Spirocercosis is a disease occurring predominantly in Canidae, caused by the nematode Spirocerca lupi. Typical clinical signs are regurgitation, vomiting and dyspnoea. The lifecycle involves an intermediate (coprophagous beetle) and a variety of paratenic hosts. Larvae follow a specific migratory route, penetrating the gastric mucosa of the host, migrating along arteries, maturing in the thoracic aorta before eventually moving to the caudal oesophagus. Here the worm lives in nodules and passes larvated eggs which can be detected using zinc sulphate faecal flotation. Histologically, the mature oesophageal nodule is composed mostly of actively dividing fibroblasts.Spirocerca lupi-associated oesophageal sarcomas may occur and damage to the aorta results in aneurysms. A pathognomonic lesion for spirocercosis is spondylitis of the thoracic vertebrae. Primary radiological lesions include an oesophageal mass, usually in the terminal oesophagus, spondylitis, and undulation of the aortic border. Contrast radiography and computed tomography are helpful additional emerging modalities. Oesophageal endoscopy has a greater diagnostic sensitivity than radiography. Endoscopic biopsies are not sensitive for detecting neoplastic transformation. Doramectin is the current drug of choice, effectively killing adult worms and decreasing egg shedding. Early diagnosis of infection is still a challenge and to date no ideal regimen for prophylaxis has been published.
A retrospective study of 39 dogs with spirocercosis is described, emphasizing radiographic and computed tomographic aspects and clinical presentation. Dogs were classified as complicated or uncomplicated, both clinically and radiographically. Besides the expected upper gastrointestinal signs, a high incidence of respiratory (77%) and locomotor (23%) complications were present. All dogs had thoracic radiographs. Esophageal masses were radiographically classified as typical or atypical according to their location. Twenty-seven dogs had a typical caudal esophageal mass. Six dogs had a mass atypically located in the hilar region. These masses were smaller and more difficult to visualize radiographically. The remaining 6 dogs did not have a radiographically detectable esophageal mass. Radiology as an initial diagnostic tool was effective in detecting and localizing the mass and to detect early respiratory abnormalities such as pleuritis, mediastinitis, pneumonia, and bronchial displacement. Endoscopy was the modality of choice to confirm antemortem esophageal masses. In dogs where the mass filled the whole esophageal lumen, endoscopy failed to give essential information necessary for surgical excision of neoplastic masses, such as the extent of esophageal wall attachment. Caudal esophageal sphincter involvement was difficult to determine endoscopically with large caudal esophageal masses. Computed tomography was performed on 3 dogs and did not address the latter problems completely, but was found to be a sensitive tool to detect focal aortic mineralization and early spondylitis, both typical for the disease, and essential in the diagnosis of non- or extramural esophageal abnormalities.
Elbow dysplasia is a non-specific term denoting abnormal development of the elbow. Elbow dysplasia encompasses the clinical and radiographic manifestation of ununited anconeal process, fragmented medial coronoid process, osteochondritis dissecans, erosive cartilage lesions and elbow incongruity. The net result is elbow arthrosis, which may be clinically inapparent or result in marked lameness. These conditions may be diagnosed by means of routine or special radiographic views and other imaging modalities, or the precise cause of the arthrosis or lameness may remain undetermined. Breeds most commonly affected are the rottweiler, Bernese mountain dog, Labrador and golden retriever and the German shepherd dog. Certain breeds are more susceptible to a particular form of elbow dysplasia and more than 1 component may occur simultaneously. The various conditions are thought to result from osteochondrosis of the articular or physeal cartilage that results in disparate growth of the radius and ulna. Heritability has been proven for this polygenic condition and screening programmes to select suitable breeding stock have been initiated in several countries and have decreased the incidence of elbow dysplasia
Ultrasonographic examinations were performed on 17 clinically healthy adult common marmosets to gain information about the normal abdominal echoanatomy. The marmosets were 1.5-9 years of age and weighed between 328 and 506g. Marked species-specific differences compared with the cat or dog were noted. Good images of the kidneys, bladder, spleen, adrenal glands, liver, and the gastrointestinal tract could be obtained. The pancreas, caecum, and abdominal lymph nodes were not seen. The spleen was the least echogenic organ, followed by the medium echogenic liver and the sometimes isoechoic, but mostly hyperechoic renal cortex. The kidneys had a poor corticomedullary distinction. The prominent right lobes of the liver extended caudally far beyond the costal arch. The gallbladder had a bi- to multi-lobed appearance with a wide, tortuous cystic duct. The pylorus was centrally positioned. The adrenal glands were readily seen, but should not be confused with the adjacent spleen. A statistically significant (P<0.05) difference between female and male kidney, and right adrenal gland length was present.
A standard radiographic procedure was developed for the thorax and abdomen in the common marmoset. A description and reference values for the corresponding radiographic anatomy are given. Radiographs were obtained from 17 anaesthetized healthy mature marmosets ranging from 1.5 to 9 years and 328 to 506 g. Left-to-right lateral recumbent and ventrodorsal whole-body radiographs made at end inspiration are recommended. Images of the heart, lungs, liver, gastric axis, and at least one kidney could be evaluated consistently. A generalized interstitial/peribronchial pattern was normally present. The mean of the vertebral heart size +/- SD on dorsoventral or ventrodorsal views was 9.42 (+/- 0.44), ranging from 8.8 to 10.6. Abdominal detail was generally poor. The gastrointestinal structures could often only be identified because of their luminal gas. The right liver lobes were prominent and extended caudally beyond the costal arch. The pylorus was in a central position and the spleen could not be distinguished. Additionally, pancreas, lymph nodes, urinary bladder, and ureters were not identified. A statistically significant difference (P < or = 0.05) between female and male kidney length existed. This study emphasizes that significant species differences exist, and simply applying canine or feline radiographic interpretation will result in misinterpretation.
The accuracy of survey radiographs in the diagnosis of acute thoracolumbar disc disease in 36 Dachshunds was determined by comparison with lumbar myelographic findings using iohexol. The value of making radiographs immediately after injection of contrast medium and the effectiveness of oblique radiographs in determining the exact circumferential distribution of extruding or protruding disc material were assessed. The presence of a double contrast medium column, resistance to injection and the presence of cerebrospinal fluid flow during needle placement was also evaluated. The location of the affected disc was accurately determined on survey radiographs in only 26 dogs. The myelographic technique used in this study resulted in the correct intervertebral space being identified, together with the exact circumferential distribution of disc material, in 35 dogs. Survey radiographs alone are inadequate for localization of protruding or extruding disc material.
Multiple cartilaginous exostoses were diagnosed in a two-year-old Great Dane and a four-month-old border collie. Clinically, the Great Dane showed only mild discomfort, while the border collie exhibited tetraparesis due to cervicothoracic compression. Unusual features in the Great Dane were exostoses that bridged physes, with progression after skeletal maturity. The border collie puppy's exostoses resembled tumoral calcinosis radiographically. Limb exostoses in this puppy often were para-articular, and most were not attached to the underlying bone. These features resembled metachondromatosis in humans. Analysis of previously reported cases of multiple cartilaginous exostoses indicated that the prognosis is guarded to poor.
Ultrasonography was used to evaluate the duodenum of 6 clinically normal horses. Examinations were performed in horses which each, alternatively, received diets of; 1) concentrates and hay, 2) hay only, or 3) after 36 hours of starvation. The duodenum was constantly visualized just ventral to the right kidney at the 16th and 17th intercostal spaces on a line joining the olecranon and tuber sacrale. Cranial to the 16th intercostal space visibility depended on thickness of interposing liver and lung field interference. Duodenal distensions, contractions and content are described. Starved horses had fewer contractions and distensions than horses on hay, or hay and concentrate diets but the difference was not significant. Duodenal wall thickness ranged from 3–4 mm. Ultrasonographically five layers, corresponding to the mucosal surface, mucosa, submucosa, muscularis propria and serosa, could be identified. A necropsy specimen of the duodenum was evaluated histologically and Ultrasonographically in a water bath for comparison.
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