I have a dog coming in tomorrow that has a swelling on the side of his face. He had PPQ’s removed by the owner about 1 week prior. On exam the area, if didn’t know better, looks more like a hotspot however there is a small hole present and the subcutaneous swelling may be a little more severe than for a hotspot. Has anyone used ultrasound to try and identify a subcutaneous PPQ? I have a high frequency linear probe to try.
I may just need to take this dog to surgery to explore the area but it would be nice if I could see something on ultrasound first!
Jacquie
I have a dog coming in tomorrow that has a swelling on the side of his face. He had PPQ’s removed by the owner about 1 week prior. On exam the area, if didn’t know better, looks more like a hotspot however there is a small hole present and the subcutaneous swelling may be a little more severe than for a hotspot. Has anyone used ultrasound to try and identify a subcutaneous PPQ? I have a high frequency linear probe to try.
I may just need to take this dog to surgery to explore the area but it would be nice if I could see something on ultrasound first!
Jacquie
Comments
Sorry i am drawing a blank on
Sorry i am drawing a blank on “PPQ” but anything foreign in the body should be able to be located by US. Just see where the tissue is not curvilinear…fuzzy is usually inflammation and hypoechoic is i=usually abdscess or necrosis if not tissue structure and fluid filled or sarcoma/other neoplasia (MCT) if hard tissue on fna. I use a probe all the time here and have found body wall abscesses in second third and 4th opinion cases multiple times when people are chasing leukocytosis fuo and adr.
Put this case number in the pathology search
11_00002 Nikita for body wall mass
or use key words “body wall” and you will see similar cases though there are many that are aspecific that come up with these key words.
11_00008 Bella C for body wall hematoma
Sorry i am drawing a blank on
Sorry i am drawing a blank on “PPQ” but anything foreign in the body should be able to be located by US. Just see where the tissue is not curvilinear…fuzzy is usually inflammation and hypoechoic is i=usually abdscess or necrosis if not tissue structure and fluid filled or sarcoma/other neoplasia (MCT) if hard tissue on fna. I use a probe all the time here and have found body wall abscesses in second third and 4th opinion cases multiple times when people are chasing leukocytosis fuo and adr.
Put this case number in the pathology search
11_00002 Nikita for body wall mass
or use key words “body wall” and you will see similar cases though there are many that are aspecific that come up with these key words.
11_00008 Bella C for body wall hematoma
OH …yes ppq’s….like
OH …yes ppq’s….like this?:)
OH …yes ppq’s….like
OH …yes ppq’s….like this?:)
Poor dog! I’ve seen quite a
Poor dog! I’ve seen quite a few of these. Had to stay late the other night to pull quills – never happens during office hours!
I did scan my patient for the possible retained quill. Just subcutaneous inflammation ( patchy hyperechoic tissue) and a small irregular hypoechoic pocket (fluid, pus?) No FB seen. Clinically he is looking better with antibiotics so we will see.
Poor dog! I’ve seen quite a
Poor dog! I’ve seen quite a few of these. Had to stay late the other night to pull quills – never happens during office hours!
I did scan my patient for the possible retained quill. Just subcutaneous inflammation ( patchy hyperechoic tissue) and a small irregular hypoechoic pocket (fluid, pus?) No FB seen. Clinically he is looking better with antibiotics so we will see.
Here is an article i came
Here is an article i came across regarding linear fb found on US that may help
ULTRASONOGRAPHIC FEATURES OF GRASS AWN MIGRATION IN THE DOG. Gnudi et al..
Veterinary Radiology & Ultrasound, Vol. 46, No. 5, 2005, pp 423–426.
You can google it or pub med for the abstract. Pubmed link is on the upper right of this page.
Leave it to the italians to come up with this utility and publish it:)
Here is an article i came
Here is an article i came across regarding linear fb found on US that may help
ULTRASONOGRAPHIC FEATURES OF GRASS AWN MIGRATION IN THE DOG. Gnudi et al..
Veterinary Radiology & Ultrasound, Vol. 46, No. 5, 2005, pp 423–426.
You can google it or pub med for the abstract. Pubmed link is on the upper right of this page.
Leave it to the italians to come up with this utility and publish it:)
Thanks Eric!
I checked this
Thanks Eric!
I checked this out and was able to access this article as I am an ACVR Society only member. Maybe I should try a water bath study with a PPQ to see what it would look like on ultrasound for future reference.
I think my case was a false alarm as I saw the pet yesterday for a recheck and the area is almost completely healed – it was just a hotspot but the owners feel better that we scanned the pet as they were convinced it was a buried quill causing the infection – and I’m happy as I didn’t go in digging around to find nothing!
Thanks Eric!
I checked this
Thanks Eric!
I checked this out and was able to access this article as I am an ACVR Society only member. Maybe I should try a water bath study with a PPQ to see what it would look like on ultrasound for future reference.
I think my case was a false alarm as I saw the pet yesterday for a recheck and the area is almost completely healed – it was just a hotspot but the owners feel better that we scanned the pet as they were convinced it was a buried quill causing the infection – and I’m happy as I didn’t go in digging around to find nothing!
I got once a granuloma type
I got once a granuloma type of lesion in the left thoracic wall on a golden retriever, after biopsies and rads and investigation in specialist centre the owner came back to clinic, we decided to place probe on the lump and found a nice linear FB of more than 8cm depth!
Nice kebab stick that we could not pulled out as the head was still in the gastric lumen!!! Nice dx, but we had to do exlap and gastrotomy to pull it out! hehehe.
I add images.
I got once a granuloma type
I got once a granuloma type of lesion in the left thoracic wall on a golden retriever, after biopsies and rads and investigation in specialist centre the owner came back to clinic, we decided to place probe on the lump and found a nice linear FB of more than 8cm depth!
Nice kebab stick that we could not pulled out as the head was still in the gastric lumen!!! Nice dx, but we had to do exlap and gastrotomy to pull it out! hehehe.
I add images.
Sorry meant to say left
Sorry meant to say left thoracic wall hahahahaha. Here is the real kebab stick that we got.
Sorry meant to say left
Sorry meant to say left thoracic wall hahahahaha. Here is the real kebab stick that we got.
nice!
nice!
nice!
nice!