Deep Vegetal Foreign Bodies in Cats: A Retrospective Study of 10 Cases

Cola, Veronica; Magno, Sara Del; Valentini, Simona; Zanardi, Stefano; Foglia, Armando; Spinella, Giuseppe; Capitani, Ombretta; Buracco, Paolo; Pisoni, Luciano

doi:10.5326/jaaha-ms-6913

Cited by 9 publications

(28 citation statements)

References 17 publications

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“…While preop-DI techniques help with surgical planning and can guide which surgical approach to use, intraop-US improves the chance of FB removal by providing the exact FB location at the time of surgery. 5,8,19,22 This was confirmed in our study by the higher success rate for FB removal for dogs in group B (89.5%) compared with the dogs in group A (59.1%). With a negative intraop-US result, the chance of effectively removing the FB, even by en bloc removal of remodeled tissue, was null in our study.…”

Section: Discussionsupporting

confidence: 83%

“…However, relapses generally occur at the end of the medical treatment if the FB is still present. [2][3][4][5] Therefore, removal of the FB is essential for proper management of this condition.…”

Section: Introductionmentioning

confidence: 99%

“…7,[9][10][11][12] Preoperative US (preop-US) is commonly performed in man or in animals when the suspected anatomic location of the migrating FB allows its identification with this DI technique. 5,8,10,[13][14][15][16][17] However, a gold standard method to confirm the presence of a migrating FB is currently lacking.…”

Section: Introductionmentioning

confidence: 99%

“…In human medicine, intraoperative US (intraop-US) has been reported to aid in removing an FB from various anatomic locations. 3,4,8,[18][19][20][21][22] In veterinary medicine, this technique has also been used to guide surgical removal of an FB from the cervical region and the retroperitoneal space in cats 5 and from the lumbar 13 and cervical 2 regions in dogs. In fact, in a recent study, 13 intraop-US was used in addition to preop-US to facilitate the removal of an FB during surgery.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

et al. 2021

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Objective: To report the relative sensitivity of different diagnostic imaging (DI) techniques to detect migrating foreign bodies (FB) in subcutaneous and underlying soft tissue structures of dogs and evaluate the value of intraoperative ultrasonography (intraop-US).Study design: Retrospective study. Sample population: Forty-one dogs.Methods: Medical records (2007-2019) of dogs that underwent surgery for a chronic abscess or draining tract were included when preoperative US (preop-US), computed tomography (preop-CT), or preop-MRI, and at least 6 months of follow-up information were available. Collected data included the DI techniques used, DI findings, and surgical findings. The relative sensitivity of each preoperative DI (preop-DI) technique was calculated. Dogs were divided into two groups, dogs that underwent only a preop-DI examination (group A) and dogs that underwent an additional intraop-US (group B). The success rates for FB surgical removal were compared between groups. Results: The relative sensitivity of preop-US and preop-CT/MRI was 88% (95% CI, 70%-95.8%) and 57.1% (95% CI, 32.6%-78.6%), respectively. The success rate for FB removal was higher in group B (89.5%) than in group A (59.1%; P = .038). Clinical resolution occurred in 90.2% of dogs for a median duration of follow-up of 4.2 years (6 months to 9.3 years). Conclusion: Preoperative US seems more suitable than preop-CT/MRI for detection of migrating FB in subcutaneous and underlying soft tissue structures. The use of intraop-US increases the success rate for FB surgical removal.Clinical significance: Intraoperative US should be used in combination with preop-US to increase the likelihood of migrating FB surgical removal in dogs.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

et al. 2021

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“…Although the literature regarding the predominant cause of feline pyothorax is controversial, parapneumonic infection spread from an adjacent intrathoracic structure, penetrating thoracic wounds, rupture of pulmonary abscess, migration of plant foreign bodies from the lung or the esophagus, and the perioperative aspiration of oropharyngeal flora can all be considered to be common potential reasons for the onset of pyothorax. However, the inciting insult remains undetermined in many cases as it does in dogs (Barrs et al, 2005;MacPhail, 2007;Beatty and Barrs, 2010;Epstein, 2014;Stillion and Letendre, 2015;Cola et al, 2019). Medical and surgical options have both been proposed for the management of feline pyothorax; however, to date, there is no consensus regarding the treatment of choice, and precise indications are lacking in the veterinary literature.…”

Section: Introductionmentioning

confidence: 99%

The use of small-bore wire-guided chest drains for the management of feline pyothorax: A retrospective case series

et al. 2021

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Background: Pyothorax in cats is routinely managed, at least initially, with thoracic tube placement associated with systemic antimicrobial administration. Traditionally, large-bore trocar-type thoracostomy tubes have preferentially been used for the drainage of thick material from the pleural space. In recent years, the use of small-bore wire-guided thoracic drains has increased in both small animals and in humans. Few studies have highlighted the efficacy of smallbore wire-guided thoracostomy tubes.Aim: The purpose of this study was to describe the use of small-bore wire-guided thoracostomy tubes in feline pyothorax in terms of efficacy, safety, and outcome.Methods: Cats with pyothorax managed with small-bore thoracostomy tubes (SBTTs) (2015–2018) were retrospectively studied. The number of drains inserted, the need for anesthesia and analgesia for chest tube placement and maintenance, and related major and minor complications were reviewed. Clinical data, diagnostic results, treatment, and outcome were recorded.Results: Ten cats were enrolled. Thoracostomy tube placement was unilateral in 7/10 cats, despite the presence of bilateral effusion in 9/10 cats, and required sedation (8/10) or anesthesia (2/10). Three cats experienced minor complications during the chest tube insertion, including self-limiting pneumothorax (1/3) and malpositioning (2/3). One cat had a major complication (non-functional malposition) requiring reposition of the drain. Pain management was adequately achieved using opioids (8/10) or opioids plus nonsteroidal anti-inflammatory drugs (2/10). Partialchest tube occlusion occurred in three cases and it was resolved with lavage. In one case, the occlusion was complete, requiring drain removal. Three out of 10 cats were treated medically, combining thoracostomy tubes and antibiotics, while 7/10 cats underwent surgery. All the cats survived.Conclusion: SBTTs represent a safe and effective option for the initial management of feline pyothorax. In fact, mainly minor complications were reported during insertion and usage. The SBTTs were well tolerated by the cats with a satisfactory performance in terms of exudate drainage in most cases. The combined use of a small-bore thoracostomy drain together with the common practice of surgical treatment might have resulted in the successful management of the cases presented.

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Ultrasonographic findings may be useful for differentiating interdigital abscesses secondary to migrating grass awns and interdigital furunculosis in dogs

Fenet

Layssol‐Lamour

Pressanti

et al. 2023

Vet Radiology Ultrasound

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Grass awn migration and furunculosis are common diseases in dogs that can lead to interdigital subcutaneous lesions with a similar clinical presentation, and occasionally similar ultrasonographic images, but different treatments are required. This retrospective, multicentric, analytical study aimed to determine whether epidemiological, clinical, and ultrasonographic features could be used to differentiate interdigital furunculosis and abscesses secondary to migrating grass awns. Fifty‐nine dogs that underwent interdigital ultrasonography were included (interdigital furunculosis [IDF], n = 27; interdigital abscess secondary to a migrating grass awn [IAGA], n = 32). Ultrasonographic images were reviewed by two observers blinded to the diagnosis, who graded nine qualitative and four quantitative parameters for each patient. In both groups, pruritus/licking (IDF 74%, IAGA 70%), a discharging interdigital wound (63% for each group), and thoracic limb involvement (IDF 88%, IAGA 75%) were common features. On ultrasound, a subcutaneous multilinear hyperechoic main element was identified in most dogs (IDF 85%, IAGA 100%). The ability to display this element in a single plane (P < 0.01), the absence of additional hyperechoic linear elements in different planes (P < 0.01), and a surrounding hypoechoic halo (P < 0.05) were significantly more common in dogs with interdigital abscesses secondary to migrating grass awns. A cut‐off value of 0.83 cm for the length of the main multilinear element provided a sensitivity of 91% and a specificity of 87% in the diagnosis of a migrating grass awn. Findings supported prioritizing a differential diagnosis of interdigital abscesses secondary to grass awns in dogs with these ultrasonographic characteristics.

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Deep Vegetal Foreign Bodies in Cats: A Retrospective Study of 10 Cases

Cited by 9 publications

References 17 publications

Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

The use of small-bore wire-guided chest drains for the management of feline pyothorax: A retrospective case series

Ultrasonographic findings may be useful for differentiating interdigital abscesses secondary to migrating grass awns and interdigital furunculosis in dogs

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