DOI QR코드

DOI QR Code

Grain Foreign Body Embedded in the Spleen and Immune-Mediated Hemolytic Anemia in a Maltese Dog

  • Song, Joong-Hyun (Research Institute of Natural Science, College of Veterinary Medicine, Gyeongsang National University) ;
  • Jang, Hyo-Mi (Research Institute of Natural Science, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Hee-Chun (Research Institute of Natural Science, College of Veterinary Medicine, Gyeongsang National University) ;
  • Sur, Jung-Hyang (Department of Pathobiology, Small Animal Tumor Diagnostic Center, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Byeong-Teck (Laboratory of Veterinary Dermatology and Neurology, College of Veterinary Medicine, Chungbuk National University) ;
  • Jung, Dong-In (Research Institute of Natural Science, College of Veterinary Medicine, Gyeongsang National University)
  • Received : 2016.09.19
  • Accepted : 2016.12.23
  • Published : 2017.02.28

Abstract

An 8-month-old, intact male Maltese dog was referred to us because of anorexia, diarrhea, and jaundice. Hematologic examination revealed immune-mediated hemolytic anemia, and abdominal ultrasonography revealed heterogeneous changes in mesenteric fat and coarse echotexture in the splenic parenchyma. Septic peritonitis was diagnosed on the basis of a bacterial culture test of the peritoneal fluid. Exploratory laparotomy and subsequent omental biopsy and splenectomy were performed. On histopathological examination, the omental mass and splenic lesions were diagnosed as grain foreign body granulomas. This report describes a rare case in which a grain foreign body was embedded in the spleen of a dog.

Keywords

References

  1. Appleby R, Zur Linden A, Singh A, Finck C, Crawford E. Computed tomography diagnosis of a thoracic and abdominal penetrating foreign body in a dog. Can Vet J 2015; 56: 1149-1152.
  2. Armbrust LJ, Biller DS, Radlinsky MG, Hoskinson JJ. Ultrasonographic diagnosis of foreign bodies associated with chronic draining tracts and abscesses in dogs. Vet Radiol Ultrasound 2003; 44: 66-70. https://doi.org/10.1111/j.1740-8261.2003.tb01452.x
  3. Baccarani U, Risaliti A, Sainz-Barriga M, Adani GL, Donini A, Toniutto P, Bresadola F. Ileosplenic fistula and splenic abscesses caused by migration of biliary stents in a liver transplant recipient. Gastrointest Endosc 2003; 58: 811-813. https://doi.org/10.1016/S0016-5107(03)02112-6
  4. Beischer D, Robins G. Vertebral osteomyelitis, ataxia and paraparesis caused by a satay stick. Aust Vet Pract 1993; 23: 7-10.
  5. Brankov O. Migration of an ingested foreign body (sewing needle) to the pancreas tail and spleen. Khirurgiia 2007: 64-66.
  6. Brennan KE, Ihrke PJ. Grass awn migration in dogs and cats: a retrospective study of 182 cases. J Am Vet Med Assoc 1983; 182: 1201-1204.
  7. Brennan SF, Connery N, Tobin E, Mooney CT, Jones BR. Gastrocutaneous fistula as a result of migration of a foreign body in a dog. J Small Anim Pract 2004; 45: 304-306. https://doi.org/10.1111/j.1748-5827.2004.tb00240.x
  8. Calvo I, Weilland L, Pratschke K. Traumatic myocardial laceration as a result of suspected cranial migration of a sewing needle from the stomach of a dog. Aust Vet J 2011; 89: 444-446. https://doi.org/10.1111/j.1751-0813.2011.00847.x
  9. Choi H, Lee Y, Wang J, Yeon S, Lee H, Lee H. Metallic foreign body in the liver of a dog. J Vet Med Sci 2010; 72: 1487-1490. https://doi.org/10.1292/jvms.10-0108
  10. Coleman DL, King RN, Andrade JD. The foreign body reaction: a chronic inflammatory response. J Biomed Mater Res 1974; 8: 199-211. https://doi.org/10.1002/jbm.820080503
  11. Culp WT, Aronson LR. Splenic foreign body in a cat. J Feline Med Surg 2008; 10: 380-383. https://doi.org/10.1016/j.jfms.2007.12.005
  12. Day JL, Pechman RD, Bahr RJ. Migration of a retained surgical swab into the jejunum in a dog. J Small Anim Pract 2012; 53: 705-708. https://doi.org/10.1111/j.1748-5827.2012.01286.x
  13. Dennis MM, Pearce LK, Norrdin RW, Ehrhart EJ. Bacterial meningoencephalitis and ventriculitis due to migrating plant foreign bodies in three dogs. Vet Pathol 2005; 42: 840-844. https://doi.org/10.1354/vp.42-6-840
  14. Ettinger SJ, Feldman EC. Immune-mediated Hemolytic Anemia and Other Regenerative Anemias. In: Textbook of veterinary internal medicine, 7th ed. Philadelphia: Saunders. 2009: 761-772.
  15. Gnudi G, Volta A, Bonazzi M, Gazzola M, Bertoni G. Ultrasonographic features of grass awn migration in the dog. Vet Radiol Ultrasound 2005; 46: 423-426. https://doi.org/10.1111/j.1740-8261.2005.00077.x
  16. Gongaware RD, Rose JS, Berdon WE, Weil R 3rd. Intrasplenic foreign body. The use of induced pneumoperitoneum for diagnosis. Am J Surg 1972; 124: 694-696. https://doi.org/10.1016/0002-9610(72)90118-3
  17. Hopper BJ, Lester NV, Irwin PJ, Eger CE, Richardson JL. Imaging diagnosis: pneumothorax and focal peritonitis in a dog due to migration of an inhaled grass awn. Vet Radiol Ultrasound 2004; 45: 136-138. https://doi.org/10.1111/j.1740-8261.2004.04022.x
  18. Hunt GB, Worth A, Marchevsky A. Migration of wooden skewer foreign bodies from the gastrointestinal tract in eight dogs. J Small Anim Pract 2004; 45: 362-367. https://doi.org/10.1111/j.1748-5827.2004.tb00249.x
  19. Johns IC, Desrochers A, Wotman KL, Sweeney RW. Presumed immune-mediated hemolytic anemia in two foals with Rhodococcus equi infection. J Vet Emerg Crit Care 2011; 21: 273-278. https://doi.org/10.1111/j.1476-4431.2011.00633.x
  20. Johnson GC, Mann FA, Fair N, Casteel SW. Transmural intestinal penetration of polyester fibers as an uncommon cause of peritoneal adhesions in a dog. J Vet Diagn Invest 1992; 4: 473-476. https://doi.org/10.1177/104063879200400424
  21. Klag AR, Giger U, Shofer FS. Idiopathic immune-mediated hemolytic anemia in dogs: 42 cases (1986-1990). J Am Vet Med Assoc 1993; 202: 783-788.
  22. Linon E, Geissbuhler U, Karli P, Forterre F. Atlantoaxial epidural abscess secondary to grass awn migration in a dog. Vet Comp Orthop Traumatol 2014; 27: 155-158. https://doi.org/10.3415/VCOT-13-07-0095
  23. Mahajan SK, Anand A, Sangwan V, Mohindroo J, Singh K. Surgical retrieval of a metallic foreign body from the spleen of a dog. Can Vet J 2012; 53: 399-401.
  24. Malizia AA, Jr., Reiman HM, Myers RP, Sande JR, Barham SS, Benson RC, Jr., Dewanjee MK, Utz WJ. Migration and granulomatous reaction after periurethral injection of polytef (Teflon). J Am Med Assoc 1984; 251: 3277-3281. https://doi.org/10.1001/jama.1984.03340480059030
  25. Mateo I, Lorenzo V, Munoz A, Pumarola M. Brainstem abscess due to plant foreign body in a dog. J Vet Intern Med 2007; 21: 535-538. https://doi.org/10.1111/j.1939-1676.2007.tb03003.x
  26. Matteucci ML, Spaulding K, Dassler C, Lee D. Ultrasound diagnosis: intra-abdominal wood foreign body. Vet Radiol Ultrasound 1999; 40: 513-516. https://doi.org/10.1111/j.1740-8261.1999.tb00384.x
  27. Potter FA, Fiorini AJ, Knox J, Rajesh PB. The migration of a Kirschner wire from shoulder to spleen: brief report. J Bone Joint Surg Br 1988; 70: 326-327.
  28. Sellon D, Wise L. Disorders of the hematopoietic system. In: Equine Internal Medicine, 2nd ed. Philadelphia: Saunders. 2004: 721-768.
  29. Shah ZR, Crass JR, Oravec DC, Bellon EM. Ultrasonographic detection of foreign bodies in soft tissues using turkey muscle as a model. Vet Radiol Ultrasound 1992; 33: 94-100. https://doi.org/10.1111/j.1740-8261.1992.tb01967.x
  30. Silverstein D, Hopper K. Peritonitis. In: Small animal critical care medicine, 2nd ed. Philadelphia: Saunders. 2014: 643-648.
  31. Takahashi K, Morimura N, Sakamoto T, Nagashima H, Hirata M. Medullar injury caused by sewing needle puncture. J Emerg Med 2011; 40: 65-67. https://doi.org/10.1016/j.jemermed.2008.01.002
  32. Tornero J, Palou J, Prados M, Salvador J, Vicente J. Bladder perforation caused by foreign body migration. Int Urol Nephrol 2000; 32: 241-243. https://doi.org/10.1023/A:1007131017611
  33. Vansteenkiste DP, Lee KC, Lamb CR. Computed tomographic findings in 44 dogs and 10 cats with grass seed foreign bodies. J Small Anim Pract 2014; 55: 579-584. https://doi.org/10.1111/jsap.12278
  34. Wyatt K, Marchevsky A, Kelly A. An enterovesical foreign body in a dog. Aust Vet J 1999; 77: 27-29. https://doi.org/10.1111/j.1751-0813.1999.tb12420.x