A vaginal fornix foreign body in a bitch: a case report

Fabbi, Matteo; Manfredi, S.; Ianni, Francesco Di; Bresciani, Carla; Cantoni, Anna Maria; Gnudi, Giacomo; Bigliardi, Enrico

doi:10.17221/7687-vetmed

Cited by 4 publications

(8 citation statements)

References 17 publications

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“…The location of the grass awn in the cranial vagina was an important factor that allowed ultrasound identification of foreign body. The entire vagina cannot be assessed via a transabdominal approach because the pelvic bones are superimposed over the caudal vagina and interfere with ultrasound transmission . The ultrasonographic appearance of the grass awn in the vagina was consistent with the appearance described in other tissues.…”

Section: Discussionmentioning

confidence: 56%

“…In people, acquired urethrovaginal fistula can occur secondary to surgery, trauma, and rarely a foreign body . Vaginal foreign bodies that have been reported in dogs, include a piece of lollipop stick, a disposable cigarette lighter, half a ballpoint pen, a fragment of fetal calvarium, and a grass awn, as in this case. There are two likely pathways for grass awns to enter the vagina.…”

Section: Discussionmentioning

confidence: 75%

“…To our knowledge, this report is the first description of urethrovaginal fistula due to vaginal foreign body in a bitch. The main clinical signs associated with vaginal foreign body are vaginal bleeding and mucopurulent discharge . However, the patient described here was presented with urinary incontinence.…”

Section: Discussionmentioning

confidence: 83%

“…We suspect in this case that an ascending migration through the vestibule and vagina is most likely. In the normal micturition position of a bitch, the vulva is close to the ground where an awn could be introduced . Second, the awn may penetrate through intact skin or an open wound and could even migrate into a body cavity .…”

Section: Discussionmentioning

confidence: 99%

“…The foreign body may remain undiagnosed for long periods of time, causing intense inflammation with infection and vaginal discharge . More rarely, vesicovaginal fistula, rectovaginal, or urethrovaginal fistulae may develop .…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Imaging Diagnosis—urethrovaginal Fistula Caused by a Migrating Grass Awn in the Vagina

Agut

Carrillo

Ansón

et al. 2015

Vet Radiology Ultrasound

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A young intact female dog was presented with urinary incontinence. Abdominal ultrasound revealed the presence of hyperechoic linear structures within the cranial vagina suggestive of foreign material. A computed tomography (CT) retrograde vaginourethrogram demonstrated the presence of a fistulous tract between the urethra and vagina. A presumptive diagnosis of urethrovaginal fistula due to migration of foreign material was made. The grass awn was removed with vaginoscopic-guided retrieval. Fourteen days later, surgical repair of the fistula and an ovariohysterectomy were done. This case report emphasizes the usefulness of CT for diagnosis and precise anatomical localization of genitourinary tract fistulas.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Imaging Diagnosis—urethrovaginal Fistula Caused by a Migrating Grass Awn in the Vagina

Agut

Carrillo

Ansón

et al. 2015

Vet Radiology Ultrasound

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Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Manfredi¹,

G²,

Bonazzi³

et al. 2020

Vet. Med. - Czech

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Foreign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs can be invasive, costly and technically challenging. Ultrasound has become a mainstay in the detection of FBs and it can be used to guide the extraction of the FBs with a minimally invasive technique. This study describes the detection and extraction of soft-tissue FBs in small animals. One hundred-sixty-two patients, presenting at two veterinary clinics with suspected FBs retained in the soft tissues of various body districts, were considered. Once an ultrasound diagnosis was established, the ultrasound-guided removal of the FB was performed. A high-frequency linear transducer, a skin disinfection, sedation or anaesthesia was used when needed and a scalpel and some Hartmann forceps were also used. One hundred-eighty-two FBs were successfully removed in all the patients. In six cases, the FB was identified during a second ultrasonographic examination, after recurrence of the fistula. No complications were reported after the procedure. The extraction of the FB was performed in an echographic suite in 138 cases and in a surgery room with surgical intervention in 24 cases. In the latter situation, the surgical minimally invasive dissection of tissues under ultrasound guidance was performed before the removal of the FB. In conclusion, the ultrasound-guided removal of the FBs retained in the superficial soft tissue can be considered a good alternative to surgery. However, failure to remove a FB does not preclude the removal by traditional surgery.

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Ultrasonographic findings associated with uterine migrating grass seeds in eleven dogs

Benzimra¹,

Couturier²,

Gatel³

et al. 2021

VDT

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Numerous locations have been reported for vegetal foreign body migration. However, urogenital migration has rarely been documented. In this retrospective study, the ultrasonographic features associated with intrauterine migrating vegetal foreign bodies (grass seeds) are described in one intact and ten ovariectomized bitches. The most common ultrasonographic finding was focal and mild ampullary dilation of the uterus, containing the foreign body outlined by scant intraluminal fluid. There were no changes seen to the uterine wall, except in one dog with uterine perforation, confirmed at surgery. The remainder of the uterus had a normal appearance in 8/11 dogs, while there was a small amount of intraluminal fluid in 2/11 cases. Mild, focal steatitis around the focal dilation of the uterus segment containing the foreign body was observed in one case. The subtlety of these findings suggests that the ultrasonographic diagnosis of uterine grass awns can be challenging. This underlines a discrepancy with other reported migration sites commonly associated with marked inflammation.

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A vaginal fornix foreign body in a bitch: a case report

Cited by 4 publications

References 17 publications

Imaging Diagnosis—urethrovaginal Fistula Caused by a Migrating Grass Awn in the Vagina

Imaging Diagnosis—urethrovaginal Fistula Caused by a Migrating Grass Awn in the Vagina

Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Ultrasonographic findings associated with uterine migrating grass seeds in eleven dogs

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