Fig. 1 |
Fig. 2 |
Case Report
Penny is a 5-year-old female spayed mixed breed dog that
presented with a chronic draining tract on her left flank. (Fig. 1-2) The track
had been present for 1 year and had been operated 3 times with no resolution.
Each time the exploratory surgery was performed directly over the affected area
of the flank attempting to follow the tract to its source. No foreign body or
other etiology was found on any of the previous surgeries. Repeated antibiotic
therapy would temporarily stop the drainage; cessation of the antibiotic would
result in recurrence of the drainage. Other than the tract no significant
abnormalities were found on physical examination.
Plain film abdominal radiographs were unremarkable. A
positive contrast fistulogram was performed by inserting a Foley catheter into
the tract and injecting water-soluble radiographic contrast material.(Fig. 3) Although
a foreign body was not outlined it appeared that the contrast entered the abdominal
cavity.
Fig. 3 |
Because of the suspicion of an intra-abdominal foreign body,
a ventral midline laparotomy was performed. A large, adherent, firm
granuloma was present in the left dorsal caudal abdomen adjacent to the urinary
bladder and descending colon and adhered to the left ureter. (Fig. 4)
Fig. 4: Granuloma in caudal abdomen (arrow) |
After
tedious blunt and sharp dissection that extended deep into the epaxial muscles,
the granuloma was excised. Inside the granuloma was a surgical sponge. (Fig. 5)
Fig. 5: Surgical sponge found in the center of the granuloma. |
Penny had an unremarkable recovery from anesthesia and
surgery. The tract resolved and did not recur.
The only abdominal surgery Penny had was when she was spayed
as a puppy. The sponge was present in her for 5 years.
No comments:
Post a Comment