Abdominal ultrasound has inconsistent agreement with subsequent surgery or necropsy findings in dogs and cats with septic peritonitis.

IF 1.6 2区 农林科学 Q2 VETERINARY SCIENCES
Curtis G Rheingold, Cody Dickens, Anna Tran, Rebecka S Hess, Yekaterina Buriko
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引用次数: 0

Abstract

Objective: To evaluate whether abdominal ultrasound correctly diagnosed septic peritonitis and correctly identified its causative lesion in dogs and cats.

Animals: 84 client-owned dogs and 10 cats that underwent an abdominal ultrasound and had confirmation of septic peritonitis via exploratory laparotomy or necropsy.

Methods: This retrospective case series documented abdominal ultrasound findings, surgical or necropsy findings, and method for initial diagnosis of septic peritonitis, if different from surgery or necropsy. The surgical report and necropsy findings were compared to sonography results to confirm a diagnosis of septic peritonitis. The frequency at which sonography diagnosed septic peritonitis and its causative lesion was calculated for each type of lesion pathology and organ system. Secondary aims included evaluating the effect of patient characteristics (body weight and species) on sonographic results and whether lesion type or location affected mortality.

Results: Most lesions causing septic peritonitis (70.2%) were gastrointestinal in origin and were nonneoplastic ulcerations or perforations (50%). Abdominal ultrasound diagnosed 56.3% of cases of subsequently confirmed septic peritonitis and correctly identified 67% of the causative lesions. Lesions of the gastrointestinal tract and ulcerations/perforations were the most frequent correct sonographic diagnoses and most likely to lead to a correct sonographic diagnosis of septic peritonitis. Lesions located in the hepatobiliary system and lesion types other than neoplasia or ulcerations/perforations were the most frequently missed by abdominal ultrasound.

Clinical relevance: Abdominal ultrasound often fails to diagnose septic peritonitis or the underlying causative lesion, and its accuracy depends on the affected organ and type of lesion.

在患有化脓性腹膜炎的犬和猫身上,腹部超声波与随后的手术或尸检结果不一致。
目的评估腹部超声波是否能正确诊断犬和猫的化脓性腹膜炎并正确确定其致病病灶。动物:84 只客户饲养的犬和 10 只猫接受了腹部超声波检查,并通过剖腹探查术或尸体解剖确诊为化脓性腹膜炎:该回顾性病例系列记录了腹部超声波检查结果、手术或尸体解剖结果,以及化脓性腹膜炎的初步诊断方法(如果与手术或尸体解剖结果不同)。将手术报告和尸体解剖结果与超声波检查结果进行比较,以确诊化脓性腹膜炎。针对每种病变类型和器官系统,计算超声波检查诊断出化脓性腹膜炎及其致病病变的频率。次要目的包括评估患者特征(体重和种类)对超声波检查结果的影响,以及病变类型或位置是否会影响死亡率:导致化脓性腹膜炎的大多数病变(70.2%)起源于胃肠道,并且是非肿瘤性溃疡或穿孔(50%)。在随后确诊的化脓性腹膜炎病例中,56.3%通过腹部超声波诊断,67%正确识别了致病病灶。胃肠道病变和溃疡/穿孔是最常见的正确超声诊断,也最有可能导致化脓性腹膜炎的正确超声诊断。位于肝胆系统的病变以及肿瘤或溃疡/穿孔以外的病变类型最常被腹部超声漏诊:临床相关性:腹部超声常常不能诊断出化脓性腹膜炎或潜在的致病病变,其准确性取决于受影响的器官和病变类型。
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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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