Cola Veronica, Del Magno Sara, Valentini Simona, Zanardi Stefano, Foglia Armando, Spinella Giuseppe, Capitani Ombretta, Buracco Paolo, Pisoni Luciano
From the Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy (V.C., S.D-M., S.Z., A.F., G.S., O.C., L.P., S.V.); and Department of Veterinary Sciences, University of Turin, Turin, Italy (P.B.).
J Am Anim Hosp Assoc. 2019 Sep/Oct;55(5):249-255. doi: 10.5326/JAAHA-MS-6913.
The aim of this study was to describe the anatomic locations and treatments available for deeply located vegetal foreign bodies in cats. Ten cases of migrating vegetal foreign bodies (vFBs) requiring surgical removal are reported. The diagnoses of vFBs in the thoracic cavity (4/10), retroperitoneal space (2/10), and paratracheal region (1/10) were obtained by ultrasound examination; however, in the perineum or penile urethra (2/10) and peritoneum (1/10), the vFBs were found during surgery. Intraoperative ultrasound guidance helped remove vFBs from the retroperitoneal space and paratracheal tissues. Clinical signs resolved in 8 out of 10 cases, 1 out of 10 cases had recurrent draining fistula, and 1 out of 10 was euthanized for ethical reasons. The intrathoracic was the most common location in the present study, followed by retroperitoneal space and urethra/perineum. Ultrasound guidance was essential for the diagnosis and/or treatment of vFBs located in the thoracic, retroperitoneal, and cervical regions.
本研究的目的是描述猫体内深部植物性异物的解剖位置及可用的治疗方法。报告了10例需要手术取出的迁移性植物性异物(vFBs)病例。通过超声检查确诊了胸腔(4/10)、腹膜后间隙(2/10)和气管旁区域(1/10)的vFBs;然而,在会阴或阴茎尿道(2/10)以及腹膜(1/10)中,vFBs是在手术过程中发现的。术中超声引导有助于从腹膜后间隙和气管旁组织中取出vFBs。10例中有8例临床症状得到缓解,10例中有1例出现反复引流瘘,10例中有1例因伦理原因实施安乐死。在本研究中,胸腔内是最常见的位置,其次是腹膜后间隙和尿道/会阴。超声引导对于诊断和/或治疗位于胸腔、腹膜后和颈部区域的vFBs至关重要。