ISSN 2398-2950      

Foreign body migration

ffelis
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Introduction

  • Cause: penetration of animal's body by sharp foreign object.
  • Signs: usually vague/systemic, may be localized.
  • Diagnosis: imaging of foreign body (FB).
  • Treatment: removal.
  • Prognosis: guarded.

Pathogenesis

Etiology

  • Usually caused by long eared grass seed.
  • Can be splinter of wood.
  • Any other sharp foreign body.

Predisposing factors

General

  • Long haired breeds are more likely to get grass seeds trapped unnoticed in coat.

Specific

  • Foreign body enters through skin, by penetration of oropharynx, or via respiratory system.
  • Once in body, foreign body tracks along fascial planes or through body tissues:
    • May carry infection with it or set up inflammatory reaction.
    • Trauma caused by foreign body may be significant, eg pleural puncture   →   pneumothorax.
    • May cause problems as a result of FB reaction, eg pyothorax.
  • Inhaled FB:
    • May puncture pleura   →   pneumothorax, pyothorax or mediastinitis.
    • Alternatively track along diaphragm to lumbar vertebrae   →   discospondylitis.
  • Pharyngeal FB may cause retrobulbar swelling.

Timecourse

  • Weeks to years.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Koutinas C K, Papazoglou L G, Saridomichelakis M N et al (2003) Caudal mediastinal abscess due to a grass awn (Hordeum spp) in a cat. J Feline Med Surg (1), 43-46 PubMed.
  • Lamb C R, White R N & McEvoy F J (1994) Sinography in the investigation of draining sinus tracts in small animals - retrospective review of 25 cases. Vet Surg 23 (2), 129-134 PubMed.
  • Morgan R V (1989) Ultrasonography of retrobulbar diseases in the dog and cat. JAAHA 25 (4), 393-399 VetMedResource.

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