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Background: Hypertrophic cardiomyopathy is the most common acquired cardiovascular disease in the feline species. A frequent complication of this cardiomyopathy is the development of cardiac congestive failure, left atrial enlargement and subsequent development of arterial thromboembolism. In a significant percentage of affected animals there is progression to congestive heart failure, resulting in cyanosis and dyspnea, often the first clinical signs reported by owners. This is a report of a 10-year-old Persian cat with hypertrophic cardiomyopathy and venous and arterial thromboembolism of non-cardiogenic origin. Case: The patient was referred for cardiac evaluation, arterial thromboembolism was the suspected cause of tetraparesis. On clinical examination, a metacarpal pulse was present in all limbs; there was no cyanosis or peripheral hypothermia thus, ruling out a thromboembolic event in the limbs. Changes consistent with feline asthma and pulmonary edema were seen on radiographs, therefore hypertrophic cardiomyopathy was suspected. Treatment with enalapril (0.25 mg/kg every 12 h) for the heart condition and prednisolone (1 mg/kg every 24 h) for asthma was started. Nine days later, the patient developed mixed dyspnea (inspiratory and expiratory) and was hospitalized with signs consistent with arterial thromboembolism: paralysis and cold extremities in the right and left pelvic limbs. The patient was euthanized due to the poor prognosis. Postmortem and histopathological findings revealed left ventricular concentric hypertrophy, with no valvular changes; disseminated intravascular coagulation, with thrombi in the arterial (iliac arteries, pancreatic and renal vessels) and venous (pulmonary and renal veins) beds; as well as multiple neoplastic lung masses, identified as scirrhous pulmonary adenocarcinoma, responsible for increased interstitial radiopacity. Metastasis was also identified at the tracheal bifurcation, causing radiographic changes similar to the alveolar pattern of pulmonary edema

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RESUMO

Background: Hypertrophic cardiomyopathy is the most common acquired cardiovascular disease in the feline species. A frequent complication of this cardiomyopathy is the development of cardiac congestive failure, left atrial enlargement and subsequent development of arterial thromboembolism. In a significant percentage of affected animals there is progression to congestive heart failure, resulting in cyanosis and dyspnea, often the first clinical signs reported by owners. This is a report of a 10-year-old Persian cat with hypertrophic cardiomyopathy and venous and arterial thromboembolism of non-cardiogenic origin. Case: The patient was referred for cardiac evaluation, arterial thromboembolism was the suspected cause of tetraparesis. On clinical examination, a metacarpal pulse was present in all limbs; there was no cyanosis or peripheral hypothermia thus, ruling out a thromboembolic event in the limbs. Changes consistent with feline asthma and pulmonary edema were seen on radiographs, therefore hypertrophic cardiomyopathy was suspected. Treatment with enalapril (0.25 mg/kg every 12 h) for the heart condition and prednisolone (1 mg/kg every 24 h) for asthma was started. Nine days later, the patient developed mixed dyspnea (inspiratory and expiratory) and was hospitalized with signs consistent with arterial thromboembolism: paralysis and cold extremities in the right and left pelvic limbs. The patient was euthanized due to the poor prognosis. Postmortem and histopathological findings revealed left ventricular concentric hypertrophy, with no valvular changes; disseminated intravascular coagulation, with thrombi in the arterial (iliac arteries, pancreatic and renal vessels) and venous (pulmonary and renal veins) beds; as well as multiple neoplastic lung masses, identified as scirrhous pulmonary adenocarcinoma, responsible for increased interstitial radiopacity. Metastasis was also identified at the tracheal bifurcation, causing radiographic changes similar to the alveolar pattern of pulmonary edema…(AU)

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A eventração é a ruptura da parede abdominal com saída de vísceras, ficando contida apenas pela pele.O trauma é a etiologia mais frequente na maioria dos casos e pode ocasionar estrangulação das porções acometidas.Após a lesão ocorre deposição de fibrina e construção de aglutinações fibrinosas, que serão degradadas em poucos dias ou transformadas em aderências fibrosas permanentes. O tratamento é cirúrgico e consiste na redução do conteúdo eventrado e reconstituição da parede abdominal. O propósito deste trabalho é reportar um caso de. eventração equina com aderência de ceco, atendido no setor de Clínica Médica e Terapêutica de Equídeos da Faculdade de Medicina Veterinária e Zootecnia (FAMEZ), Universidade Federal de Mato Grosso do Sul (UFMS). O animal foi submetido à laparotomia paramediana direita com cecostomia e redução da eventração. O equino recebeu alta após 30 dias da intervenção com a ferida cirúrgica cicatrizada e sem evidências de complicações pós-operatórias.(AU)

The eventration is the rupture of the abdominal wall with output viscera, being restrained only by theskin. Trauma is the most frequent cause in most cases and may lead to strangulation of affected portions. Alter theinjury, the fibrin deposition and clumps fibrinous construction may be degraded in few days or transformed intopermanent fibrous adhesion. The treatment is surgical and consists to reduce the gut content and reconstitute abdominal wall. The purpose of this study is to report an equine eventration with cecal adhesion, atlended at Large Animal Medical and Surgical Clinic, Department of Veterinary Medicine and Zootechny College (FAMEZ), Federal University of Mato Grosso do Sul (UFMS). The animal under went laparotomy with right paramedian cecostomy andreducing herniation. The horse was discharged after 30 days of intervention with the healed wound and no evidenceof post-operative complications.(AU)

A eventración es Ia ruptura de Ia pared abdominal con salida de Ias viseras, quedandó sostenida apenaspor lapiel. EI trauma es Ia etologia mas frecuente en Ia mayoria de los casos que puede ocasionar estrangulacion deIas porciones acometidas despues de Ia lesion ocurre deposição de fibrina y construccion de glutinaco es fibrinosasque seran degradads en pocos dias o transformadas en aderência fibrosas permanente. EI tratamento es cirúrgico que consiste en Ia reduccion dei contenido eventrada y Ia regeneracion de Ia pared abdominal. EI proposito de estetrabajo es reportar un caso de eventración equina com aderência de ceco atendido en el sector de clinica medica y terapêutica de equideos de Ia Facultad de Medicina Veterinária y Zootecnia (FAMEZ), Universidade Federal de MatoGrosso do Sul (UFMS). EI animal fue sometido a laparotomia paramediana derecha con cecostomia y reduccion deIa eventración. EI equino tuvo de alta aios 30 dias de intervencion con Ia herida cirúrgica cicatrisada y sin evidenciade complicacion pos-operatória.(AU)

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RESUMO

A eventração é a ruptura da parede abdominal com saída de vísceras, ficando contida apenas pela pele.O trauma é a etiologia mais frequente na maioria dos casos e pode ocasionar estrangulação das porções acometidas.Após a lesão ocorre deposição de fibrina e construção de aglutinações fibrinosas, que serão degradadas em poucos dias ou transformadas em aderências fibrosas permanentes. O tratamento é cirúrgico e consiste na redução do conteúdo eventrado e reconstituição da parede abdominal. O propósito deste trabalho é reportar um caso de. eventração equina com aderência de ceco, atendido no setor de Clínica Médica e Terapêutica de Equídeos da Faculdade de Medicina Veterinária e Zootecnia (FAMEZ), Universidade Federal de Mato Grosso do Sul (UFMS). O animal foi submetido à laparotomia paramediana direita com cecostomia e redução da eventração. O equino recebeu alta após 30 dias da intervenção com a ferida cirúrgica cicatrizada e sem evidências de complicações pós-operatórias.

The eventration is the rupture of the abdominal wall with output viscera, being restrained only by theskin. Trauma is the most frequent cause in most cases and may lead to strangulation of affected portions. Alter theinjury, the fibrin deposition and clumps fibrinous construction may be degraded in few days or transformed intopermanent fibrous adhesion. The treatment is surgical and consists to reduce the gut content and reconstitute abdominal wall. The purpose of this study is to report an equine eventration with cecal adhesion, atlended at Large Animal Medical and Surgical Clinic, Department of Veterinary Medicine and Zootechny College (FAMEZ), Federal University of Mato Grosso do Sul (UFMS). The animal under went laparotomy with right paramedian cecostomy andreducing herniation. The horse was discharged after 30 days of intervention with the healed wound and no evidenceof post-operative complications.

A eventración es Ia ruptura de Ia pared abdominal con salida de Ias viseras, quedandó sostenida apenaspor lapiel. EI trauma es Ia etologia mas frecuente en Ia mayoria de los casos que puede ocasionar estrangulacion deIas porciones acometidas despues de Ia lesion ocurre deposição de fibrina y construccion de glutinaco es fibrinosasque seran degradads en pocos dias o transformadas en aderência fibrosas permanente. EI tratamento es cirúrgico que consiste en Ia reduccion dei contenido eventrada y Ia regeneracion de Ia pared abdominal. EI proposito de estetrabajo es reportar un caso de eventración equina com aderência de ceco atendido en el sector de clinica medica y terapêutica de equideos de Ia Facultad de Medicina Veterinária y Zootecnia (FAMEZ), Universidade Federal de MatoGrosso do Sul (UFMS). EI animal fue sometido a laparotomia paramediana derecha con cecostomia y reduccion deIa eventración. EI equino tuvo de alta aios 30 dias de intervencion con Ia herida cirúrgica cicatrisada y sin evidenciade complicacion pos-operatória.

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