Document Detail


Diagnostic challenges and treatment options of a suspected pericardial metallic projectile foreign body in a dog.
MedLine Citation:
PMID:  22316263     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe a case of a suspected pericardial metallic projectile foreign body in a dog with a history of trauma to the left shoulder and to review the literature regarding the management of cardiac and intracardiac foreign bodies.
CASE SUMMARY: A 3-year-old male, neutered Brittany spaniel presented with a 10-day history of decreased activity and partial anorexia. Serial thoracic radiographs identified a migrating pericardial metallic projectile foreign body and an echocardiogram diagnosed pericardial effusion and abdominal ultrasound identified the presence of ascites. Concern for a possible effusive-constrictive pericarditis prompted a subphrenic pericardectomy performed via thoracoscopy. The foreign body was not recovered. Six months postsurgery, the dog remained asymptomatic.
NEW OR UNIQUE INFORMATION PROVIDED: Considering the high rate of complications that develop in human patients where the foreign bodies are not removed, veterinarians should be aware of risks associated with long standing pericardial foreign bodies even when no clinical signs are present. Guidelines from the human literature may be considered for investigation of, and treatment options for, cardiac and intracardiac metallic projectile foreign bodies in dogs.
Authors:
Joshua M Elliott; Philipp D Mayhew
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-11-21
Journal Detail:
Title:  Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)     Volume:  21     ISSN:  1476-4431     ISO Abbreviation:  J Vet Emerg Crit Care (San Antonio)     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-02-09     Completed Date:  2012-05-24     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  101152804     Medline TA:  J Vet Emerg Crit Care (San Antonio)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  684-91     Citation Subset:  IM    
Copyright Information:
© Veterinary Emergency and Critical Care Society 2011.
Affiliation:
From the Department of Small Animal Surgery, University of California-Davis, School of Veterinary Medicine, Davis, CA 95616, USA. jmelliott74@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Dog Diseases / diagnosis*,  etiology*,  surgery
Dogs / injuries
Foreign-Body Migration / diagnosis,  veterinary*
Male
Metals
Pericardial Effusion / diagnosis,  etiology,  surgery,  veterinary*
Pericardium / pathology
Treatment Outcome
Washington
Chemical
Reg. No./Substance:
0/Metals

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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