This 3 year old F intact Cane Corso presented for decreased appetite, lethargy and swelling on the ventral cervical region. Abscess drainage with drain placement performed. Persistent swelling. R/O FB penetration
This 3 year old F intact Cane Corso presented for decreased appetite, lethargy and swelling on the ventral cervical region. Abscess drainage with drain placement performed. Persistent swelling. R/O FB penetration
CT of the neck/skull –
The subcutaneous tissue level with C2 and C3 at the right lateral aspect of the neck presents an irregularly contrast-enhancing heterogeneous soft tissue swelling with a central drain and gas content, measuring 7.2 x 3.4 x 5.6 cm. Moderate peripheral fatstranding is noted. A thick walled spherical cavernous lesion is noted at the right ventral aspect of the larynx presenting marked peripheral contrast enhancement sparing the hypoattenuating uniformly soft tissue-attenuating center of the lesion. The lesion measures 5.5 x 3.8 x 4.8 cm. A moderate mass effect on the larynx, that is displaced to the left lateral aspect, is noted. Marked circumferential fat-stranding is noted.
The drained abscess at the right lateral aspect of the neck is in remission.
Septic cellulitis in the pertaining soft tissues in both localizations, sialadenitis and
reactive/suppurative lymphadenitis of the regional lymph node.
Surgical drainage of the new-formed abscess is advised. Long-term antimicrobial
therapy based on the results of antibiotic sensitivity testing is essential.