Renal size is an important parameter in the assessment of renal disease in dogs. However, because of the great variability in body conformation, absolute renal measurements cannot solely be used when evaluating kidneys with ultrasonography. The use of a ratio comparing renal length and aortic luminal diameter (K/Ao) was investigated. After confirming the reproducibility of these measurements, K/Ao ratios were obtained in 92 dogs without clinical evidence of renal disease. Left and right K/Ao ratios were statistically similar. Based on 95% confidence intervals, renal size should be considered reduced if the K/Ao ratio is < 5.5 and increased when > 9.1.
One spotted pike-characin Boulengerella maculata, managed in a public display aquarium for 7 yr, developed a small unilateral pink growth associated with the right nare. The growth eventually extended through both nares after 5 mo. B. maculata is a species of piscivorous fish that relies on visual acuity when hunting prey. The rapidly-growing bilateral tumor would have impeded vision if left untreated. The fish was managed for over 10 mo using only surgical debulking, topical liquid nitrogen, and occasional nonsteroidal anti-inflammatory medications as needed to reduce tumor size and restore sight. Diagnosis proved challenging due to superimposed inflammation, neoplasm cellular inconsistencies, and a lack of proven immunohistochemical stains or other diagnostic stains. Using tumor location and appearance, histopathology, advanced imaging, electron microscopy, special staining, and immunohistochemistry, the ultimate diagnosis confirmed olfactory neuroblastoma, or esthesioneuroblastoma. Although long-term prognosis is poor, hunting strategy of the affected species may dictate quality of life, as appetite, body condition, and behavior remained largely unchanged in this animal until time of euthanasia.
Twenty-eight enterectomy sites from 28 dogs were evaluated sonographically 6 months postoperatively or later. The longest time between the enterectomy and sonography was nearly 7 years. The enterectomy site was visible sonograpically in 22/28 (78.6%) dogs. The enterectomy scar typically appeared as mild focal intestinal wall thickening (90.9%) with altered (90.9%) or absent wall layering (9.1%) over a short distance of the bowel (median 1.2 cm, range from 0.6 to 2.5 cm). Intramural hyperechoic foci, most likely representing fibrosis or nonabsorbed suture material were noted in 63.6% of the visible enterectomy sites. A focal accumulation of intraluminal gas was often seen (81.8%) at the enterectomy site. Additional ultrasonographic features included the presence of an irregular hyperechoic rim bordering the enterectomy site (50%), and a focal deviation of the intestinal course (45.5%). These descriptive features may assist ultrasonographers in differentiating a previous enterectomy site from other focal intestinal changes.
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