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Right cranial lung lobe torsion after a diaphragmatic rupture repair in a Jack Russell terrier.

Terzo E, Pink J, Puggioni A, Shiel R, Andreoni V, McAllister H - Ir Vet J (2008)

Bottom Line: A seven-year-old male Jack Russell terrier was presented with a history of coughing, generalised weakness and lethargy 10 days after an abdominal coeliotomy to repair a large diaphragmatic rupture.Thoracic radiographs demonstrated a soft tissue mass in the midcaudal right thoracic cavity.LLT should be considered as a differential diagnosis for respiratory tract disease following diaphragmatic rupture repair.

View Article: PubMed Central - HTML - PubMed

Affiliation: University Veterinary Hospital, University College Dublin, Belfield, Dublin 4, Ireland. eloisa.terzo@ucd.ie.

ABSTRACT
A seven-year-old male Jack Russell terrier was presented with a history of coughing, generalised weakness and lethargy 10 days after an abdominal coeliotomy to repair a large diaphragmatic rupture. Thoracic radiographs demonstrated a soft tissue mass in the midcaudal right thoracic cavity. Ultrasonographic studies, bronchoscopy and subsequent exploratory thoracotomy confirmed a diagnosis of a right cranial lung lobe torsion (LLT), with an anomalous caudodorsal displacement of the affected lobe. LLT should be considered as a differential diagnosis for respiratory tract disease following diaphragmatic rupture repair.

No MeSH data available.


Related in: MedlinePlus

Ultrasonographic study (transverse plane) performed at the level of the fifth intercostal space of the right ventral thoracic wall. The right middle lobe (RmL) has sharp margins, is small in size, atelectatic and retracted medially. The right caudal lobe (RCdL) is partially aerated. Lateral to both of these lobes, along the thoracic wall, there is a mass in the right caudal hemithorax, with rounded margins, characterised by a liver-like echogenic tip and multiple gas bubbles reverberating in its central portion (arrow heads). This finding confirmed the corresponding vesicular gas pattern observed in the radiographs. This mass is the right cranial lung lobe (RCrL) (long arrow). An anechoic unilateral mild pleural effusion (PE) surrounds the lung lobes. (L: lateral; M: medial; Cd: caudal; Cr cranial.).
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Figure 3: Ultrasonographic study (transverse plane) performed at the level of the fifth intercostal space of the right ventral thoracic wall. The right middle lobe (RmL) has sharp margins, is small in size, atelectatic and retracted medially. The right caudal lobe (RCdL) is partially aerated. Lateral to both of these lobes, along the thoracic wall, there is a mass in the right caudal hemithorax, with rounded margins, characterised by a liver-like echogenic tip and multiple gas bubbles reverberating in its central portion (arrow heads). This finding confirmed the corresponding vesicular gas pattern observed in the radiographs. This mass is the right cranial lung lobe (RCrL) (long arrow). An anechoic unilateral mild pleural effusion (PE) surrounds the lung lobes. (L: lateral; M: medial; Cd: caudal; Cr cranial.).

Mentions: Thoracic ultrasonography (Figure 3) was performed immediately after the radiographs, at the level of the fifth intercostal space of the right thoracic wall, and revealed that the right middle lobe had sharp margins, was small in size, atelectatic and retracted medially. The right caudal lobe was partially aerated. Lateral to both these lobes, there was a mass in the right caudal hemithorax, with rounded margins and characterised by a liver-like (hepatised) echogenic tip with multiple gas bubbles reverberating in its central portion. An anechoic unilateral mild pleural effusion surrounded the lung lobes.


Right cranial lung lobe torsion after a diaphragmatic rupture repair in a Jack Russell terrier.

Terzo E, Pink J, Puggioni A, Shiel R, Andreoni V, McAllister H - Ir Vet J (2008)

Ultrasonographic study (transverse plane) performed at the level of the fifth intercostal space of the right ventral thoracic wall. The right middle lobe (RmL) has sharp margins, is small in size, atelectatic and retracted medially. The right caudal lobe (RCdL) is partially aerated. Lateral to both of these lobes, along the thoracic wall, there is a mass in the right caudal hemithorax, with rounded margins, characterised by a liver-like echogenic tip and multiple gas bubbles reverberating in its central portion (arrow heads). This finding confirmed the corresponding vesicular gas pattern observed in the radiographs. This mass is the right cranial lung lobe (RCrL) (long arrow). An anechoic unilateral mild pleural effusion (PE) surrounds the lung lobes. (L: lateral; M: medial; Cd: caudal; Cr cranial.).
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Related In: Results  -  Collection

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Figure 3: Ultrasonographic study (transverse plane) performed at the level of the fifth intercostal space of the right ventral thoracic wall. The right middle lobe (RmL) has sharp margins, is small in size, atelectatic and retracted medially. The right caudal lobe (RCdL) is partially aerated. Lateral to both of these lobes, along the thoracic wall, there is a mass in the right caudal hemithorax, with rounded margins, characterised by a liver-like echogenic tip and multiple gas bubbles reverberating in its central portion (arrow heads). This finding confirmed the corresponding vesicular gas pattern observed in the radiographs. This mass is the right cranial lung lobe (RCrL) (long arrow). An anechoic unilateral mild pleural effusion (PE) surrounds the lung lobes. (L: lateral; M: medial; Cd: caudal; Cr cranial.).
Mentions: Thoracic ultrasonography (Figure 3) was performed immediately after the radiographs, at the level of the fifth intercostal space of the right thoracic wall, and revealed that the right middle lobe had sharp margins, was small in size, atelectatic and retracted medially. The right caudal lobe was partially aerated. Lateral to both these lobes, there was a mass in the right caudal hemithorax, with rounded margins and characterised by a liver-like (hepatised) echogenic tip with multiple gas bubbles reverberating in its central portion. An anechoic unilateral mild pleural effusion surrounded the lung lobes.

Bottom Line: A seven-year-old male Jack Russell terrier was presented with a history of coughing, generalised weakness and lethargy 10 days after an abdominal coeliotomy to repair a large diaphragmatic rupture.Thoracic radiographs demonstrated a soft tissue mass in the midcaudal right thoracic cavity.LLT should be considered as a differential diagnosis for respiratory tract disease following diaphragmatic rupture repair.

View Article: PubMed Central - HTML - PubMed

Affiliation: University Veterinary Hospital, University College Dublin, Belfield, Dublin 4, Ireland. eloisa.terzo@ucd.ie.

ABSTRACT
A seven-year-old male Jack Russell terrier was presented with a history of coughing, generalised weakness and lethargy 10 days after an abdominal coeliotomy to repair a large diaphragmatic rupture. Thoracic radiographs demonstrated a soft tissue mass in the midcaudal right thoracic cavity. Ultrasonographic studies, bronchoscopy and subsequent exploratory thoracotomy confirmed a diagnosis of a right cranial lung lobe torsion (LLT), with an anomalous caudodorsal displacement of the affected lobe. LLT should be considered as a differential diagnosis for respiratory tract disease following diaphragmatic rupture repair.

No MeSH data available.


Related in: MedlinePlus