Results of Computed Tomography in Dogs With Suspected Wooden Foreign Bodies

Lamb, Christopher R.; Pope, Elizabeth H.W.; Lee, Karla C. L.

doi:10.1111/vru.12457

Cited by 21 publications

(42 citation statements)

References 31 publications

(57 reference statements)

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“…Higher sensitivity (75%) was reported in a recent report of CT findings in dogs with wooden foreign bodies, but many of those were relatively large items, including branches and kebab sticks (Lamb et al . 2017). Due to the retrospective methodology used in the present study, sensitivity for the detection of foreign bodies and their secondary signs may have been exaggerated compared to what may be achieved in a clinical setting.…”

Section: Discussionmentioning

confidence: 99%

Use of computed tomography sinography for evaluation of draining tracts in 27 dogs and one cat

Lopez-Jimenez

Morrissey

Groth

et al. 2021

J of Small Animal Practice

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Objectives To describe the clinical findings, imaging findings and outcome in patients in which CT sinography was performed, and assess to what degree this technique adds information about the extent of a tract or increases the accuracy of diagnosis of foreign bodies on CT. Materials and Methods Retrospective review of medical records of 27 dogs and one cat with draining tracts that had CT sinography. Pre‐ and post‐intravenous (IV) contrast CT series were compared with CT sinography in each patient. Results Median duration of clinical signs before referral was 85 days (range 2 to 1478 days). The most common reported clinical signs were swelling (14/28, 50%) and regional pain (5/28, 18%). CT sinography revealed a more extensive tract than post‐IV contrast CT in 21% cases. On post‐IV contrast CT, 31% of foreign bodies were detected compared to 23% on CT sinography. All four foreign bodies detected by CT were observed in the non‐contrast images. Surgery was performed after CT in 22 (79%) cases. Thirteen (46%) draining tracts resolved after surgery, three (11%) resolved without surgery, six (21%) persisted or recurred after surgery, and six (21%) were lost to follow‐up. Clinical Significance CT sinography provides limited additional information about the extent of draining tracts compared to pre‐ and post‐IV contrast CT images and did not increase the number of foreign bodies identified.

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Section: Discussionmentioning

confidence: 99%

Use of computed tomography sinography for evaluation of draining tracts in 27 dogs and one cat

Lopez-Jimenez

Morrissey

Groth

et al. 2021

J of Small Animal Practice

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“…Incomplete removal of a foreign body is also possible, especially when the material of the foreign body is not visible on radiographs, such as a piece of wood, or when a foreign body may break (Ober et al 2008; Wabnitz et al . 2016; Lamb et al 2017). Such conditions can lead to incomplete foreign body removal possibly resulting in the complications described above.…”

Section: Discussionmentioning

confidence: 99%

“…wood, or when a foreign body may break (Ober et al 2008;Wabnitz et al 2016;Lamb et al 2017). Such conditions can lead to incomplete foreign body removal possibly resulting in the complications described above.…”

Section: Discussionmentioning

confidence: 99%

Removal of a metallic foreign body from the tongue of three horses

Blatter¹,

Thunig²,

Kretschmar³

et al. 2020

Equine Veterinary Education

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Summary The objective of this case report is to describe the diagnostic and surgical techniques for removal of a metallic foreign body in the tongue of three adult horses. The three horses were presented for evaluation and treatment of dysphagia and marked hypersalivation of 3–5 days duration. Radiographs of the head revealed the presence of a metallic foreign body in the tongue of each horse. The foreign bodies could be precisely localised under general anaesthesia using palpation and lingual ultrasonography and/or lingual radiography in combination with a forceps as a marker. The foreign bodies were successfully removed using laparoscopic instruments creating minimal soft tissue trauma. The use of long (43 cm) small laparoscopic (5 mm) instruments enabled good visualisation of the surgical field, providing optimal conditions for successful minimally invasive surgical treatment of horses with foreign bodies in the tongue. The three horses made uneventful recoveries and 12 months after surgery were eating normally and could be ridden with a bit as per usual routine. It was concluded that using long laparoscopic instruments in combination with palpation, ultrasonography and/or radiography allowed removal of the foreign body creating minimal soft tissue trauma and allowing optimal conditions for a fast recovery.

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“…A high palatability of wooden foreign bodies in dogs has also been suggested (Choi & Han 2017), particularly if they have been in contact with food, increasing the likelihood of ingestion (Choi & Han 2017). Due to their length and sharp ends, migration of wooden skewers from the gastrointestinal tract is possible and has been previously described as part of two case series and several individual case reports (Hunt et al 2004, Stander & Kirberger 2011, Appleby et al 2015, Choi & Han 2017, Lamb et al 2017. Caudal abdominal migration appears to be more common, usually involving viscera or body wall structures (Hunt et al 2004, Stander & Kirberger 2011, whilst cranial migration into the thorax has only been described sporadically, in three single cases (Hunt et al 2004, Stander & Kirberger 2011, Choi & Han 2017.…”

Section: Introductionmentioning

confidence: 99%

“…Migrating foreign bodies from the gastrointestinal or respiratory tracts into the abdomen, organs or body wall have been widely reported throughout the veterinary literature. Migrating plant material has been frequently reported (Brennan & Ihrke 1983, Lamb et al 1994, Schultz & Zwingenberger 2008 and wooden (Hunt et al 2004, Stander & Kirberger 2011, Lamb et al 2017, metallic (Pratt et al 2014) or quilling (Johnson et al 2006) foreign bodies have also been described. A high palatability of wooden foreign bodies in dogs has also been suggested (Choi & Han 2017), particularly if they have been in contact with food, increasing the likelihood of ingestion (Choi & Han 2017).…”

Section: Introductionmentioning

confidence: 99%

Surgical management of intrathoracic wooden skewers migrating from the stomach and duodenum in dogs: 11 cases (2014–2020)

Garcia-Pertierra

Das²,

Burton³

et al. 2022

J of Small Animal Practice

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To describe the clinical presentation, management and outcome of cases presenting with intrathoracic wooden skewers originating from the abdominal gastrointestinal tract.Materials and MethOds: Clinical records of dogs presented and treated for an intrathoracic wooden skewer were reviewed from June to August 2020. Data included signalment, clinical presentation, duration of clinical signs, haematological and biochemical abnormalities, diagnostic imaging findings, surgical procedure, postoperative complications and outcome.results: Eleven dogs were included in the study. In all cases, the foreign body was identified as a wooden skewer. The most common clinical signs were anorexia/hyporexia (n=7), vomiting/regurgitation (n=7), lethargy (n=6), pyrexia (n=4) and gait abnormalities/lameness (n=3). CT correctly identified a wooden skewer in all cases when performed (n=7). A coeliotomy combined with transdiaphragmatic thoracotomy was performed in six of 11 cases (55%), a coeliotomy combined with median sternotomy in four of 11 cases (36%) and a median sternotomy alone was performed in one case. Foreign bodies penetrated from the stomach (n=10) or the duodenum (n=1). Intrathoracic trauma was most commonly identified to the lungs (n=3) and pericardium (n=3). Complications occurred in three of 11 cases (27%), two minor and one resulting in death. Ten of the 11 cases (91%) survived to discharge. Long-term outcome was available for seven of 11 cases (66%), all of them excellent. clinical significance: Despite the challenges of managing wooden skewers penetrating the thoracic cavity from the abdominal gastrointestinal tract, the majority of the patients are stable to undergo diagnostic procedures, surgical exploration and management with low morbidity and excellent short-and long-term prognosis.

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Results of Computed Tomography in Dogs With Suspected Wooden Foreign Bodies

Cited by 21 publications

References 31 publications

Use of computed tomography sinography for evaluation of draining tracts in 27 dogs and one cat

Use of computed tomography sinography for evaluation of draining tracts in 27 dogs and one cat

Removal of a metallic foreign body from the tongue of three horses

Surgical management of intrathoracic wooden skewers migrating from the stomach and duodenum in dogs: 11 cases (2014–2020)

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