Traumatic Pulmonary Pseudocysts in a Young Dog Following Non-penetrating Blunt Thoracic Trauma

Mulholland, Natosha; Keir, Iain

doi:10.3389/fvets.2019.00237

Cited by 4 publications

(7 citation statements)

References 23 publications

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“…Recently, it has been documented that thoracic radiography has a lower sensitivity than CT in detecting lesions related to blunt thoracic trauma in veterinary patients [ 14 ]. In the veterinary literature, CT features of pulmonary laceration in dogs have been described in a book and recently reported in single case reports [ 15 , 16 , 17 ]. Different types of lung laceration have been described using CT in people, according to the mechanism of injury (compression rupture, compression shear, rib penetration tear, or adhesion tear), CT pattern, and location within the lung [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Bertolini

Briola

Angeloni

et al. 2020

Veterinary Sciences

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In this study, we describe the computed tomography (CT) features of pulmonary laceration in a study population, which included 364 client-owned dogs that underwent CT examination for thoracic trauma, and compared the characteristics and outcomes of dogs with and without CT evidence of pulmonary laceration. Lung laceration occurred in 46/364 dogs with thoracic trauma (prevalence 12.6%). Dogs with lung laceration were significantly younger than dogs in the control group (median 42 months (interquartile range (IQR) 52.3) and 62 months (IQR 86.1), respectively; p = 0.02). Dogs with lung laceration were significantly heavier than dogs without laceration (median 20.8 kg (IQR 23.3) and median 8.7 kg (IQR 12.4 kg), respectively p < 0.0001). When comparing groups of dogs with thoracic trauma with and without lung laceration, the frequency of high-energy motor vehicle accident trauma was more elevated in dogs with lung laceration than in the control group. No significant differences were observed between groups regarding tge frequency and length of hospitalization and 30-day mortality. Similar to the human classification scheme, four CT patterns are described in dogs in this study: Type 1, large pulmonary laceration located deeply in the pulmonary parenchyma or around an interlobar fissure; Type 2, laceration occurring in the paraspinal lung parenchyma, not associated with vertebral fracture; Type 3, subpleural lung laceration intimately associated with an adjacent rib or vertebral fracture; Type 4, subpleural lesions not associated with rib fractures. Complications were seen in 2/46 dogs and included lung abscess and collapse.

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Section: Introductionmentioning

confidence: 99%

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Bertolini

Briola

Angeloni

et al. 2020

Veterinary Sciences

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“…Traumatic pulmonary pseudocysts are relatively rare and they remain poorly described in veterinary medicine. 3,[20][21][22][23] The literature reporting TPP in humans is more extensive, although a significant proportion of publications consists of case reports 4,25-29 with a few case series 1,[5][6][7]9,15,19,30,31 and no prospective studies. Most authors agree that the term traumatic pulmonary pseudocyst, proposed by Santos and Mahendra, is the most accurate 4,8,32 and for this reason, we elected to use the term TPP in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Data on the natural progression of conservatively managed TPP in veterinary medicine is scant as followup imaging was either not performed or did not extend beyond 1 month and complete TPP resolution has never been documented. 3,20,21 Regular imaging follow-up is generally recommended in human patients with conservatively managed TPP, to document resolution and ensure no complications. The recommended follow-up includes scheduled radiographs and, less commonly, CT, which is reserved for monitoring complicated TPP or those not clinically detectable with radiography.…”

Section: Discussionmentioning

confidence: 99%

“…According to our literature search, this is the first case series reporting the clinical presentation, treatment, and outcome in dogs with TPP and the first to report TPP in cats. Traumatic pulmonary pseudocysts are relatively rare and they remain poorly described in veterinary medicine 3,20–23 . The literature reporting TPP in humans is more extensive, although a significant proportion of publications consists of case reports 4,25–29 with a few case series 1,5–7,9,15,19,30,31 and no prospective studies.…”

Section: Discussionmentioning

confidence: 99%

“…13 The veterinary literature on this topic is scant and consists of four clinical case reports and a single case series reporting the imaging findings. 3,[20][21][22][23] The aim of this study was to describe the clinical presentation, imaging findings, treatment, and long-term outcome in a cohort of dogs and cats with TPP referred to a single multidisciplinary referral hospital.…”

Section: Introductionmentioning

confidence: 99%

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Traumatic pulmonary pseudocysts in nine dogs and two cats

2023

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Objective To describe the clinical presentation, imaging findings, treatment, and outcome in dogs and cats with traumatic pulmonary pseudocysts (TPP). Study design Retrospective observational study. Animals Nine client‐owned dogs and two cats. Methods The hospital database of Anderson Moores Veterinary Specialists was reviewed for cases with a diagnosis of TPP based on computed tomography (CT). Clinical presentation, additional injuries, treatment, and outcome were recorded. Results Eleven patients with TPP were identified. The ratio of TPP detected by radiographs when compared to CT was 7:11 (64%). Seven cases were managed conservatively, and three underwent lung lobectomy. One cat was euthanized due to the severity of concomitant injuries. The decision to perform thoracic surgery was due to refractory pneumothorax (2) or very large TPP (1). Ten patients survived to discharge. No patients died as a result of the TPP. Conclusion Radiographic lesions were identified in about two‐thirds of cases diagnosed by CT. TPPs were not fatal in our population but were commonly associated with severe concomitant injuries. Conservative treatment led to the resolution of smaller TPPs. Clinical significance Conservative management of TPP is appropriate in most cases, although selected cases may benefit from surgical treatment.

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Suspected spontaneous idiopathic pulmonary pneumo‐haematocele in a dog

Rochester¹,

Gonzalez-Gasch²,

Casamian‐Sorrosal

et al. 2021

Vet Record Case Reports

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An 8‐year‐old male neutered Rottweiler was presented to the local veterinary practice for ongoing cough of one‐week duration, intermittent retching and haemoptysis. Medical treatment dispensed by the referring veterinarian achieved mild improvement in the cough and resolution of haemoptysis for approximately six weeks. Referral was arranged eight weeks after onset of clinical signs, due to relapse of haemoptysis. Computed tomography (CT) and ultrasonography of the thoracic cavity revealed a fluid and air‐filled cystic lesion in the right middle lung lobe. Bronchoscopy showed collapse of the right middle bronchus and bronchioles. A right middle lung lobectomy was performed via right intercostal thoracotomy. Postoperatively, the patient recovered well and was discharged from hospital three days afterwards. Long term recovery was excellent, and histology results were consistent with an air‐blood filled bulla, with no evidence of foreign material, abscess or neoplasia. A tentative diagnosis of spontaneous idiopathic pulmonary pneumo‐haematocele was made.

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Traumatic Pulmonary Pseudocysts in a Young Dog Following Non-penetrating Blunt Thoracic Trauma

Cited by 4 publications

References 23 publications

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Trauma-Associated Pulmonary Laceration in Dogs—A Cross Sectional Study of 364 Dogs

Traumatic pulmonary pseudocysts in nine dogs and two cats

Suspected spontaneous idiopathic pulmonary pneumo‐haematocele in a dog

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