Fistula Formation Secondary to a Nylon Cable Band in a Dog

Johnson-Neitman, Jennifer L; Bähr, R; Broaddus, Kristyn D.

doi:10.1111/j.1740-8261.2006.00153.x

Cited by 15 publications

(18 citation statements)

References 6 publications

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“…In fact, accurate preoperative localisation of the FB (when possible) and diseased tissues are essential for a rational surgical decisionmaking approach. Several imaging modalities have been used to preoperatively localise FB and/or RDTs, including plain radiography, sinography, ultrasonography, magnetic resonance imaging (MRI) and CT (Alexander et al 1982, Brennan & Ihrke 1983, McEvoy et al 1993, Fayolle et al 1998, Frendin et al 1999, Matteucci et al 1999, Merlo & Lamb 2000, Yamagishi et al 2000, Penninck & Mitchell 2003, Staudte et al 2004, Young et al 2004, Gnudi et al 2005, Johnsson et al 2006, Jones & Ober 2007, Kligman et al 2007, Dobromylskyj et al 2008, Nicholson et al 2008, Schultz & Zwingenberger 2008, Cherbinsky et al 2010). Yet, to the best of the authors' knowledge, no study in the veterinary literature has proposed and evaluated a rational decision-making approach based on the use of preoperative imaging for surgical planning in animals with RDTs in the thoracic and abdominal regions.…”

Section: Signalment and Medical Historymentioning

confidence: 99%

Use of preoperative computed tomography for surgical treatment of recurrent draining tracts

Bouabdallah

Moissonnier

Delisle

et al. 2013

J of Small Animal Practice

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Section: Signalment and Medical Historymentioning

confidence: 99%

Use of preoperative computed tomography for surgical treatment of recurrent draining tracts

Bouabdallah

Moissonnier

Delisle

et al. 2013

J of Small Animal Practice

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“…; Johnson‐Neitman et al . ). Magnetic resonance imaging was indicated based on the history of chronic foot pain and the need for evaluation of the soft tissue structures in the foot for determination of prognosis and potential surgical approach (Dyson et al .…”

Section: Discussionmentioning

confidence: 97%

Navicular bone osteomyelitis and navicular bursitis with associated fistula diagnosed with magnetic resonance fistulography in the horse

Garcia

Rademacher

McCauley

et al. 2013

Equine Veterinary Education

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A 7-year-old Quarter Horse gelding was referred for magnetic resonance (MR) imaging due to chronic left hindlimb lameness localised to the foot. On presentation, a previously undiagnosed draining tract was identified at the plantar aspect of the pastern. Radiographs revealed severe osteolysis of the navicular bone. Positive contrast MR fistulography was performed using a gadolinium based contrast agent following conventional MR imaging of the left hind foot. Fistulography allowed characterisation of a fistulous tract, which was closely associated with the deep digital flexor tendon, navicular bursa and osteomyelitis of the navicular bone. History and clinical findingsA 7-year-old Quarter Horse gelding was referred for magnetic resonance imaging (MRI) of the left hind foot for the investigation of intermittent lameness of 3 months' duration. Recurrent subsolar and coronary band abscesses were diagnosed by the referring veterinarian. Treatment prior to referral included debridement of devitalised tissue from both the sole and coronary band, oral administration of nonsteroidal anti-inflammatory medication, oral administration of antibiotics, and administration of antibiotics by regional limb perfusion.At presentation, the horse was grade 4-5 out of 5 lame using the AAEP lameness scale on the left hindlimb (Anon 1999). A draining tract not previously reported by the referring veterinarian was identified at the plantar aspect of the pastern. A low 4-point nerve block and a dorsal ring block performed proximal to the metatarsophalangeal joint resulted in marked decrease in the degree of lameness. Imaging RadiographyRadiography of the left hind foot revealed severe navicular bone osteolysis of the distal half of the flexor cortex extending into the medullary cavity (Fig 1). Moderate concentric soft tissue swelling was evident from the metatarsophalangeal joint to the level of the coronary band. The findings were most consistent with infectious osteomyelitis. Magnetic resonance imagingThe horse was placed under general anaesthesia using a standard anaesthetic protocol. Magnetic resonance imaging was performed using a 1.5 T magnet (Echelon) 1 with the horse in left lateral recumbency. Sagittal proton density (PD) at 3 mm slice thickness, T2-weighted fast spin echo (T2W FSE) at 4 mm slice thickness, fast inversion recovery (FIR) at 4 mm slice thickness, transverse PD and T2W FSE both at 3 mm slice thickness, and a dorsal PD sequence at 3 mm slice thickness sequences were acquired from the tip of the foot to the midpoint of the proximal phalanx. A transverse 3D T2* sequence was acquired and reconstructed in 1 mm thick slices in the sagittal plane.The distal aspect of the navicular bone flexor cortex showed a large ill-defined zone of hyperintensity on PD, T2* and FIR sequences (Fig 2). Multifocal, 1-2 mm diameter Fig 1: Lateromedial radiograph of foot of left pelvic limb. The distal aspect of the flexor cortex is lytic and irregularly bordered with extension of lysis into the adjacent medullary region. The distal interphala...

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“…(42). Ein weiteres Diagnostikum ist die Fistulographie, durch die die Anzahl der Fistelkanäle bestimmt und deren exakte Ausdehnung visualisiert werden kann (22,26). Trotz einer beschriebenen Sensitivität von 87% für die Detektion von Fremdkörpern können kleine Fremdkörperpartikel mithilfe von Kontrastmittel nur eingeschränkt oder gar nicht dargestellt werden (26,38).…”

Section: Diskussionunclassified

“…Trotz einer beschriebenen Sensitivität von 87% für die Detektion von Fremdkörpern können kleine Fremdkörperpartikel mithilfe von Kontrastmittel nur eingeschränkt oder gar nicht dargestellt werden (26,38). Als optimales diagnostisches Vorgehen beschreiben Johnson-Neitman et al (22) die Durchführung einer Fistulographie und deren Auswertung mittels CT. Als weiteres optionales bildgebendes Verfahren kommt die MRT in Betracht. Sie ist allerdings der CT z.…”

Section: Diskussionunclassified

Enterokutane Fistelbildung infolge Perforation des Kolons durch einen hölzernen Fremdkörper bei einem Hund

Wunderlin¹,

Biel²,

Peppler³

et al. 2012

Tierarztl Prax Ausg K

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ZusammenfassungEine 5 Jahre alte Pudelhündin wurde mit einer seit 3 Monaten bestehenden rezidivierenden Abszess- und Fistelbildung an der rechten Bauchwand vorgestellt. Durch eine röntgenologische und sonographische Untersuchung des Abdomens wurde die Diagnose einer enterokutanen Fistelbildung, verursacht durch einen den Dickdarm perforierenden hölzernen Fremdkörper, gestellt. Zusätzlich wies die Hündin eine Pyometra auf. Vierundzwanzig Stunden nach der chirurgischen Therapie (Laparotomie, Entfernung des Fremdkörpers,Verschluss der Perforationsstelle am Kolon, Bauchhöhlenlavage und -drainage, Fistelrevision) wurde der Patient aufgrund einer Sepsis und eines beginnenden Multiorganversagens euthanasiert.

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Fistula Formation Secondary to a Nylon Cable Band in a Dog

Cited by 15 publications

References 6 publications

Use of preoperative computed tomography for surgical treatment of recurrent draining tracts

Use of preoperative computed tomography for surgical treatment of recurrent draining tracts

Navicular bone osteomyelitis and navicular bursitis with associated fistula diagnosed with magnetic resonance fistulography in the horse

Enterokutane Fistelbildung infolge Perforation des Kolons durch einen hölzernen Fremdkörper bei einem Hund

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