Case report(s)

Language English

88 (6) pp 327

Title:

Clinical management of gastroduodenitis and equine gastric ulcer syndrome grade IV of unknown origin in an Arabian mareA two-year-old Arabian filly was referred with symptons of colic. Clinical examination revealed signs associated with endotoxemia. Ultrasonographic examination of the abdomen demonstrated severe distention of the stomach and distended loops of small intestine with reduced motility. With nasogastric intubation, eight liters of hemorrhagic reflux were retrieved. Gastroscopic examination showed a severe degree of gastric ulceration scored as equine gastric ulcer syndrome (EGUS) grade IV. Based on these findings, EGUS and gastroduodenitis (GD) were diagnosed. Initially, the horse was treated using parenteral pantoprazole, which was supplemented by adding enteral ranitidine and sucralfate when the horse ceased refluxing. The horse was discharged eleven days after presentation with a 75%-healing of the gastric ulcers. A control gastroscopic examination was performed thirty days after discharge showing a 90%-healing (EGUS Grade I). To the authors’ knowledge, this is the first case report in which pantoprazole in combination with ranitidine and sucralfate has been used to treat a severe degree of gastric ulceration.

Author(s):

S. ALONSO-SOUSA, M. DE RIJCK, M. LORES, J. BRUNSTING

Abstract:

A two-year-old Arabian filly was referred with symptons of colic. Clinical examination revealedsigns associated with endotoxemia. Ultrasonographic examination of the abdomen demonstratedsevere distention of the stomach and distended loops of small intestine with reducedmotility. With nasogastric intubation, eight liters of hemorrhagic reflux were retrieved. Gastroscopicexamination showed a severe degree of gastric ulceration scored as equine gastric ulcersyndrome (EGUS) grade IV. Based on these findings, EGUS and gastroduodenitis (GD) werediagnosed. Initially, the horse was treated using parenteral pantoprazole, which was supplementedby adding enteral ranitidine and sucralfate when the horse ceased refluxing. The horse wasdischarged eleven days after presentation with a 75%-healing of the gastric ulcers. A control gastroscopicexamination was performed thirty days after discharge showing a 90%-healing (EGUSGrade I). To the authors’ knowledge, this is the first case report in which pantoprazole in combinationwith ranitidine and sucralfate has been used to treat a severe degree of gastric ulceration.

Full text:

artikel04English.pdf

pp 327-334

Case report(s)

88 (6) pp 320

Title:

Epithelial inclusion cyst of the equine digital flexor tendon sheath: diagnosis by ultrasonography and magnetic resonance and successful treatment by tenoscopy

Author(s):

Z. JOOSTENS, L. VANSLAMBROUCK, H. DE COCK, T. MARIËN

Abstract:

A six-year-old warmblood horse was presented with a longstanding frontlimb lameness with mild digital flexor tenosynovitis and swelling of the distomedial pastern. Ultrasonography and magnetic resonance revealed a dense mass lesion in the distal aspect of the digital flexor tendon sheath, with a partial lamellar architecture, absence of internal vascularization and adjacent smooth pressure osteolysis of the middle phalanx. After surgical excision, histopathology confirmed an epithelial inclusion cyst. Epithelial inclusion cysts, also known as keratinizing or follicular cysts, are expansile benign mass-like lesions of aberrant epidermal tissue. In the horse, they are known to occur in cutaneous and several non-cutaneous tissues. In the digital flexor tendon sheath, they have rarely been described. Given their often chronic presentation in this location, they may appear as an atypical dense mass on imaging, uncommon for cystic lesions. Complete tenoscopic removal, even for larger masses, is achievable and considered curative with good prognosis for return.

Full text:

artikel03English.pdf

pp 320-326

Case report(s)

88 (6) pp 316

Title:

An atypical case of proventricular dilatation in a Red-and-green Macaw (Ara chloropterus)

Author(s):

T. HELLEBUYCK, L. GEERINCKX, J. SIMARD, M. VERLINDEN, A. VAN CAELENBERG

Abstract:

A Red-and-green Macaw (Ara chloropterus) was presented with regurgitation and passage of undigested seeds in the feces. Radiographic examination revealed dilatation of the proventriculus. Contrast radiography was performed and revealed that the proventricular dilatation and associated clinical signs resulted from circumferential thickening of the proventricular wall leading to severe narrowing of the lumen of the proventriculus. Testing for parrot bornavirus (PaBV) was negative. After the initiation of antimicrobial treatment because of suspected bacterial overgrowth, all clinical signs resolved two weeks after the start of the treatment, and radiographs taken four months after initial presentation revealed a normal appearance and size of the proventriculus. In the present case, bacterial proventriculitis associated with hyperplasia of the proventricular wall was put forward as a final but presumptive diagnosis highlighting the need to differentiate bacterial proventriculitis from other causes of proventricular dilatation in macaws.

Full text:

artikel02English.pdf

pp 316-319

Case report(s)

88 (5) pp 278

Title:

Immune-mediated hemolytic anemia associated with chronic fibrosing mediastinitis in an Arabo-Friesian horse

Author(s):

C. RIBONNET, V. SAEY, R. DUCATELLE, K. PALMERS

Abstract:

In this report, a ten-year-old gelding with immune-mediated hemolytic anemia associated with chronic fibrosing mediastinitis of unknown origin is described. The patient suffered from chronic weight loss and intermittent diarrhea for already several months. He was presented with severe anemia, anorexia and fever of a 24-hour onset. A direct Coombs test was highly positive for IgG auto-agglutination. No evidence of an underlying process was found on clinical examination. Post-mortem examination revealed green liquid material containing food particles in the cranial mediastinum and histology suggested chronic fibrosing mediastinitis. Even though perforation of the esophagus is a plausible cause, no signs of esophageal rupture were noted on macroscopic examination. This case shows that non-responsive, immune-mediated hemolytic anemia can be due to an undetected underlying disease, such as chronic mediastinitis.

Full text:

art04.pdf

pp 278-286

Case report(s)

88 (4) pp 226

Title:

Medical management of echinococcus multilocularis infection mimicking a locally aggressive cavitary tumor with pulmonary metastases in a dog

Author(s):

J. FRITZ, M. MAHINC, B. RANNOU, E. CAUVIN

Abstract:

A two-year-old Labrador retriever living in the French Alps was presented with abdominaldistension, lethargy and weight loss but no other specific clinical signs. CT examination revealed alarge, cavitary liver mass invading the caudal vena cava, associated with multiple hepatic lesionsof similar appearance, lymphadenopathy and pulmonary nodules. The condition was initiallymistaken for a malignant neoplasm. However, cytologic and histologic examinations of the largest liver mass were consistent with cestodiasis and PCR testing confirmed infection with Echinococcus multilocularis. Medical treatment with albendazole was initiated. The dog remained clinicallywell for ten months following the diagnosis, but had to be euthanized because the ownershad to return to Great-Britain and the dog could not be legally imported. To the authors’ knowledge, this is the first case report, in which long-term follow-up of Echinococcus sp. infection in adog, managed medically, is described. This case also shows that medical management may be aviable option in case surgery is not feasible.

Full text:

06artEnglish.pdf

pp 226-232

Case report(s)

88 (4) pp 219

Title:

The use of a pin-screw-wire tie-in configuration for ventral stabilization of congenital atlantoaxial instability in a Yorkshire terrier

Author(s):

H. J. HAN, J. KANG, H.Y. YOON

Abstract:

A one-year-old Yorkshire terrier of 1.2 kg was presented with an eight-month-old historyof non-ambulatory tetraparesis. The dog was diagnosed on right-lateral radiography with atlantoaxial instability (AAI). Ventral stabilization was achieved with a tie-in configuration. Two0.9-mm-positive-profile-threaded pins and four 1.2-mm-locking screws were inserted into theatlas and the axis, respectively. The pin shafts were bent caudally and tied in with the screwsusing cerclage wire. Polymethylmethacrylate (PMMA) was applied to the entire construct. Thedog showed rapid improvement after surgery, walking on his own on day three, postoperatively.There were no complications related to the surgery. This adjusted multiple implant fixation technique using pins, screws and cerclage wire embedded in PMMA in a tie-in configuration can bea feasible option to provide rigid fixation for AAI in toy breed dogs.

Full text:

05artEnglish.pdf

pp 219-235

Case report(s)

88 (4) pp 207

Title:

Long-term outcome of arthrodesis of the proximal interphalangeal joint in two adult warmblood horses using a locking compression plate and four lag screws

Author(s):

K. BARANKOVÁ, L.N. RASSMUSSEN, H.C. WILDERJANS

Abstract:

Two adult warmblood horses with a history of chronic hind limb lameness originating fromthe proximal interphalangeal joint (PIPJ) were presented at the equine hospital De Bosdreef(Belgium) between 2016 and 2017. Based on the case history and orthopedic examination, chronicosteoarthrosis (OA) of the PIPJ was diagnosed in both horses. A modified surgical arthrodesisof the PIPJ was performed using a central dorsal three-hole proximal interphalangeal lockingcompression plate (PIP plate) and four 5.5 mm transarticular cortical screws placed in a lagfashion (TCS-LF). The procedure resulted in an early bone bridging of the PIPJ and a return ofthe horses to the intended use within ten months after the surgery.

Full text:

04artEnglish.pdf

pp 207-218

Case report(s)

88 (3) pp 168

Title:

Therapeutic complications and follow-up in a dog with atopic dermatitis

Author(s):

C. MEERE., S. VANDENABEELE

Abstract:

In this case report, the therapeutic follow-up of a four-year-old, male, castrated Shih Tzu with atopic dermatitis is described. The treatment first consisted of prednisolone (Prednisolone®), followed by oclacitinib (Apoquel®) and afterwards lokivetmab (Cytopoint®). Furthermore, the diagnosis of AD and the different treatment options are discussed. In addition, more information is given about lokivetmab (Cytopoint®), a new therapeutic agent.

Full text:

06artEng.pdf

pp 168-174

Case report(s)

88 (3) pp 164

Title:

Ocular manifestations and CT scan findings in a cat with suspected angioinvasive pulmonary neoplasia

Author(s):

L. BATALLER-MONTANER, R. TAPIA-NIETO

Abstract:

An eleven-year-old domestic long hair cat was presented with a history of stiffness of the hindlimbs, lethargy, depression, partial anorexia and recent anisocoria. Ophthalmological examinationrevealed chorioretinal necrosis and angioinvasive pulmonary carcinoma was suspected.Computed tomography (CT) findings were consistent with the presumable diagnosis.

Full text:

05artEng.pdf

pp 164-167

Case report(s)

88 (2) pp 091

Title:

Necrotizing eosinophilic dermatitis in three dogs

Author(s):

J. DECLERCQ, G. VERCAUTEREN

Abstract:

In this paper, necrotizing eosinophilic dermatitis with an acute onset and a rapidly progressiveclinical course is reported in three dogs. Early skin lesions were characterized by intensely pruritic,erythematous and firm intact papules and plaques. The lesions enlarged and evolved quickly intocoalescing nodular target shaped lesions with central exudation, ulceration and necrosis. Thelesion distribution pattern was mainly the neck and the dorsolateral trunk. Oral involvementwas observed in one dog. The histopathology was characterized by eosinophilic dermatitis andpanniculitis targeting dermal and subcutaneous blood vessels with secondary involvement ofhair follicles. While causation remained unproven in these cases, a hypersensitivity reaction tomedications or other foreign antigens was suspected.

Full text:

art04in English.pdf

pp 091-096

Case report(s)

Case report(s)

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