Background: Thrombophlebitis represents the main disease of the cardiovascular system of horses, its occurrence is strongly associated with the use of inappropriate materials and techniques. Its clinical presentation varies according to the degree of vessel obstruction and the appearance of complications, in the diagnosis it is essential to assess the extent of damage and the severity of the case. Establishing appropriate treatments, it should be noted that these are mostly clinical, reserving surgical interventions for severe cases, so the aim of the study is report a case of hemorrhagic septic thrombophlebitis treated by partial phlebectomy of the left jugular vein.Case: A 9-year-old male castrated equine, with no defined racial pattern, weighing 345 kg, used in the practice of vaquejada was attended at the Veterinary Hospital (HV) of the Federal University of Campina Grande (UFCG), Campus Patos (PB). During the anamnesis, it was reported that the animal presented colic a month ago, it was treated, recovered and since then, it started presenting an area with increase in volume in the neck region that ruptured the day before the HV attendance, where blood and pus came from. On physical exam, slight edema was noted in the left masseteric region, a volume rise involving the middle and cranial third of the neck with firm consistency in the left jugular sulcus, sensitivity to palpation and little drainage of purulent bloody secretion was observed. Additionally, tachycardia, tachypnea and intestinal hypomotility were found. In turn, in the ultrasound exam, a hypoechoic structure was seen, causing partial obstruction of the vessel, proximal to the fistulated region and total obstruction distal to it. With this information, antibiotic therapy was prescribed, a warm compress followed by the use of anti-inflammatory gel every 8 hours. By choice of the owner, the animal returned to the farm, in the next day returned to the Veterinary Hospital, due to extensive bleeding observed on the estate, immediately tried to stanch the bleeding by compressive banding, without success, we opted for the surgical intervention aiming to perform ligation and partial resection of the jugular vein. Pre-anesthetic medication was performed and under general anesthesia a rectilinear incision was made over the left jugular vein of the neck caudal region to bifurcation of lingual and facial veins, blunt dissection aiming to loosen the vessel and hemostasis of the installed neovascularization, transfixing proximal ligation with 1-0 nylon thread, diaeresis, removal of the vessel, reduction of the subcutaneous space, application of drain, dermorrhaphy in simple continuous pattern and use of compressive curative. For the postoperative period, maintenance of the initial antibiotic therapy was prescribed, adding flunixin meglumine 1.1 mg/kg, i.m, SID, 4 applications, tetanus serum 5000 UI/IM, antiphlogistic massage in the masseter region and wound treatment by washing with hypersaturated solution, use of sugar, healing pomade and repellent. One month after surgery, the animal received medical release with satisfactory healing, recovery from anemic and infectious condition, without circulatory complications.Discussion: The present report shows the feasibility of unilateral partial phlebectomy of the jugular vein as a therapeutic option in complicated cases of thrombophlebitis. In which thrombectomy techniques are contraindicated and ineffective clinical treatments, another alternative is vascular transplantation, which encounters many logistical difficulties in the routine. Despite the interruption of blood flow being pointed out as an aggravating factor, it should be noted that often thrombophlebitis itself leads to this condition, and the development of collateral circulation secondary to venous flow obstruction has been observed.
O objetivo desse trabalho é descrever um caso de meningocele associada à craniosquise em um bezerro SRD, de três dias de idade, que nasceu com aumento de volume na porção frontal da cabeça, sem manifestação de alterações neurológicas ou sensibilidade na região. O exame físico associado ao radiográfico confirmaram a anomalia como sendo craniosquise associada a meningocele, que foi reparada cirurgicamente. O animal foi submetido ao protocolo anestésico com xilazina a 2% (0,05 mg/kg) via intramuscular, a indução e manutenção transcorreu com uso do anestésico geral isofluorano via inalatória e no bloqueio local utilizou-se lidocaína 2% sem vasoconstrictor. Foi drenado do aumento de volume aproximadamente 1,5 litros de líquor e realizada uma incisão elíptica contornando a bolsa, mantendo pele suficiente nas bordas para posterior sutura. O tamanho da falha na região frontal era de 7 cm de diâmetro e após drenagem foi realizada sutura das bordas das meninges em padrão simples contínuo e dermorrafia em padrão simples separado, utilizando fio nylon 0,35 e nylon 0,40 respectivamente. No pós-operatório foi utilizado antibioticoterapia, anti-inflamatórios, vitamina B1 e furosemida. A limpeza da ferida cirúrgica foi realizada diariamente com álcool iodado, spray cicatrizante e a retirada dos pontos ocorreu dez dias após o procedimento. Seguidos 39 dias o animal recebeu alta, apresentando-se saudável e sem deformidade ou recidivas do acúmulo de líquor. O tratamento cirúrgico foi eficaz e deve ser utilizado em casos semelhantes. Para redução do tempo quanto a recuperação dos pacientes, novas técnicas devem ser avaliadas, como a utilização de enxertos para correção da falha craniana em ruminantes.
Anal-vulvar atresia and agenesis of the coccygeal vertebrae is a rare condition that has never been reported before in donkeys, and only a single case in sheep. In this light, we sought to describe the surgical approach and postoperative care of a newborn donkey with this congenital abnormality. A female donkey was treated that was less than 24 hours old, weighing 15 kg, with increased perineal volume and the absence of an anus. The diagnosis was made by clinical examination, which also found an absence of the vulva and coccygeal vertebrae. A surgical approach followed using anoplasty and temporary fixation of a plastic probe, and a urethra attached to the skin. The postoperative period was followed by daily cleansing, antibiotic, anti-inflammatory and analgesic therapy, and removal of the plastic tube at 10 days. The early diagnosis and treatment enabled complete success and the animal’s recovery.
We described the clinical and anatomopathological findings observed in a case of nasal leiomyosarcoma in a five-year-old male Quarter Mile horse, whose main complaints were decreased sports performance and bilateral purulent nasal discharge. The nodule was observed in the nasal cavity, obstructing the left nostril and associated with purulent drainage. The nodule was of irregular shape and yellow color, measuring 19.4 cm × 6.9 cm × 4.3 cm in size, with coalescent multifocal areas that were brownish, friable, opaque, and fetid. When cut, the surface was compact, grayish-white, and smooth with yellow, friable, irregular multifocal areas, measuring 1-3.2 cm in diameter. Histopathological examination showed spindle-shaped neoplastic cells, which was negative on Masson’s trichromic stain. A diagnosis of leiomyosarcoma was established based on the morphotintorial aspects of neoplastic cells and confirmed through immunohistochemistry, with positive immunostaining for antibodies 1A4, HHF35, desmin, and S100. Leiomyosarcoma primarily affects the nasal cavity of horses and should be included in the differential diagnosis of diseases that affect the nasal cavity and cause nasal obstruction associated with dyspnea.
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