Auger Mylene, Olin Shelly, Morandi Federica
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USA.
Case Rep Vet Med. 2019 Jun 24;2019:2865484. doi: 10.1155/2019/2865484. eCollection 2019.
An eight-year-old Golden Retriever was presented with hypercalcemia and a complex abdominal mass.
A well-defined, heterogeneously contrast-enhancing, cavitary, soft tissue attenuating, non-organ associated abdominal mass was identified caudal to the right kidney. This mass was confluent with the distal tip of the right limb of the pancreas. A connected large, rim enhancing, cystic subcutaneous mass was also present in the right lumbar subcutaneous tissues, and there were multiple fistulous tracts through the hypaxial musculature.
The dog underwent a surgical exploratory laparotomy and a gossypiboma was removed from the intra-abdominal mass; the cystic extra-abdominal mass was drained percutaneously. Surgical recovery was uneventful and a follow-up CT after 3 months was consistent with resolving granulomatous inflammation and fibrosis.
The presence of multiple peripherally enhancing tracts extending from the abdominal mass through the hypaxial musculature is a CT feature which has not yet been described in the veterinary literature. Additionally, incorporation of the pancreas into the abdominal mass has also not yet been described in the veterinary literature.
一只八岁的金毛猎犬出现高钙血症和一个复杂的腹部肿块。
在右肾尾侧发现一个边界清晰、对比增强不均匀、有空洞、软组织密度、与器官无关的腹部肿块。该肿块与胰腺右叶远端相连。右侧腰部皮下组织还存在一个相连的、边缘强化的巨大囊性皮下肿块，并且有多个瘘管穿过轴下肌肉组织。
这只狗接受了手术探查性剖腹术，从腹腔内肿块中取出了一个棉球瘤；经皮引流了腹腔外的囊性肿块。手术恢复顺利，3个月后的随访CT显示肉芽肿性炎症和纤维化正在消退。
从腹部肿块延伸穿过轴下肌肉组织的多个周边强化的瘘管的存在是一种CT特征，兽医文献中尚未描述。此外，胰腺并入腹部肿块在兽医文献中也尚未有描述。
