sacral axial defect and degenerative lumbosacral stenosis. Surgical treatment comprised bilateral dorsal vertebral stabilisation of T9–T13. This case report summarises the peri‐anaesthetic management, which included an ‘in‐plane’ ultrasound‐guided placement of an epidural catheter at the level of L3–L4 and advancement cranially to T12 as a component of a multimodal analgesic regimen. Following the cessation of postoperative epidural bupivacaine administration, the patient remained comfortable without requiring rescue analgesia, and was discharged within 24 hours of surgery. At the latest recheck 5 months after surgery, the dog's neurological status remained static. This technique and application remain unexplored in existing veterinary literature.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"23 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140932101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}