Pneumopericardium, pneumomediastinum, pneumothorax and pneumoretroperitoneum complicating pulmonary metastatic carcinoma in a cat

Greci, Valentina; Baio, Ambrogia; Bibbiani, L.; Caggiano, E.; Borgonovo, S.; Olivero, Daniela; Rocchi, Paola; Raiano, Vera

doi:10.1111/jsap.12366

Cited by 6 publications

(9 citation statements)

References 23 publications

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“…However, there are two cases with cardiac tamponade symptoms due to pneumopericardium, but the animals finally died. 2,3 In our case, the dog had no clinical signs related to pneumopericardium. It is known that a gradual increase of air within the pericardial sac may prevent the development of serious signs of cardiac tamponade.…”

Section: Learning Points/take-home Messagesmentioning

confidence: 50%

“…CT has also been used for diagnosis of pneumopericardium, both in small animals and humans, aiding in the diagnosis in complicated cases of concurrent pneumomediastinum, pneumothorax and pneumopericardium. 1,2,16 It has also been reported that pneumopericardium in humans is frequently a misdiagnosed pneumomediastinum and in such cases CT is the diagnostic tool of choice leading to the final diagnosis. 30 In our dog, CT was not performed because of financial constraints of the owners.…”

Section: Learning Points/take-home Messagesmentioning

confidence: 99%

“…Pneumopericardium is described as the accumulation of air into the pericardial sac, which is usually attributed to communication of the pericardial sac with the adjoining air-containing anatomical entities and it has been rarely reported in dogs and cats. [1][2][3] The conditions that can cause pneumopericardium can be either traumatic or non-traumatic both in animals and humans. [1][2][3][4] In veterinary literature, pneumopericardium has been reported as a result of peritoneopericardial diaphragmatic hernia, [5][6][7] thoracic trauma, 4,8 tracheal rupture after intubation, 9,10 laparoscopic ovariectomy, 3 pulmonary-pericardial communication, 11 septic pericarditis due to oesophageal foreign body, 12 bronchopulmonary disease, 1 lung neoplasia 2 and alveolar rupture as a result of increased positive pressure in the anaesthetic circuit.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] The conditions that can cause pneumopericardium can be either traumatic or non-traumatic both in animals and humans. [1][2][3][4] In veterinary literature, pneumopericardium has been reported as a result of peritoneopericardial diaphragmatic hernia, [5][6][7] thoracic trauma, 4,8 tracheal rupture after intubation, 9,10 laparoscopic ovariectomy, 3 pulmonary-pericardial communication, 11 septic pericarditis due to oesophageal foreign body, 12 bronchopulmonary disease, 1 lung neoplasia 2 and alveolar rupture as a result of increased positive pressure in the anaesthetic circuit. 13 Pneumopericardium has also been reported in a rabbit and a horse.…”

Section: Introductionmentioning

confidence: 99%

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Pneumopericardium associated with blunt trauma in a dog

Angelou

Papazoglou

Thomas

et al. 2023

Vet Record Case Reports

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Pneumopericardium due to blunt trauma in the thorax is rarely described in veterinary literature. The pathogenetic mechanism of pneumopericardium is not always clear. In the present case, a 15‐year‐old dog was referred by the local veterinarian due to walking disability after a fall from height of 2 m. The dog was paralysed in pelvic limbs with increased spinal reflexes, compatible with thoracolumbar syndrome. Plain radiographs of the thorax revealed pneumopericardium. The dog was monitored during hospitalisation for signs of respiratory distress. It remained asymptomatic, so pericardiocentesis was not performed. Computed tomography or magnetic resonance imaging was recommended for diagnosis of the thoracolumbar syndrome, but owners declined for financial reasons. The dog was discharged 10 days after admission. The last day of hospitalisation thoracic radiographs revealed resorption of pneumopericardium. In conclusion, the aim of this study was to describe a case of incidentally found pneumopericardium that is rarely reported after a blunt trauma.

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Section: Learning Points/take-home Messagesmentioning

confidence: 50%

Section: Learning Points/take-home Messagesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pneumopericardium associated with blunt trauma in a dog

Angelou

Papazoglou

Thomas

et al. 2023

Vet Record Case Reports

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“…In cats, pneumoperitoneum has been reported to occur secondary to metastatic pulmonary carcinoma (Greci et al., 2015 ), while it may occur secondary to blunt force trauma to the chest in dogs (Simmonds et al., 2011 ). In dogs and cats, trauma‐induced (36%) and spontaneous (64%) pneumoperitoneum, caused by perforation of hollow viscus and pneumothorax, are the most common causes of pneumoperitoneum (Saunders & Tobias, 2003 ).…”

Section: Introductionmentioning

confidence: 99%

Pneumoperitoneum as an uncommon complication after an axillary laceration in a horse

Schoen

Naem

Geburek

et al. 2022

Veterinary Medicine & Sci

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Lacerations of the axillary region occur frequently in horses. Typical complications caused by entrapment of air in the wound during locomotion are subcutaneous emphysema, with consecutive pneumomediastinum and pneumothorax. In this case report, the clinical, radiographic and laboratory diagnosis and management of these complications after an axillary laceration that finally resulted in pneumoperitoneum are described. A 1-year-old Hannoveranian was presented with a pre-existing axillary laceration of unknown duration and subcutaneous emphysema in the surrounding tissue.Due to extensive tissue loss, attempts to adequately close the wound surgically and by packing with sterile dressing material were unsuccessful. Despite stall confinement and tying of the horse, subcutaneous emphysema was progressive and pneumomediastinum as well as pneumothorax was developed. These complications were monitored radiographically. On day 5 after admission, signs of air accumulation were detected on radiographs craniodorsally in the peritoneum and a pneumoperitoneum was diagnosed. Repeated thoracentesis with a teat cannula to gradually evacuate the thoracic cavity was used in combination with nasal oxygen insufflation to treat global respiratory insufficiency. Subcutaneous emphysema and all other complications resolved progressively and the horse was discharged from the hospital 21 days after admission when the axillary wound was adequately filled with granulation tissue. The wound healed fully 1 month later and the horse did not develop long-term complications within the following year. To the authorst' knowledge, the development of pneumoperitoneum including its radiographic monitoring following an axillary laceration has not been described in horses previously.

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Retrospective study of 540 cats with respiratory diseases in Japan (2003–2020)

Fujiwara‐Igarashi,

Ohshima,

Kojima

et al. 2024

Veterinary Medicine & Sci

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BackgroundFew epidemiological studies on respiratory medicine and the relationship between clinical signs and various respiratory diseases in cats have been reported.ObjectivesThis retrospective study aimed to investigate the prevalence and breed predisposition to feline respiratory diseases in Japan and determine the association between clinical signs, duration and type of respiratory diseases.MethodsThe medical records of cats with feline respiratory diseases were examined to obtain information on age, sex, breed, final diagnosis, clinical signs and duration. The odds ratios (ORs) and 95% confidence intervals were calculated to evaluate breed predispositions. Mann–Whitney U, Kruskal–Wallis and Dunn's tests were used to assess the duration of clinical signs.ResultsThis study included 540 cats with 615 respiratory diagnoses. The American Shorthair breed was predisposed to bronchopneumonia (BP; OR: 5.0) and pulmonary tumour (PT; OR: 3.6), while the Russian Blue breed exhibited a predisposition to inflammatory lower airway diseases (OR: 3.4), BP (OR: 6.1) and interstitial lung diseases (OR: 11.1). Similarly, the Scottish Fold breed displayed predisposition to PTs (OR: 5.8). The duration of clinical signs among nasal diseases, nasopharyngeal diseases and lower tracheal/bronchial and pulmonary diseases differed significantly (p = 0.001, p = 0.012, p < 0.0001, respectively).ConclusionsThe results suggest that some popular breeds in Japan are predisposed to feline respiratory diseases, especially the American Shorthair, Russian Blue and Scottish Fold breeds. The characteristics of occurrence, clinical signs and duration of each disease will aid in diagnosing, treating, preventing and elucidating the pathophysiology of feline respiratory disease.

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Pneumopericardium, pneumomediastinum, pneumothorax and pneumoretroperitoneum complicating pulmonary metastatic carcinoma in a cat

Cited by 6 publications

References 23 publications

Pneumopericardium associated with blunt trauma in a dog

Pneumopericardium associated with blunt trauma in a dog

Pneumoperitoneum as an uncommon complication after an axillary laceration in a horse

Retrospective study of 540 cats with respiratory diseases in Japan (2003–2020)

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