Diagnose en echogeleide verwijdering van een vaginaal vreemd voorwerp bij een hond en een kat

Gatel, Laure; Gory, Guillaume; Pauw, Bart De; Rault, DN

doi:10.21825/vdt.v83i2.16656

Cited by 7 publications

(3 citation statements)

References 22 publications

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“…In fact, with this intervention, it is possible to introduce gas into the soft tissues, so that the characterisation of the FB becomes more difficult (a reverberation artefact can hide FBs). This aspect is demonstrated in some reports (Gnudi et al 2005;Gatel et al 2014) and in all the cases reported here, since, after the procedure of the FB extraction, some gas bubbles were visualised in the lesion by the ultrasound, due to the entrance of the forceps. As mentioned above, the ultrasound retrieval of an FB can be performed in the ultrasound room and sometimes without sedation, especially if a fistulous tract is present.…”

Section: Discussionsupporting

confidence: 70%

Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Manfredi¹,

G²,

Bonazzi³

et al. 2020

Vet. Med. - Czech

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Foreign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs can be invasive, costly and technically challenging. Ultrasound has become a mainstay in the detection of FBs and it can be used to guide the extraction of the FBs with a minimally invasive technique. This study describes the detection and extraction of soft-tissue FBs in small animals. One hundred-sixty-two patients, presenting at two veterinary clinics with suspected FBs retained in the soft tissues of various body districts, were considered. Once an ultrasound diagnosis was established, the ultrasound-guided removal of the FB was performed. A high-frequency linear transducer, a skin disinfection, sedation or anaesthesia was used when needed and a scalpel and some Hartmann forceps were also used. One hundred-eighty-two FBs were successfully removed in all the patients. In six cases, the FB was identified during a second ultrasonographic examination, after recurrence of the fistula. No complications were reported after the procedure. The extraction of the FB was performed in an echographic suite in 138 cases and in a surgery room with surgical intervention in 24 cases. In the latter situation, the surgical minimally invasive dissection of tissues under ultrasound guidance was performed before the removal of the FB. In conclusion, the ultrasound-guided removal of the FBs retained in the superficial soft tissue can be considered a good alternative to surgery. However, failure to remove a FB does not preclude the removal by traditional surgery.

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Section: Discussionsupporting

confidence: 70%

Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Manfredi¹,

G²,

Bonazzi³

et al. 2020

Vet. Med. - Czech

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“…Vaginal vegetal foreign body migration has been described in dogs and cats. The most common clinical sign was vulvar discharge, which could also be associated with abdominal pain, fever, and polyuria [ 13 , 44 , 50 , 51 ]. In Gatel’s study, US was successfully used to guide the extraction of the vaginal foreign body in a dog and in a cat with the Hartmann forceps [ 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…The most common clinical sign was vulvar discharge, which could also be associated with abdominal pain, fever, and polyuria [ 13 , 44 , 50 , 51 ]. In Gatel’s study, US was successfully used to guide the extraction of the vaginal foreign body in a dog and in a cat with the Hartmann forceps [ 51 ]. In 2016, Agut et al described a case report of a urethrovaginal fistula due to vaginal grass awn.…”

Section: Resultsmentioning

confidence: 99%

Application of Ultrasound in Detecting and Removing Migrating Grass Awns in Dogs and Cats: A Systematic Review

Caivano

Corda

et al. 2023

Animals

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Migrating grass awns are an important cause of disease in dogs and cats. Plant awns can migrate into several body tissues and cavities because of their fusiform shape and backward-pointing barbs. Their migration causes inflammatory tissue reaction and clinical signs depend upon their localization. Ultrasound has been described as a useful, noninvasive, and readily available tool to identify and guide vegetal foreign bodies removal in animals. The aim of this systematic review was to summarize current knowledge on the application of ultrasonography in the identification and removal of grass awns from various anatomic locations in dogs and cats. We selected and analyzed 46 papers on the application of ultrasonography in dogs and cats affected by migrating grass awns. The ultrasonographic appearance of grass awns is characteristic, although their size and location can influence the visualization and the attempt of removal. In some cases, migrating grass awns are not directly visualized by ultrasonography, but the lesions caused by their migration can be easily seen. Ultrasonography can be considered a useful diagnostic tool to localize and remove migrating grass awns; however, when the migration occurs in less accessible locations or discrete foreign bodies are present, this diagnostic tool should be considered as a part of a multidisciplinary approach with advanced diagnostic imaging modalities.

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Minimally invasive technique to facilitate ultrasound‐guided removal of migrating foreign bodies: eight cases (2022)

Brincin,

Anderson,

Field

et al. 2024

J of Small Animal Practice

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ObjectivesMigrating foreign bodies is common in cats and dogs and can be challenging to retrieve. The aim of this study is to describe a minimally invasive ultrasound‐guided technique for the removal of migrating foreign bodies.Materials and MethodsCases were retrospectively recruited from a single referral hospital. Soft tissue swelling with suspected abscessation was identified on CT and the presence of migrating foreign material was confirmed on ultrasound. Foreign body retrieval was performed under ultrasound guidance: a large bore cannula (14G) was placed in direct contact with the foreign body. A pair of 16G flexible grasping forceps was passed through the sheath of the cannula and the foreign material was grasped and removed. Follow‐up was obtained via patient records or telephone conversation.ResultsSeven dogs and one cat were included in this series. This technique was successful in removing foreign material from the neck (n = 4) and retro‐bulbar area (n = 3). One retro‐bulbar foreign body could not be safely removed due to its proximity to the globe. Median procedure duration was 20 minutes (range 5 to 35 minutes). Follow‐up was available for seven cases at a median of 6 months (range 0.5 to 6 months). There was no recurrence of clinical signs in six out of seven cases. The swelling recurred at a different location in one case and no further foreign material was identified.Clinical SignificanceThis technique enabled retrieval of migrating foreign material from the retro‐bulbar and cervical regions. This was an efficient and minimally invasive technique that spared the need for surgical exploration.

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Diagnose en echogeleide verwijdering van een vaginaal vreemd voorwerp bij een hond en een kat

Cited by 7 publications

References 22 publications

Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Application of Ultrasound in Detecting and Removing Migrating Grass Awns in Dogs and Cats: A Systematic Review

Minimally invasive technique to facilitate ultrasound‐guided removal of migrating foreign bodies: eight cases (2022)

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