Contrast‐enhanced CT findings in a dog with a wood foreign body in the vertebral canal

Bosma, Femke; R, Gerritsen; Visser, J P de; Passon-Vastenburg, Maartje

doi:10.1111/vru.13015

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…Gas accumulations in soft tissues are typical findings in acute penetrating oropharyngeal injuries, 21 as was seen in our case. A recent case report illustrated the benefit of contrast CT for detecting a foreign body within the vertebral canal 5 . As reported in a previous case, myelography might be another possibility to detect wooden foreign bodies within the vertebral canal 7 .…”

Section: Discussionmentioning

confidence: 62%

“…Affected dogs show pain, tetraparesis or tetraplegia, and systemic signs such as fever and leukocytosis in more chronic cases. Compressive spinal cord injury from foreign material should be suspected as a differential diagnosis for acute onset of spinal pain, neurological deficits and history of oropharyngeal trauma 5–8,13 . The following case report describes the clinical features, imaging findings, surgical procedure, postoperative therapy and outcome of a tetraplegic dog due to a transoral penetrating stick spinal cord injury.…”

Section: Introductionmentioning

confidence: 99%

“…Transoral pharyngeal penetrating injuries due to sticks are a quite common phenomenon, especially in medium‐ to large‐breed dogs, caused by their stick chasing and chewing activity 1–4 . However, acute myelopathy due to penetrating injuries caused by sticks 5–8 or other foreign bodies 9–13 is rarely reported in veterinary medicine. Affected dogs show pain, tetraparesis or tetraplegia, and systemic signs such as fever and leukocytosis in more chronic cases.…”

Section: Introductionmentioning

confidence: 99%

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Reversible tetraplegia in a dog caused by a transoral penetrating stick injury

Buhmann¹,

Steinberg²,

Fischer³

et al. 2022

Vet Record Case Reports

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A 3‐year‐old, male German shepherd dog was referred because of acute tetraplegia following endoscopic removal of stick fragments from the oral cavity. Magnetic resonance imaging revealed an extradural T2W‐ and T1W‐hypointense linear structure within the vertebral canal at the level from the C1 to mid‐C2 cervical vertebral body, causing pronounced dorsolateral spinal cord compression and spinal cord oedema extending to the caudal end of the C2 vertebra. A dorsal laminectomy was performed at the level of the C1–C2 vertebra. Three wooden fragments with lengths of up to 4 cm, which were located adjacent to the spinal cord, were removed from the vertebral canal. The dog was still tetraplegic after surgery. Postoperative care consisted of analgesics, antibiotics, bladder management, intensive neurorehabilitation and physical therapy. Recovery of ambulation was regained 3 weeks after surgery.

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reversible tetraplegia in a dog caused by a transoral penetrating stick injury

Buhmann¹,

Steinberg²,

Fischer³

et al. 2022

Vet Record Case Reports

View full text Add to dashboard Cite

show abstract

“…Different types of migrating foreign bodies are described throughout the small animal literature with variable presentations and clinical signs depending on the time of presentation, route of entry, or secondary lesions along the migrating pathway. Wooden stick foreign bodies are one of the commonest in dogs, usually related to oropharyngeal lesions attributable to chewing or retrieving behavior ( Griffiths et al ., 2000 ; Nicholson et al ., 2008 ; White and Lane, 2008 ), but also reported in numerous anatomical locations after distant migration from the oropharyngeal region ( O’Reilly et al ., 2002 ; Young et al ., 2004 ; Hylands, 2007 ; Lamb et al ., 2017 ), suspected or witnessed traumatic impalements ( Moon et al ., 2012 ; Perry et al ., 2012 ; Appleby et al ., 2015 ; Lamb et al ., 2017 ; Bosma et al ., 2022 ) or ingestion and migration from the gastrointestinal tract ( Matteucci et al ., 1999 ; Wyatt et al ., 1999 ; Penninck and Mitchell, 2003 ; Brennan et al ., 2004 ; Hunt et al ., 2004 ; Sereda et al ., 2009 ; Choi and Han, 2017 ; Lamb et al ., 2017 ; Stander and Kirberger, 2011 ; Garcia-Pertierra et al ., 2022 ). The latter is a relatively frequent situation, especially if the foreign body has been in contact with food because of its high palatability ( Choi and Han, 2017 ), as is the case of wooden skewers.…”

Section: Introductionmentioning

confidence: 99%

CT findings in seven dogs with perforating wooden skewer foreign bodies from the gastrointestinal tract

Costas,

Cervera

2024

Open Vet J

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Background: Perforating foreign bodies from the gastrointestinal tract, such as wooden skewers, are reported in the small animal literature producing inflammatory/infectious lesions in the thorax, abdomen, and musculoskeletal system, which can be life-threatening in some instances. Several imaging modalities have been used, and advanced imaging techniques have shown great advantage on its diagnosis and pre-surgical planning. Aim: The objective of this study is to describe the computed tomographic findings in a group of seven medium to large breed dogs with perforating wooden skewers foreign bodies migrated from the gastrointestinal tract. Methods: Medical records database was searched for dogs with a suspected diagnosis of a perforating wooden foreign body migrated from the gastrointestinal tract in which a computed tomographic study was performed. Signalment, history and clinicopathological findings (when available) were retrieved, and the computed tomographic studies were reviewed. Results: Clinical signs varied depending on the anatomical regions affected through the perforating pathway. All foreign bodies were identified and showed a median attenuation of 79 HU, with the most common localization being the stomach followed by the jejunum. Peritoneal fat stranding surrounding the perforation site was the most frequent computed tomographic finding. Presence of peritoneal free fluid and/or gas was uncommon. Pleural effusion, pulmonary perforation and pneumothorax were present in most of the cases with the foreign body traversing the pleural space. Pulmonary cavitary lesions were always reported when the ending tip of the wooden skewer was within the pulmonary parenchyma. Soft tissue abscessation was recognised in all cases where the ending tip was lodged in muscular or subcutaneous tissues. Conclusion: Findings supported the variability of the secondary lesions caused by this type of foreign body and the utility of computed tomography in their recognition, as well in the identification of the wooden skewer.

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Computed tomographic features of suspected arterial pseudoaneurysm in the head and neck of four dogs

Ramalho,

Dennison‐Gibby,

Dancer

et al. 2024

Vet Radiology Ultrasound

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Computed tomography is a valuable diagnostic technique in the clinical work‐up of dogs with oropharyngeal trauma and bleeding. Traumatic extravasation can manifest as a pseudoaneurysm. A pseudoaneurysm is an extraluminal accumulation of blood that is contained by the adventitia layer or neighboring tissues. The purpose of this retrospective, multicenter, observational case series study was to describe the CT features in dogs with presumed oropharyngeal arterial pseudoaneurysm and its potential association with trauma. Imaging archives were searched for canine patients with head and neck CT studies showing visible extravasation of contrast‐enhanced blood contained by soft tissue structures. Medical records of these patients were reviewed for oropharyngeal bleeding or trauma and reported. Four dogs met the inclusion criteria. CT findings included a well‐defined, confined area of vascular contrast enhancement adjacent to the common carotid artery or its branches. The mean contrast enhancement in the corresponding artery and pseudoaneurysm lesion was similar, suggesting that these lesions represent active arterial extravasation. Four‐dimensional CT was performed in one case and demonstrated contrast medium leaking from an artery and being contained by adjacent soft tissue structures. All dogs had a history and imaging findings consistent with oropharyngeal bleeding and trauma. Arterial pseudoaneurysm should be considered as a differential diagnosis in dogs with oral trauma and CT features of a well‐defined, periarterial, strongly contrast‐enhancing lesion.

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Contrast‐enhanced CT findings in a dog with a wood foreign body in the vertebral canal

Cited by 3 publications

References 13 publications

Reversible tetraplegia in a dog caused by a transoral penetrating stick injury

Reversible tetraplegia in a dog caused by a transoral penetrating stick injury

CT findings in seven dogs with perforating wooden skewer foreign bodies from the gastrointestinal tract

Computed tomographic features of suspected arterial pseudoaneurysm in the head and neck of four dogs

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