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Bilateral Anophthalmia in Feline 猫双侧厌食症
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-29 DOI: 10.22456/1679-9216.110141
A. Andrade, Laisa Marina Rosa Rey, I. C. Santos, Lucas Toniolo da Silva, Sarah Gabriella Delallo Charnovski, N. Merlini, D. Gonçalves
Background : Anophthalmia is a rare, congenital condition, defined as the complete absence of the eye bulb due to inadequate growth of the vesicle or optic dome. The malformation can be primary (in the absence of complete), secondary (in the presence of only residual tissue), or degenerative (in which the eye begins to form, but for some reason, it begins to degenerate). This condition is rare in dogs, cats, cattle, and sheep. Microscopic evaluation of orbital tissue for identification is always recommended. The aim of this study was to report a case of bilateral anophthalmia in a domestic cat. Case : A feline male, healthy, Maine Coon breed with 60 days of life was attended at the one veterinary private clinic. The cat, negative for FIV and FeLV, was born in a commercial cattery, belonging to his mother's third litter, healthy litter with the exception of this feline. He arrived with a complaint of not opening his eyelids, like the rest of the litter. In the clinical examination, it was found the normality of vital signs, absence of other visible anatomical abnormalities, only the ocular region was observed with closed eyelids. The initial suspicions were anophthalmia and microphthalmia. The patient was referred for an ocular ultrasound, which showed the complete absence of the right and left eye bulbs. The right and left orbital cavities had only a volume of soft, amorphous, and predominantly homogeneous tissue. After the ultrasound report, the patient underwent a surgical procedure to remove a fragment of tissue from the eye socket, which was sent for histopathological examination to confirm anophthalmia and discard the differential diagnosis of microphthalmia. Microscopy revealed immature, epithelial, and glandular tissue in the middle of discrete and moderate connective tissue, loosely arranged. In some fragments, cartilaginous tissue was also revealed. Thus, the histological findings are compatible with immature, pseudoformed tissues and without neoplastic characteristics. The diagnosis of secondary anophthalmia was reached with use of ultrasound and histological reports. Discussion : Congenital malformations in domestic cats are less frequent than in dogs, some of which are rare, and little reported. Secondary anophthalmia in the reported patient was confirmed by histological and ultrasound examination. Bilateral secondary anophthalmia is characterized by the absence of the eyeball, but with the presence of adjacent tissue. The animal was submitted to an ocular ultrasound examination and the complete absence of ocular bulbs was found. The differential diagnosis of microphthalmia was ruled out because there was no evidence of the eyeball. Microphthalmia is a common congenital ophthalmic disorder in veterinary medicine. Representative fragments were submitted to histopathological examination, where immature, epithelial tissue was found. In some fragments sent for analysis, cartilaginous tissue was observed. The histological findings are comp
背景:眼无是一种罕见的先天性疾病,定义为由于囊泡或视穹生长不足而导致的眼球完全缺失。畸形可以是原发的(没有完整的),继发性的(只有残留的组织),或退行性的(眼睛开始形成,但由于某种原因,它开始退化)。这种情况在狗、猫、牛和羊身上很少见。通常建议对眼眶组织进行显微鉴定。本研究的目的是报告一只家猫的双侧眼肿病例。病例:一只健康的雄性缅因库恩猫,出生60天,在一家兽医私人诊所就诊。这只猫,FIV和FeLV阴性,出生在一个商业猫舍,属于他母亲的第三胎,除了这只猫之外,都是健康的。他来的时候抱怨说,他不像其他孩子一样睁开眼睛。临床检查发现生命体征正常,未见其他明显解剖异常,仅眼部闭上眼睑。最初的怀疑是无眼症和小眼症。患者接受了眼部超声检查,结果显示左眼和右眼球囊完全缺失。左右眶腔只有大量柔软的、无定形的、主要均匀的组织。超声报告后,患者接受手术,从眼窝中取出组织碎片,送组织病理学检查,确认无眼症,放弃小眼症的鉴别诊断。显微镜显示未成熟的上皮组织和腺组织分布在离散和中度结缔组织中间,排列松散。在一些碎片中,还发现了软骨组织。因此,组织学结果与未成熟的假组织一致,没有肿瘤特征。继发性无眼症的诊断是利用超声和组织学报告。讨论:家猫的先天性畸形比狗少,其中一些是罕见的,很少报道。继发性无眼症经组织学及超声检查证实。双侧继发性无眼症的特征是没有眼球,但有邻近组织存在。对该动物进行了眼部超声检查,发现眼球完全消失。由于没有发现眼球的证据,因此排除了小眼球的鉴别诊断。小眼症是兽医学中一种常见的先天性眼科疾病。有代表性的片段被提交给组织病理学检查,其中未成熟的上皮组织被发现。在送去分析的一些碎片中,观察到软骨组织。组织学结果与未成熟的假组织一致,因此证实了所报道动物的双侧先天性无眼症。在这些情况下的临床检查,以确保动物没有任何其他先天性的变化,允许幼犬良好的预后。根据目前的资料,本研究的动物患有双侧继发性先天性无眼症,患者预后良好,生活有一定的正常,质量和幸福。
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引用次数: 0
Is Bluetongue Virus a Risk Factor for Reproductive Failure in Tropical Hair Sheep in Brazil? 蓝舌病毒是巴西热带毛羊繁殖失败的危险因素吗?
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-28 DOI: 10.22456/1679-9216.112591
H. Rizzo, M. Balaro, A. C. D. Matos, Z. I. Lobato, L. Gregory
Background: Bluetongue is a vector-borne viral disease transmitted by midges from the genus Culicoides. The disease can infect most of the ruminant and camelid species, but the severe disease is most often seen in european wool and mutton sheep breeds. In this sense, there is a gap in the knowledge on BTV infection in hair sheep breeds from tropical zones. Thus, this study aimed at establishing whether exposure to BTV is a risk factor for reproductive failure in Santa Inês ewes, a hair sheep breed, reared under tropical conditions in Brazil. Materials, Methods & Results: A retrospective cross-sectional study was carried out in sheep farms in São Paulo state, Brazil, after the rainy season. Serum samples from 110 Santa Inês ewes with a history of reproductive disorders, in the last 6 months, which were included: abortion, premature birth, stillbirth, retention of placenta, infertility, estrus repetition, fetal malformation, weak lamb birth and neonatal death were collected. The presence of antibodies against BTV was assessed by agar gel immunodiffusion method (AGID). Serology to the infectious agents Brucela ovis, Lepstopira spp., Toxoplasma gondii, Neospora caninum and Campylobacter sp. were also assessed. Bivariate associations between the outcome and individual explanatory variables were assessed using the Fisher’s exact test. Abortion was the most common reproductive disorder (53%; 74/139) observed, followed by estrus repetition (12%; 17/139) and infertility (11%; 15/139). Other disorders related to the conceptus totaled nearly one fourth of the reported disorders. A total of 20% (22/110) of the ewes were seropositive to BTV. A higher frequency of BTV seropositive than BTV seronegative ewes with a history of abortion was found. Also, abortion with seroreactivity to BTV was tested for prevalence ratio that showed 1.38 [95% CI 1.10-1.74; P = 0.030]. With regards to the abortion involvement of other infectious diseases associated with the seropositive ewes to BTV, more than a half of ewes (53%; 10/19) were solely seropositive for BTV. Discussion: In the current study, it was detected 20% (22/110) of seropositive ewes to BTV. These findings demonstrated that even though the BTV has been considered endemic in tropical countries such as Brazil, there are regions or microclimates in which the virus cannot be present or in varied prevalence. The history of abortion was identified as the potential factor associated with BTV seropositivity in Santa Ines ewes. Equally, the differential diagnosis for other infectious agents related to abortion demonstrated the unique presence of antibodies against BTV in more than half of all cases. Other studies with native sheep flocks in Iran and Nepal also demonstrated a strong positive correlation between abortion history and seropositivity for BTV. Thus, it is possible that in other continents of the world, under tropical conditions, the virus does not behave the same asymptomatic infection such as have been reporte
背景:蓝舌病是一种媒介传播的病毒性疾病,由库蚊属的侏儒传播。这种疾病可以感染大多数反刍动物和骆驼科动物,但这种严重的疾病最常见于欧洲的羊毛和羊肉品种。从这个意义上说,对热带地区毛羊品种BTV感染的认识存在差距。因此,这项研究旨在确定暴露于BTV是否是巴西热带条件下饲养的长毛羊Santa inês母羊繁殖失败的风险因素。材料、方法和结果:雨季过后,在巴西圣保罗州的养羊场进行了一项回顾性横断面研究。收集了过去6个月内110只有生殖障碍史的Santa Inês母羊的血清样本,包括流产、早产、死产、胎盘滞留、不孕、发情重复、胎儿畸形、弱羔羊出生和新生儿死亡。通过琼脂凝胶免疫扩散法(AGID)评估抗BTV抗体的存在。还评估了传染性病原体布鲁氏菌、Lepstopira sp.、弓形虫、犬新孢子虫和弯曲杆菌sp.的血清学。结果和个体解释变量之间的双变量关联使用Fisher精确检验进行评估。流产是最常见的生殖障碍(53%;74/139),其次是发情期重复(12%;17/139)和不孕(11%;15/139)。与妊娠相关的其他疾病总计占报告疾病的近四分之一。共有20%(22/110)的母羊对BTV呈血清阳性。发现有流产史的BTV血清阳性母羊的发病率高于BTV血清阴性母羊。此外,对BTV血清反应性流产的患病率进行了测试,结果显示1.38[95%CI 1.10-1.74;P=0.030]。关于与BTV血清阳性母羊相关的其他传染病流产,超过一半的母羊(53%;10/19)仅对BTV呈血清阳性。讨论:在目前的研究中,检测到20%(22/110)的血清阳性母羊感染BTV。这些发现表明,尽管BTV在巴西等热带国家被认为是地方病,但在某些地区或小气候中,病毒不可能存在或流行率不同。流产史被确定为Santa Ines母羊BTV血清阳性的潜在因素。同样,对与堕胎有关的其他传染源的鉴别诊断表明,超过一半的病例中存在独特的抗BTV抗体。对伊朗和尼泊尔本地绵羊群的其他研究也表明,流产史与BTV血清阳性之间存在强烈的正相关性。因此,在世界其他大陆,在热带条件下,该病毒的表现可能与非洲本土绵羊品种报告的无症状感染不同。总之,已经证明五分之一的动物对BTV抗体呈阳性,这清楚地表明病毒在当地毛羊群中传播。这些发现突出了在流行地区进行与BTV相关的监测的重要性。因此,建议加强巴西境内的BTV监测系统,并教育农民如何管理和控制这种疾病。
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引用次数: 1
Angiolipoma in a Dog 狗的血管脂肪瘤
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-27 DOI: 10.22456/1679-9216.106584
M. C. Oliveira, M. Carvalho, Jade Manhãs de Souza Basto, Isabella Jennifer Viana Soares, G. C. Cid, Juliana Gomes Oliveira, A. P. Pires, M. F. Brito
Background : Angiolipoma is a benign tumor composed of endothelial cells and mature adipocytes. Tumors reported in domestic species include two variants; infiltrative or non-infiltrative. Bitches and intact males seem predisposed. This mesenchyme tumor is commonly mistaken with lipoma due to its soft texture and subcutaneous site and often requires histopathology to confirm its diagnosis. Microscopic examination also enables the evaluation of surgical margins and rule out possible infiltrative sites. Complete surgical excision is usually curative. This study reports a case of non-infiltrating angiolipoma in a dog. Case : A 14-year-old mixed-breed dog was presented to a veterinary clinic in the city of Rio de Janeiro, RJ, Brazil. On palpation, a painless mass was noted, with high mobility and covered by intact hirsute skin in the right subcutaneous ventrolateral region. Computed tomography of the chest showed an expansive mass of uptake only from the edges of the soft tissues of the right subcutaneous ventrolateral region. The mass was homogeneous and well delimited, suggesting a neoplastic process. Subsequently, the mass was surgically removed, fixed in 10% buffered formalin, and sent for histopathological analysis. On macroscopic examination, the mass was well delimited, without skin coverage, and measured 2.3 × 1.9 × 0.6 cm. The consistency was smooth and unctuous in appearance with a compact cream-colored surface with blackish multifocal spots. Under microscopy, the histological sections showed neoplasm of mature adipocytes and of endothelial cells of blood vessels benign were filled with a marked amount of red blood cells. Multifocal fibrin thrombi and a mild inflammatory infiltrate composed of lymphocytes and rare mast cells were evident. There was no infiltration in the regional skeletal musculature. Thus, a diagnosis of non-infiltrative angiolipoma was established. Discussion : The diagnosis of non-infiltrating angiolipoma in this case was established through the results of histopathological examination. The occurrence of this neoplasm in dogs is uncommon, and the data reported in the veterinary medicine literature are scarce. However, in this study, it was found that the neoplasm on screening presented a behavior like that of lipomas, with noninvasive growth and the absence of local recurrence. The canine species does not commonly convey pain on palpation during a clinical examination, as observed in the present case. In humans, multiple angiolipoma nodules are common; this clinical presentation differs from that in animals, in which solitary nodules are generally observed. In dogs, as in the present case, they seem to have a predilection for the trunk. In animals, the pathogenesis of angiolipomas is not established, but in humans, it is based on theories that include the reaction to harmful stimuli and congenital malformation of adipose tissue. In humans, the presence of fibrin thrombi on the periphery of the region of cell proliferation
背景:血管脂肪瘤是一种由内皮细胞和成熟脂肪细胞组成的良性肿瘤。在国内物种中报道的肿瘤包括两种变体;渗透性的或非渗透性的。婊子和完整的雄性似乎有这种倾向。这种间充质肿瘤由于其质地柔软和皮下部位,通常被误认为是脂肪瘤,通常需要组织病理学来确认其诊断。显微镜检查还可以评估手术边缘并排除可能的浸润部位。完全手术切除通常是可以治愈的。本研究报告了一例狗非浸润性血管脂肪瘤。案例:一只14岁的混血狗被送到巴西里约热内卢市的一家兽医诊所。触诊时,发现右侧皮下腹外侧区有一个无痛肿块,活动能力强,被完整的多毛皮肤覆盖。胸部的计算机断层扫描显示,只有右侧皮下腹外侧区的软组织边缘有大量的吸收。肿块均匀且界限清晰,表明有肿瘤过程。随后,通过手术切除肿块,将其固定在10%缓冲福尔马林中,并进行组织病理学分析。在宏观检查中,肿块界限清晰,没有皮肤覆盖,尺寸为2.3×1.9×0.6厘米。稠度光滑油润,表面呈致密的奶油色,有黑色多灶斑点。显微镜下,组织学切片显示成熟脂肪细胞的肿瘤和良性血管内皮细胞的肿瘤中充满了大量的红细胞。可见多灶性纤维蛋白血栓和由淋巴细胞和罕见肥大细胞组成的轻度炎症浸润。区域骨骼肌组织无浸润。因此,确定了非浸润性血管脂肪瘤的诊断。讨论:本例非浸润性血管脂肪瘤的诊断是通过组织病理学检查结果确定的。这种肿瘤在狗身上的发生并不常见,兽医文献中报道的数据也很少。然而,在这项研究中,发现筛查中的肿瘤表现出类似脂肪瘤的行为,具有非侵入性生长,没有局部复发。如本例所观察到的,犬类在临床检查中通常不会在触诊时传递疼痛。在人类中,多发性血管脂肪瘤结节是常见的;这种临床表现与动物不同,动物通常观察到孤立结节。在狗身上,就像现在的情况一样,它们似乎更喜欢躯干。在动物中,血管脂肪瘤的发病机制尚未确定,但在人类中,它的理论基础包括对有害刺激的反应和脂肪组织的先天畸形。在人类中,细胞增殖区域外围存在纤维蛋白血栓是显微镜下的发现,可以帮助诊断血管脂肪瘤,这是本例中采用的一种方法。这种肿瘤在狗身上的发生并不常见,兽医文献中报道的数据也很少。充分描述血管脂肪瘤的重要性是基于提供其流行病学、生物学行为和预后信息的需要。
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引用次数: 0
Hypersensitivity in Chicken (Gallus gallus domesticus) due to the Association of Lidocaine and Bupivacaine in Neural-Guided Femoral and Sciatic Nerve Block 利多卡因和布比卡因在神经引导的股神经和坐骨神经阻滞中的相关性导致鸡(Gallus Gallus domesticus)的超敏反应
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-24 DOI: 10.22456/1679-9216.109636
H. Silva, N. Nunes, A. P. Gering, Pâmilla Gabrielle Alexandre Souza, Karina Perehouskei Albuquerque Salgado, O. R. Ferreira, Amanda Jury Nakamura, Anne Kaline da Silva Guimarães
Background : Osteosyntheses, orthopedic surgeries that cause highly painful stimulation, are increasingly common in veterinary medicine. Epidural anesthesia is used to provide intraoperative and postoperative analgesia in mammals undergoing pelvic limb surgery. In birds, the synsacrum, the bone originating from the fusion of the lumbar and sacral vertebrae, makes this route inapplicable, thus peripheral nerve block is an easier option in this species. This report describes a case of local hypersensitivity following the association of lidocaine and bupivacaine in anesthetic blocks of the femoral and sciatic nerves in chickens ( Gallus gallus domesticus ). Case : A study was conducted in chickens evaluating the effectiveness of anesthetic sciatic and femoral nerve blocks, guided by a neural stimulator. Thirty-two 42-day-old male chickens of the species Gallus gallus domesticus , double breasted, weighing 1.86 ± 0.5 kg, were randomly divided into four groups: control (CG), lidocaine (LG), bupivacaine (BC) and the association of lidocaine and bupivacaine (LBG). The doses used were 4 mg/kg of 2% lidocaine and 2 mg/kg of 0.5% bupivacaine, without vasoconstrictor. For CG, 0.9% NaCl solution was used, respecting the total volume of 1 mL/kg. Only one bird from the LBG showed side effects, presenting sensory and motor loss for 24 h after the administration of these drugs, before euthanasia was performed using anesthetic induction with isoflurane through a face mask, followed by the intravenous administration of propofol and then potassium chloride. The chicken was submitted to a necropsy and macroscopically, soft, irregular, brownish lesions with a grayish focus were observed, indicating areas of necrosis in the muscles adjacent to the femoral and sciatic nerves. Histopathological examination showed mild, active inflammatory migration with perivascular organization, highlighting the presence of lymphocytes, plasmocytes, segmented heterophiles, and areas of hemorrhagic foci. The pairs of nerves evaluated showed edematous areas, but no inflammatory infiltrate, a histopathological finding that is considered to be nonspecific. Discussion : In the case of the chicken with side effects, histopathological examination showed vasculitis and hemorrhagic areas, which were correlated with ischemia and focal tissue necrosis, together with edematous lesions in the nerves evaluated, and extremities that showed an inflammatory response. These changes are related to acute hypersensitivity lesions, the drug response and drug hypersensitivity. Local anesthetics have been widely used in birds, but there are reports of reactions, including neurotoxicity and local myotoxicity, and bupivacaine is the drug that shows the highest cytotoxicity. However, long-term, repeated applications of bupivacaine on the sciatic nerve do not induce degenerative neural lesions in rats, rabbits, and dogs. The reactions described here are proportional to the concentration of the anesthetic injected
背景:骨合成术是一种引起高度疼痛刺激的骨科手术,在兽医学中越来越普遍。硬膜外麻醉用于哺乳动物盆腔肢体手术的术中及术后镇痛。在鸟类中,骶骨是腰椎和骶骨融合产生的骨头,这使得这种方法不适用,因此周围神经阻滞是这种物种更容易的选择。本报告描述了一例利多卡因和布比卡因在鸡(Gallus Gallus domesticus)股神经和坐骨神经麻醉阻滞后的局部过敏。案例:在鸡身上进行了一项研究,评估在神经刺激器引导下麻醉坐骨和股神经阻滞的有效性。选取42日龄、体重1.86±0.5 kg、双排胸的家鸡公鸡32只,随机分为对照组(CG)、利多卡因组(LG)、布比卡因组(BC)和利多卡因与布比卡因联用组(LBG)。使用的剂量为2%利多卡因4mg /kg和0.5%布比卡因2mg /kg,不含血管收缩剂。CG用0.9% NaCl溶液,以1 mL/kg的总容积为标准。LBG中只有一只鸟出现了副作用,在给药后24小时出现感觉和运动丧失,然后通过面罩用异氟醚麻醉诱导安乐死,然后静脉注射异丙酚,然后是氯化钾。对鸡进行尸检,在宏观上,观察到软的,不规则的,棕色病变,带灰色病灶,表明股神经和坐骨神经附近的肌肉坏死。组织病理学检查显示轻度、活跃的炎症迁移伴血管周围组织,突出淋巴细胞、浆细胞、节段性嗜异性细胞和出血灶区域。对神经的评估显示水肿区,但没有炎症浸润,组织病理学发现被认为是非特异性的。讨论:在有副作用的鸡的病例中,组织病理学检查显示血管炎和出血区,这与缺血和局灶性组织坏死有关,同时评估神经水肿病变,四肢显示炎症反应。这些变化与急性超敏病变、药物反应和药物超敏反应有关。局部麻醉剂已广泛应用于鸟类,但也有反应的报道,包括神经毒性和局部肌毒性,而布比卡因是显示出最高细胞毒性的药物。然而,在大鼠、家兔和狗的坐骨神经上长期反复应用布比卡因不会引起退行性神经病变。这里描述的反应与注射麻醉剂的浓度成正比,在报告的病例中,鸟类的推荐剂量是2%利多卡因4mg /kg和0.5%布比卡因2mg /kg,不含血管收缩剂。这些发现表明所描述的鸟类特有的反应;然而,对于这些麻醉药对鸟类的局部不良反应,应该进行进一步的研究,通过测试各种可用药物的不同浓度、关联和剂量,使周围神经阻滞的实践更安全。关键词:鸟类,局部阻滞,药物过敏。
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引用次数: 1
Eventration in Green Iguana (Iguana iguana) 绿鬣蜥的进化(鬣蜥)
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-23 DOI: 10.22456/1679-9216.109092
Lara Bernardes Bizinoto, César Henrique Branco, I. Rosado, E. Alves, Ian Martin
Background : The reptile class could be considered one of the biggest vertebrate groups and are divided in orders and suborders according to their characteristics. These animals’ maintenance in captivity, either at home, captive bred or at zoos, can generate risk to their health, if the required cares are not given for each respective species. The lack of individual cares could lead to bone and muscular diseases and to traumatic lesions in soft tissues, mainly in the coelomic cavity. The report that is being presented aims to describe the case of a green iguana ( Iguana iguana ) that presented an increase of volume in the coelomic cavity. The animal belongs to the squad of the Zoo “Dr. Fabio de Sa Barreto”. Case : A green iguana arrived at the Zoo in February 2019 coming from another Zoo, with already an increase of volume in the coelomic cavity. The animal was put in quarantine and later on, it was put in display at a terrarium in the Zoo considered adequate to reptiles, with another seven green iguanas along with an argentine tegu ( Salvator rufescens ). Their feed was offered in the morning and was composed of fruits, vegetables and flowers like hibiscus. In the end of July 2019, it was reported by the attendant that the animal was presented with anorexia and prostration, and these symptoms progressed to neurologic signs, as it walked in circles. So, the animal was evaluated by the Zoo veterinarians and on exam they noticed lethargy, dehydration, absence of reflexes (pupillary, eyelid and painful), locomotion difficulty and when the iguana moves, it walks in circles. The increase in volume had the same size as reported in February and a soft consistency. After that, the animal was interned and treated according to the symptoms and the clinical evolution. Ten days after the hospitalization, the animal was still not eating, and locomotion stopped completely. It was performed in an ultrasonographic exam evaluating all the coelomic cavity, in which a great anechoic area was visualized, and a true hernia was diagnosed. However, the content of the hernia was not identified. In the next day, the animal died, and, in the necropsy, it was possible to verify that the increase in volume was actually a bladder eventration. The eventration occurred due to a laceration in the coelomic cavity musculature that allows the passage of the bladder to the subcutaneous space and its incarceration. So, the elimination of the urine and of nitrogen compounds was difficult and a large accumulation of uric acid from the bladder to the urodeo. Discussion : Iguana iguana is a uricotelic animal, which means that the main nitrogenous waste product is uric acid. Nevertheless, ammonia is also eliminated in less quantity, because of the excess of protein in the diet. These animals eliminate around 98 to 99% of the nitrogen compounds as uric acid and less than 1% as ammonia, which prove that it is possible for the accumulation of ammonia in reptiles, if any obstacle in its elim
背景:爬行类可以被认为是最大的脊椎动物类群之一,并根据其特征分为目和亚目。这些动物被圈养,无论是在家里、圈养繁殖还是在动物园,如果没有对每个物种给予必要的照顾,都可能对它们的健康造成风险。缺乏个人护理可能导致骨骼和肌肉疾病以及软组织(主要是体腔)的创伤性病变。正在提交的报告旨在描述一个绿鬣蜥(鬣蜥)的情况下,提出了体积增加在体腔。这只动物属于动物园“Dr. Fabio de Sa Barreto”小队。案例:一只绿鬣蜥于2019年2月从另一家动物园来到动物园,体腔内的体积已经增加。这只动物被隔离,后来,它被放在动物园的一个适合爬行动物的饲养室内,与另外7只绿鬣蜥和一只阿根廷tegu (Salvator rufescens)一起展出。它们的饲料是在早上提供的,由水果、蔬菜和木槿等花卉组成。2019年7月底,值班人员报告说,这只动物出现了厌食症和虚脱,这些症状在绕圈行走时进展为神经系统症状。因此,动物园的兽医对这只鬣蜥进行了评估,在检查中,他们发现它嗜睡、脱水、没有反射(瞳孔、眼睑和疼痛)、运动困难,当鬣蜥移动时,它会绕着圈走。成交量增幅与2月份持平,且持续疲软。之后,根据症状和临床进展情况对动物进行拘禁治疗。住院10天后,这只动物仍然不吃东西,完全停止了运动。在超声检查中评估了整个体腔,其中可见很大的消声区,诊断为真正的疝气。然而,疝的内容物尚未确定。第二天,这只动物死了,在尸检中,可以证实体积的增加实际上是膀胱渗漏。囊出是由于体腔肌肉组织的撕裂造成的,这使得膀胱可以通过皮下间隙并被嵌顿。所以尿液和氮化合物的排出是很困难的尿酸从膀胱大量积聚到泌尿道。讨论:鬣蜥鬣蜥是一种尿酸动物,这意味着主要的含氮废物是尿酸。然而,由于饮食中过量的蛋白质,氨的排泄量也较少。这些动物消除了大约98 - 99%的氮化合物尿酸和不到1%的氨,这证明了氨在爬行动物体内积累是可能的,如果存在消除氨的障碍的话。过量的氨对机体具有极大的毒性,可导致呕吐、易怒、嗜睡、厌食、共济失调、运动困难、行为和神经系统改变,并可发展为昏迷甚至死亡。在这个病例中,膀胱嵌顿使尿液、尿酸和氨无法排泄,这些化合物仍然积累。因此,临床症状,以及尸检结果,都表明氨积累中毒,这可能是导致动物出现症状并演变为神经系统症状,昏迷和死亡的原因。
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引用次数: 0
Eversion of the Third Eyelid Cartilage in a Cat 猫第三眼睑软骨外翻
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-22 DOI: 10.22456/1679-9216.108850
Eric Orlando Barbosa Momesso, Carinne Liessi Brunato, Adriana Lima Teixeira
Background : Eversion of the cartilage of the third eyelid is a rare congenital disease in cats. It is caused by the anterior eversion of the cartilage edge of the third eyelid. Clinical signs may be associated with secondary keratoconjunctivitis, third eyelid gland protrusion, and ocular surface irritation. The diagnosis is made by ophthalmic examination, and treatment consists of surgical resection of the everted cartilage portion. The goal of the present study was to report a case of eversion of third eyelid cartilage in a cat, given that it is an unusual abnormality in this animal species, and an important differential diagnosis to be considered in the disorders of the third eyelid. Case : A 6-year-old neutered female Persian cat was presented with a presumptive diagnosis of protrusion of the third eyelid gland, history of ocular irritation, and epiphora in the left eye. The disorder had been intermittently present since the animal was 1-year-old, with spontaneous disappearance after approximately 15 days. The owner related the reappearance of the disorder to stressful situations, with no previous history of trauma or other ocular alteration. During the ophthalmic examination, suspended solute was observed through biomiscroscopic examination in both eyes, as well as an increase in volume of the third eyelid in the left eye, without other changes. A thorough examination, under general anesthesia, indicated the protruding volume of the cartilage of the everted third eyelid. The third eyelid was pleated in its upper portion, demonstrating that the cartilage of the third eyelid was folded instead of following the curvature of the ocular surface. Under general anesthesia, the cartilage was partially removed through two parallel incisions on the bulbar conjunctival surface, divulsioning 5 mm in length in the vertical portion of the cartilage in a ‘T’ shape, and separating the conjunctiva from the underlying cartilage. The everted portion of cartilage, once removed, was in fact considered curved in its most dorsal portion, in a manner similar to what was reported in dogs. The third eyelid returned to its anatomically correct position after removing the deformed portion of the cartilage. The patient was treated postoperatively with topical drops of tobramycin and dexamethasone 3 mg/mL + 1 mg/mL (Tobradex ® ), and lubricant based on sodium hyaluronate 2 mg/mL (Hylo ® -Gel). No complications were observed in the postoperative consultations during a 8 month follow-up. Discussion : It is suspected that the eversion of the third eyelid cartilage occurs due to a differential growth rate between the posterior and anterior portions of the cartilage; even though other theories have been proposed. The cartilage of the third eyelid can commonly be everted in large dog breeds, being classified as a disease of hereditary character. However, it has rarely been reported in cats, which can be explained by the more elastic histological constitution when compared to t
背景:猫第三眼睑软骨外翻是一种罕见的先天性疾病。它是由第三眼睑软骨边缘的前外翻引起的。临床症状可能与继发性角膜结膜炎、第三眼睑腺突出和眼表刺激有关。诊断是通过眼科检查,治疗包括手术切除外翻的软骨部分。本研究的目的是报告猫第三眼睑软骨外翻的病例,因为它是这种动物物种中不寻常的异常,也是第三眼睑疾病中需要考虑的重要鉴别诊断。病例:一只6岁的雌性绝育波斯猫被诊断为第三眼睑腺突出,眼部刺激史,左眼外溢。自动物1岁起,该疾病间歇性出现,约15天后自然消失。患者认为该疾病的再次出现与压力有关,既往无外伤史或其他眼部改变。眼科检查时,双眼生物显微镜检查均见悬浮溶质,左眼第三眼睑体积增大,无其他变化。全身麻醉下的彻底检查显示第三眼睑外翻的软骨突出。第三眼皮的上部有褶皱,说明第三眼皮的软骨是折叠的,而不是顺着眼表面的弯曲。在全身麻醉下,通过球结膜表面的两个平行切口部分切除软骨,在软骨的垂直部分呈“T”形,长度为5mm,并将结膜与下方软骨分离。软骨的外翻部分,一旦移除,实际上被认为是弯曲的,在最背的部分,在某种程度上类似于在狗身上的报道。在切除软骨的变形部分后,第三眼睑恢复到解剖正确的位置。患者术后局部滴注妥布霉素和地塞米松3mg /mL + 1mg /mL (Tobradex®),透明质酸钠润滑剂2mg /mL (Hylo®-Gel)。术后随访8个月,无并发症发生。讨论:怀疑第三眼睑软骨外翻的发生是由于软骨后部和前部的生长速度不同;尽管有人提出了其他理论。第三眼睑的软骨通常可以在大型犬品种中外翻,被归类为遗传性疾病。然而,很少在猫中报道,这可以解释为与狗相比,猫的组织结构更有弹性。手术程序执行在本病例的第三眼睑软骨外翻的猫是按照在文献中描述的。第三眼睑功能完全恢复,患者眼部健康得以保留。本病例诊断后预后良好,经正确治疗及术后处理。虽然有一个有效的恢复第三眼睑,有关的病理生理问题的软骨外翻是未知的。因此,有必要进一步研究阐明其病因。
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引用次数: 0
Chemodectoma in a Dog 狗的化学肿瘤
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-19 DOI: 10.22456/1679-9216.107402
Roseane Oliveira Feitosa, S. Gonçalves, J. D. O. Nascimento, Diana Guiomar Ferreira De Sena, E. Santos, M. F. Pereira, V. A. Júnior
Background : The chemodectoma is a rare neoplasm that originates from chemoreceptors located mainly in the aortic body, and carotid body and sinus, and responsible for detecting variations in blood pH, oxygen pressure and carbon dioxide. Dogs of brachiocephalic breeds and aged between 7 and 15 years have greater propensity. A neoplasm involves infiltrative growth in the vessels at the heart base, which leads to Congestive Heart Failure (CHF). The definitive diagnosis is performed by histopathological and/or immunohistochemical examination. The aim was to report a case of chemiodectoma in a dog, showed the disease clinical characteristics. Case : A 13-year-old male undefined breed dog was examinated in the medical clinic of small animal of Veterinary Hospital, Federal Rural University of Pernambuco (UFRPE) with respiratory effort, hyporexia, and edema in face, cervical, ventral thorax and thoracic limbs, with thirty days evoluted. About physical examination, we observed cachexia, orthopneic position, cyanosis and edema with a positive Godet sign, as well as 8% dehydration degree. Thoracic auscultation presented mixed dyspnea and muffled heart sounds. Chest radiography detected an radiopacity increase in pulmonary section and metastatic neoplastic process associated with pleural and pericardial effusion. Fluid therapy with lactated ringer and posterior thoracentesis in the right hemithorax region was performed for greater respiratory comfort for the patient. Hematological count and biochemical profiles stated normochromic normocytic anemia, relative and absolute lymphopenia, thrombocytopenia, as well as increased alanine aminotransferase (ALT) and aspartate aminotransferase (AST). The patient died after 12 hours when was submitted to necroscopic examination and histopathological evaluation. An infiltrative tumor of cardiac base was observed invading the light of the right atrium, obstructing the venous return, as well as a large thrombus located in the left ventricle and diffuse nodules in the lungs. Hydrothorax and hydroperitoneum were observed with serous fluid, with hepatic, renal and brain congestion, and duodenum hemorrhage. Histologically, the tumor was characterized as a chemodectoma with pulmonary metastasis. Discussion : Cardiac tumors are uncommon for canine population. A study sampled 729,265 dogs with observed incidence reaching 0.19%. The most common type is hemangiosarcoma with 69%, followed by chemiodectoma and lymphoma. Authors describe predisposed brachycephalic breeds such as Boxer, Boston Terrier and French Bulldog. In our case, the patient had elongated snout and undefined breed. Deregulation of chemoreceptors, which detect changes in pH and partial oxygen and carbon dioxide pressures, can result in hyperpnea and dyspnoea. Edema represents a deficit in venous return from the cranial and cervical regions, with consequent increase in hydrostatic pressure and liquid leakage into the thoracic cavity and subcutaneous tissue, thus inf
背景:化学细胞瘤是一种罕见的肿瘤,起源于主要位于主动脉体、颈动脉体和鼻窦的化学受体,负责检测血液pH、氧压和二氧化碳的变化。7 - 15岁的头臂型犬有更大的倾向性。肿瘤涉及心脏底部血管浸润性生长,导致充血性心力衰竭(CHF)。明确的诊断是通过组织病理学和/或免疫组织化学检查。目的是报告一例狗的化学肿瘤,显示疾病的临床特征。病例:在伯南布哥联邦农村大学兽医医院(UFRPE)小动物内科门诊检查了一只13岁的雄性不明品种犬,呼吸困难,缺氧,面部、颈部、胸腹侧和胸肢水肿,进化30天。体格检查中,我们观察到恶病质、矫形位、发绀和水肿,Godet阳性征象,脱水程度为8%。胸部听诊表现为混合性呼吸困难,心音不清。胸部x光检查发现肺段放射阴影增加,转移性肿瘤进程与胸膜和心包积液有关。为使患者呼吸更舒适,我们在右半胸区域进行了乳酸林格氏液治疗和后路胸腔穿刺。血液学计数和生化分析显示,患者患有正色正胞性贫血、相对和绝对淋巴细胞减少症、血小板减少症,以及谷丙转氨酶(ALT)和天冬氨酸转氨酶(AST)升高。患者于12小时后接受坏死镜检查和组织病理学评估死亡。心基底浸润性肿瘤侵犯右心房光线,静脉回流受阻,左心室可见大血栓,肺内可见弥漫性结节。胸、腹膜积液伴浆液,肝、肾、脑充血,十二指肠出血。组织学表现为化脓性肿瘤伴肺转移。讨论:心脏肿瘤在犬类中并不常见。本研究共抽样729265只狗,观察到发病率达到0.19%。最常见的类型是血管肉瘤,占69%,其次是化学瘤和淋巴瘤。作者描述了易患短头症的品种,如拳师犬、波士顿梗和法国斗牛犬。在我们的病例中,病人的鼻子很长,品种不明。化学感受器能检测pH值、部分氧和二氧化碳压力的变化,而其解除管制可导致呼吸急促和呼吸困难。水肿表现为颅内和颈部静脉回流不足,随之而来的静水压力增加,液体渗漏到胸腔和皮下组织,由此推断为尾腔静脉综合征(CVCS)。在本例中,来自心底的肿瘤,与大动脉插入和心房相邻,可引起心包积液。化学肿瘤本质上是良性肿瘤,具有低转移潜力。本例发现肺转移。可行时建议手术治疗。在这个病例中,患者接受了很晚的兽医治疗,除了肺转移存在手术禁忌症外。
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引用次数: 1
Effects on the Lipid Peroxidation and the Antioxidant Defense Systems of the Use of Isoflurane or Sevoflurane in Calves Undergoing Surgery 异氟醚或七氟醚对手术小牛脂质过氧化及抗氧化防御系统的影响
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-18 DOI: 10.22456/1679-9216.111714
S. Yakan, O. Atakisi
Background: Incoming anaesthesia created by the use of many drugs with different physicochemical properties is a source of stress and trauma for the body. This event increases the oxidative response and changes the balance between oxidant/ antioxidant capacity in the organism in favor of oxidant capacity. This situation is defined as oxidative stress. For these reasons, studies are conducted to determine the effects of general anaesthetic agents on oxidant and antioxidant systems in the organism. In this study, it was aimed to determine the effects of isoflurane and sevoflurane used for general anaesthesia in humans and animals on lipid peroxidation and antioxidant defense system in calves. Materials, Methods & Results: The study included 14 calves of different breeds, ages, sexes, and weighing, average 2 weeks old. The cases randomly were divided into 2 groups, the isoflurane group (group I), and the sevoflurane group (group II), and each group included 7 animals. Before general anaesthesia, 0.04 mg/kg atropine was administered intramuscularly to all animals for premedication. At 15 min after atropine administration, isoflurane was administered at an inspiratory concentration of 3-5% in group I, and sevoflurane was administered at an inspiratory concentration of 5-7% in group II, via a face mask for 15 min for the induction of anaesthesia. Endotracheal intubation was performed in all cases at the 15 min of the induction period following the onset of general anaesthesia symptoms. After the induction, anaesthesia was continued at an inspiratory concentration of 1.5-3% in the isoflurane group and inspiratory concentration of 2.5-4% in the sevoflurane group. Blood samples were taken just before anaesthesia, just before skin incision, at the end of anaesthesia and surgery, and at the 24 h postoperatively. The malondialdehyde (MDA), superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GSH-Px), and glutathione (GSH) levels were measured spectrophotometrically in samples. In group I, MDA and antioxidant parameters SOD, CAT, GSH-Px, GSH did not observe a significant change in their concentrations through the study (P > 0.05). In group II, MDA value decreased significantly before incision (P < 0.05), at the end of anaesthesia and surgery compared to the pre-anaesthesia level (P < 0.001), and then although increased significantly at 24 h postoperatively, the value was still lower than the pre-anaestesia level (P < 0.05). It was determined that SOD activity increased significantly after sevoflurane compared to pre-anaesthesia (P < 0.05) however, the increases in SOD activity detected during sevoflurane were not statistically significant (P > 0.05). During the study, a statistically insignificant increase was observed in the concentrations of CAT, GSH-Px, GSH compared to pre-anaesthesia (P > 0.05). Pre-anaesthesia values of all measured biochemical parameters did not differ significantly between groups (P > 0.05). Before skin incision, at the
背景:使用多种具有不同物理化学性质的药物所产生的进入麻醉是身体压力和创伤的来源。这一事件增加了氧化反应,改变了机体中氧化/抗氧化能力之间的平衡,有利于氧化能力。这种情况被定义为氧化应激。由于这些原因,进行了研究,以确定全身麻醉剂对生物体中氧化和抗氧化系统的影响。本研究旨在探讨异氟醚和七氟醚用于人畜全身麻醉对犊牛脂质过氧化和抗氧化防御系统的影响。材料、方法与结果:研究对象为14头平均2周龄、不同品种、年龄、性别、体重的犊牛。随机分为异氟醚组(I组)和七氟醚组(II组),每组7只动物。全麻前,所有动物肌内给予0.04 mg/kg阿托品作预用药。在阿托品给药后15 min, I组以吸入浓度3-5%的异氟醚给药,II组以吸入浓度5-7%的七氟醚给药,经面罩诱导麻醉15 min。所有病例均在全麻症状出现后诱导期15分钟行气管插管。诱导后继续麻醉,异氟醚组吸气浓度为1.5 ~ 3%,七氟醚组吸气浓度为2.5 ~ 4%。分别于麻醉前、皮肤切开前、麻醉和手术结束时及术后24 h采血。分光光度法测定样品中丙二醛(MDA)、超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、谷胱甘肽过氧化物酶(GSH- px)和谷胱甘肽(GSH)的含量。ⅰ组MDA及抗氧化参数SOD、CAT、GSH- px、GSH的浓度在研究过程中均无显著变化(P < 0.05)。II组切口前、麻醉结束、手术结束时MDA值均较麻醉前显著降低(P < 0.05),术后24 h MDA值虽显著升高,但仍低于麻醉前(P < 0.05)。经检测,七氟醚麻醉后SOD活性较麻醉前明显升高(P < 0.05),七氟醚麻醉后SOD活性升高无统计学意义(P < 0.05)。研究期间,与麻醉前相比,CAT、GSH- px、GSH浓度升高无统计学意义(P < 0.05)。各组麻醉前各项生化指标测定值差异无统计学意义(P < 0.05)。切开皮肤前、麻醉手术结束时及术后24 h,ⅱ组MDA低于ⅰ组(P < 0.05), SOD活性高于ⅰ组(P < 0.05)。两组患者CAT、GSH- px、GSH水平与其他测量时间比较,差异均无统计学意义(P < 0.05)。讨论:与目前可用的麻醉剂相比,七氟醚的一个重要优点是,由于其在血液和组织中的溶解度低,可以快速诱导,由于其在脂肪中的溶解度低,可以快速恢复。这一特点证明七氟醚麻醉的副作用极小。本研究结果表明,七氟醚暴露可减少脂质过氧化,增强抗氧化防御。七氟醚对氧化应激的潜在影响可能导致临床优先使用七氟醚而非异氟醚。
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引用次数: 0
Outcome of a Ceratohyiodectomy in a Criollo Mare with Temporohyoid Osteoarthropathy 颞舌骨骨关节病患者鼻角鼻骨切除术的疗效
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-17 DOI: 10.22456/1679-9216.108767
Mariana Andrade Mousquer, Leandro Americo Rafael, Nathalia De Oliveira Ferreira, Margarida Aires da Silva, Taís Scheffer del Pino, Cassiano Portela de Assis, B. da Rosa Curcio, Carlos Eduardo Wayne Nogueira
Background : Temporohyoid osteoarthropathy (THO) is a progressive disease that causes acute onset of peripheral vestibular signs with or without facial paralysis. Ankylosis of temporhyoid joint occurs which predispose to fractures of the involved bones and consequently causes the commonly neurological signs observed. Clinical signs vary depending on the stage of the disease and the nerves affected. Surgical treatment is advised to improve survival rates in which the ceratohyoidectomy is currently known as the most advantageous. The aim of the present study is to report a case and outcome of a ceratohyoidectomy procedure in a Criollo mare presenting THO of the right temporohyoid joint. Case : A 17-year-old Criollo mare was referred to the Equine clinical hospital of the Federal University of Pelotas with a 5-day history of facial paralysis on the right side, head tilt and difficulty to chew and swallow. Auricular, palpebral and labial ptosis along with deviation of the lip and nostril to the left were observed. A corneal ulcer was also identified in the right eye. Complementary imaging exams (endoscopy of the guttural pouches and radiography of the head) were performed and showed thickening of the right stylohyoid bone confirming a diagnosis of THO. Anti-inflammatory and antibiotic therapy were administered and the corneal ulcer was treated with topical antibiotics and autologous serum. Due to rapid deterioration of clinical signs, the mare was referred to surgery. A ceratohyoidectomty procedure was performed under general anesthesia. In this procedure, the ceratohyoid bone was disarticulated from the ceratohyoid-basihyoid joint and removed. During the procedure, a branch of the linguofacial vein was accidentally incised causing hemorrhage, the branch was identified and successfully ligated. Recovery was uneventful. Supportive treatment with anti-inflammatory and antibiotics was continued after surgery and two sessions of electro-acupuncture was also performed to improve the nerve paralysis. The electro-acupuncture was discontinued due to mare’s negative behavior on needle insertion in the face. The treatment of the ulcer was changed since no improvement was observed in the first days. Twenty-eight days after hospitalization, the mare was discharged with the ulcer healed and significant improvement of neurological signs. A complete recovery occurred within three months. Discussion : The Criollo mare was referred to the hospital presenting mild neurological signs consistent with vestibular alteration and facial nerve paralysis. The THO diagnosis was confirmed using complementary imaging exams in which the endoscopy of the guttural pouch is considered the most common when computed tomography, a more sensitive one, is not available. Unilateral ceratohyoidectomy was performed as a surgical choice of treatment since it has a higher survival rate and lower recurrence rate in comparison to medical treatment and to stylohyoidectomy. As the main intraopera
背景:颞舌骨骨关节病(THO)是一种进行性疾病,可引起周围前庭症状的急性发作,伴或不伴面瘫。颞舌骨关节强直易导致受累骨骨折,从而引起常见的神经学症状。临床症状因疾病的分期和受影响的神经而异。建议手术治疗以提高生存率,其中鼻角骨舌骨切除术目前被认为是最有利的。本研究的目的是报告一个病例和结果角状舌骨切除术在Criollo马表现为右颞舌骨关节THO。病例:一匹17岁的Criollo母马被转至佩洛塔斯联邦大学马临床医院,右侧面瘫5天,头部倾斜,咀嚼和吞咽困难。观察到耳、睑、唇上睑下垂伴唇、鼻孔左偏。右眼也有角膜溃疡。补充影像学检查(喉袋内窥镜检查和头部x线片检查)显示右侧茎突舌骨增厚,证实诊断为THO。给予抗炎和抗生素治疗,局部应用抗生素和自体血清治疗角膜溃疡。由于临床症状的迅速恶化,该母马被转介到手术。在全身麻醉下进行角鼻骨切除术。在这个过程中,将角鼻舌骨与角鼻舌骨-基底舌骨关节分离并移除。在手术过程中,舌面静脉的一个分支被意外切开导致出血,该分支被识别并成功结扎。恢复过程平淡无奇。术后继续给予抗炎和抗生素支持治疗,并进行两次电针治疗以改善神经麻痹。由于马对针刺面部有不良反应,因此停止了电针治疗。由于第一天没有观察到溃疡的改善,因此改变了治疗方法。住院28天后,母马溃疡愈合出院,神经症状明显改善。三个月内完全康复。讨论:Criollo母马被转介到医院,表现出与前庭改变和面神经麻痹相符的轻度神经学症状。THO的诊断是通过补充成像检查确认的,其中当计算机断层扫描(更敏感的一种)不可用时,喉袋内窥镜被认为是最常见的。与内科治疗和茎突舌骨切除术相比,单侧角状舌骨切除术具有更高的生存率和更低的复发率,因此作为手术治疗的选择。作为主要的术中并发症,血管被意外切开,然而这在某些情况下也会发生。尽管如此,手术还是成功进行了,母马的神经症状和角膜溃疡都完全恢复了。总之,本报告表明,对这些疾病进行完整的诊断和一致的治疗计划对于提高患者的生存和生活质量非常重要。关键词:神经系统疾病,周围前庭症状,面瘫,角鼻舌骨,角鼻舌骨切除术。
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引用次数: 0
Perineal Hernia in Dogs 狗的腓疝
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-15 DOI: 10.22456/1679-9216.111906
Priscila de Paula Moreira, Marina Rodrigues Pereira Cardoso, I. Rosado, R. L. Sampaio, Fernanda de Oliveira Soares, Ian Martin, R. S. D. Rezende, E. Alves
Background: Perineal hernia is a serious disease characterized by weakening or atrophy and separation of the muscles and fasciae of the perineal musculature, followed by the caudal displacement of pelvic and abdominal organs to the perineum region. Treatment is invariably surgical and several approaches have been proposed, but complication and recurrence rates remain high. This study aimed to evaluate 120 cases of perineal hernia treated at the Veterinary Hospital of Uberaba (HVU) from 2005 to 2020, addressing the clinical and surgical aspects and the postoperative period, seeking to identify the most relevant factors to improve care and treatment of future patients affected by this disease.Materials, Methods & Results: The medical records of dogs with a definitive diagnosis of perineal hernia were collected. The prevalence of perineal hernia was calculated. Data were obtained regarding sex, being castrated or not, age, body mass, race, clinical signs, affected side, possibility of hernia reduction, treatments used, associated pathologies. Of the 120 cases, only 69 underwent surgery at the HVU and from these cases data were obtained regarding hernia content, surgical techniques, surgical wires used, recurrences and postoperative complications. Fisher's exact test was applied to assess the influence of the type of surgical treatment and surgical thread on the occurrence of complications and recurrences. Perineal hernia was the second most frequently observed hernia. Mixed breed, male, non-neutered and geriatric dogs were the most affected. The most frequently observed clinical signs were related to the digestive and urinary tract, consistent with the most commonly found hernia contents (bladder, prostate and rectum). The simple herniorrhaphy technique was the most used and showed a high number of complications. The second most used technique was the elevation of the internal shutter, which proved to be more efficient than the simple technique. Regardless of the technique used, the association of two or more techniques proved to be more efficient to reduce major complications. The use of the vaginal tunic stood out because it proved to be efficient in the treatment of perineal hernias regardless of whether it is associated with simple herniorrhaphy or obturator elevation. The surgical fixations of abdominal organs (Bladder, Ducto deferente and Colon) proved to be effective, since there were no recurrences or major complications associated with their use and the most used threads for herniorrhaphy were polyamide and catgut. Low recurrence rates were found in patients who received synthetic yarns. The most frequent complications were suture dehiscence and serous secretion.Discussion: Perineal hernia is a very important alteration due to difficulties in treatment, high rates of complications and recurrence, in addition to the large number of affected dogs. Several surgical techniques have already been proposed for the treatment of perineal hernia in d
背景:会阴疝是一种严重的疾病,其特征是会阴肌肉和筋膜的衰弱或萎缩和分离,随后是骨盆和腹部器官向会阴区域的尾端移位。治疗总是手术和几种方法被提出,但并发症和复发率仍然很高。本研究旨在评估2005年至2020年在乌贝巴兽医医院(HVU)治疗的120例会阴疝,从临床和手术方面以及术后时期进行分析,寻找最相关的因素,以改善未来受该疾病影响的患者的护理和治疗。材料、方法与结果:收集确诊会阴疝犬的病历。计算会阴疝的发生率。数据包括性别、是否被阉割、年龄、体重、种族、临床症状、受影响侧、疝气减少的可能性、使用的治疗方法、相关病理。在120例病例中,只有69例在HVU接受了手术,从这些病例中获得了关于疝内容、手术技术、手术钢丝、复发和术后并发症的数据。采用Fisher精确检验评估手术治疗方式和手术线对并发症和复发率的影响。会阴疝是第二常见的疝。混合品种、公犬、未绝育犬和老年犬受影响最大。最常观察到的临床体征与消化和泌尿道有关,与最常发现的疝内容物(膀胱、前列腺和直肠)一致。简单的疝修补术是最常用的方法,但并发症较多。第二个最常用的技术是内部百叶窗的抬高,这被证明比简单的技术更有效。无论采用何种技术,两种或两种以上的联合技术被证明更有效地减少了主要并发症。阴道束膜的使用脱颖而出,因为它被证明是有效的治疗会阴疝,无论它是否与简单的疝修补术或闭孔抬高有关。手术固定腹部器官(膀胱、输尿管和结肠)被证明是有效的,因为没有复发或主要并发症与它们的使用有关,最常用的缝合线是聚酰胺和肠线。使用合成纱线的患者复发率低。最常见的并发症是缝线断裂和浆液分泌。讨论:会阴疝是一种非常重要的病变,治疗困难,并发症和复发率高,而且患犬数量多。已经提出了几种治疗犬会阴疝的手术技术,这些技术的基础是通过缝合线、肌肉瓣、生物膜、合成网片重建会阴肌肉组织,并通过手术固定腹部器官,如结肠、输精管和膀胱(在腹壁肌肉组织中)来减少会阴压力。结论会阴疝主要发生于公犬、未绝育犬和老年犬,母犬少见。无论使用何种技术,联合使用两种或两种以上的技术可以更有效地减少复发率和并发症。自体阴道束膜是会阴疝术中肌肉强化的一个很好的选择。与生物丝相比,使用合成手术丝治疗会阴疝的效果更好。
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引用次数: 0
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Acta Scientiae Veterinariae
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