RESUMO
In animals and humans, intestinal muscular hypertrophy has only been observed in the small intestine, and this appears to be the first report of the disease affecting the large intestine. A rare case of primary muscle hypertrophy of the colon was found during the necropsy of a male, 3-year-old, mixed breed cat that died due to poisoning by carbamate. The necropsy revealed that the entire colon had marked circumferential thickening with narrowing of the lumen. Microscopically, diffuse intense smooth muscle hypertrophy was observed, especially of the inner circular muscle layer and muscularis mucosa. Those finds were associated with moderate multifocal to coalescing lymphocytic inflammatory infiltrate. Smooth muscle fibers of the large and small intestine showed no CDC47 expression and the percentage of nuclei in the muscle layers was similar between the colon and the duodenum. Based on macroscopic, microscopic and immunohistochemical findings, the diagnosis of diffuse primary muscle hypertrophy of the colon was confirmed.
Assuntos
Animais , Gatos , Colo/patologia , Enteropatias/veterinária , Hipertrofia/veterinária , Autopsia/veterinária , Carbamatos/toxicidade , Colite/veterinária , Intoxicação/veterináriaRESUMO
In animals and humans, intestinal muscular hypertrophy has only been observed in the small intestine, and this appears to be the first report of the disease affecting the large intestine. A rare case of primary muscle hypertrophy of the colon was found during the necropsy of a male, 3-year-old, mixed breed cat that died due to poisoning by carbamate. The necropsy revealed that the entire colon had marked circumferential thickening with narrowing of the lumen. Microscopically, diffuse intense smooth muscle hypertrophy was observed, especially of the inner circular muscle layer and muscularis mucosa. Those finds were associated with moderate multifocal to coalescing lymphocytic inflammatory infiltrate. Smooth muscle fibers of the large and small intestine showed no CDC47 expression and the percentage of nuclei in the muscle layers was similar between the colon and the duodenum. Based on macroscopic, microscopic and immunohistochemical findings, the diagnosis of diffuse primary muscle hypertrophy of the colon was confirmed.(AU)
Assuntos
Animais , Gatos , Hipertrofia/veterinária , Enteropatias/veterinária , Colo/patologia , Carbamatos/toxicidade , Intoxicação/veterinária , Autopsia/veterinária , Colite/veterináriaRESUMO
BACKGROUND: Endometriosis is ectopic development of endometrial glands and stroma in extra-uterine sites and if the lesions occur as a well-defined mass is referred to as endometrioma. In the literature, endometrioma has been reported in only women and there are no reports of endometrioma in animals, including non-human primates. CASE PRESENTATION: A rare case of endometrioma is reported in an 11-year-old female German Shepherd with clinical signs of dehydration, anemia and prostration. Necropsy revealed ascites, generalized pallor, and a well-demarcated reddish mass adjacent to the left ovary and uterus and adherent to the retroperitoneum. The mass measured 25.0 × 20.0 cm with intermingled soft and firm areas. Upon incision, the mass was found to be solid with variable sized cystic cavities filled with coagulated blood. Microscopically, the mass was composed of cuboidal or prismatic epithelial cells arranged in tubules or acini. The epithelium of the mass had similar characteristics to the normal endometrium with PAS-positive secretions. The stroma was prominent and formed by loose connective tissue and smooth muscle fibers as confirmed by Masson trichrome. Extensive multifocal areas of hemorrhage were also observed in the stroma of the mass and in the interior of some epithelium-lined, cystic structures. Most of the epithelial cells had strong and diffuse cytokeratin expression, and some had vimentin expression. Epithelial and stromal cells also showed ERß, AR, VEGF and COX2 expression. The stroma showed areas with strong and diffuse vimentin expression. Factor VIII expression was observed only in the endothelium of blood vessels in the stroma. CONCLUSIONS: The macroscopic, microscopic and immunohistochemical findings are consistent with an endometrioma.