Intra-abdominal torsion of a non-neoplastic cryptorchid testis in an adult dog / Torção intra-abdominal de testículo criptorquideo sem neoplasia em cão adulto

Intra-abdominal or intrascrotal testicular torsion in dogs occurs due to spermatic cord rotation. Dogs with testicular torsion commonly present severe pain and require surgical intervention. Torsion of intra-abdominal retained testicles in cryptorchid adult dogs is often associated with the presence of testicular neoplasia. Herein, we reported the case of a 5-year-old male poodle with uncommon intra-abdominal testicular torsion (ITT) of a non-neoplastic testicle. The dog was referred to the veterinary hospital with acute abdominal pain in the hypogastric region. An intra-abdominal gonad and alterations compatible with testicular torsion were visualized during ultrasound examination. Orchiectomy and histopathological analysis of the testes confirmed the diagnosis of ITT in the absence of neoplasia. The patient recovered uneventfully from the situation. This report showed that ITT can occur in adult dogs in the absence of testicular neoplasia and reinforce the message that it should be included as a differential diagnosis in cases of acute abdominal pain in cryptorchid dogs. Furthermore, the ultrasound examination in this case of pain in the hypogastric region was decisive for the diagnosis of ITT.

A torção testicular intra-abdominal ou intra-escrotal em cães ocorre devido à rotação do cordão espermático. Os cães com torção testicular apresentam comumente dor intensa e necessitam de intervenção cirúrgica. Em cães adultos, a torção de testículos retidos no abdômen está geralmente associada à presença de neoplasia testicular. Este relato descreve um caso incomum de cão macho, de cinco anos de idade, da raça Poodle, encaminhado ao Hospital Veterinário com dor abdominal aguda na região hipogástrica. Durante o exame ecográfico, foi possível evidenciar um testículo e alterações compatíveis com torção testicular. A orquiectomia intra-abdominal e posterior análise histopatológica confirmaram a ITT sem neoplasia associada. O paciente apresentou evolução clínica satisfatória. Este relato mostra que a ITT na ausência de neoplasia pode ocorrer em cães adultos, reforçando a mensagem de que deve ser considerada como um diferencial diagnóstico em casos de dor abdominal aguda. Além disso, o exame ultrassonográfico realizado neste caso de dor na região hipogástrica foi decisivo para o diagnóstico de ITT.

Leiomioma intestinal intrapélvico em cão - desafio diagnóstico e terapêutico / Intrapelvic intestinal leiomyoma in a dog - diagnostic and therapeutic challenges

Background: Rectal tumors are uncommon in dogs and cats. The clinical signs result from intra- and extraluminal compression. Diagnosis and treatment of rectal tumors are challenging due to their intraplevic location. Owing to considerable bonesuperposition, computed tomography is the best exam to evaluate the tumor and plan surgery; however, poor availabilityand high costs may hinder its use. The objective of this case report is to describe the successful use of a combination ofdiagnostic techniques, namely transrectal ultrasound, transrectal fine-needle aspiration, and colonoscopy, for diagnosisand surgery planning in a case of intrapelvic intestinal leiomyoma in a dog.Case: A 13-year-old female mongrel dog with tenesmus, low stool production, and hematochezia for two months was presented for examination. During this two-month period, a symptomatic treatment was administered, but there was no clinicalimprovement. In the clinical evaluation revealed a painless mass on the left dorsolateral region, at a depth of around 4 cm,with considerable luminal reduction. Abdominal ultrasound revealed a mass close to the descending colon; however, bonesuperposition precluded identification of its origin or delimitation of its boundaries. The patient was subjected to transrectalultrasound imaging, colonoscopy, and cytological examination of fine-needle aspiration biopsy material collected under generalanesthesia. The mass was located at the final portion of the descending colon; it was extraluminal, and measured around 7 x7 cm. The integrity of the intestinal wall was preserved. Next, radiographic examination of the thorax using three projections(ventrodorsal, left lateral, and right lateral) was performed to check for metastases, and no alteration was detected. Cytologysuggested presence of leiomyoma. The patient underwent exploratory laparotomy with pubic osteotomy for intrapelvic access...(AU)

Leiomioma intestinal intrapélvico em cão - desafio diagnóstico e terapêutico / Intrapelvic intestinal leiomyoma in a dog - diagnostic and therapeutic challenges

Background: Rectal tumors are uncommon in dogs and cats. The clinical signs result from intra- and extraluminal compression. Diagnosis and treatment of rectal tumors are challenging due to their intraplevic location. Owing to considerable bonesuperposition, computed tomography is the best exam to evaluate the tumor and plan surgery; however, poor availabilityand high costs may hinder its use. The objective of this case report is to describe the successful use of a combination ofdiagnostic techniques, namely transrectal ultrasound, transrectal fine-needle aspiration, and colonoscopy, for diagnosisand surgery planning in a case of intrapelvic intestinal leiomyoma in a dog.Case: A 13-year-old female mongrel dog with tenesmus, low stool production, and hematochezia for two months was presented for examination. During this two-month period, a symptomatic treatment was administered, but there was no clinicalimprovement. In the clinical evaluation revealed a painless mass on the left dorsolateral region, at a depth of around 4 cm,with considerable luminal reduction. Abdominal ultrasound revealed a mass close to the descending colon; however, bonesuperposition precluded identification of its origin or delimitation of its boundaries. The patient was subjected to transrectalultrasound imaging, colonoscopy, and cytological examination of fine-needle aspiration biopsy material collected under generalanesthesia. The mass was located at the final portion of the descending colon; it was extraluminal, and measured around 7 x7 cm. The integrity of the intestinal wall was preserved. Next, radiographic examination of the thorax using three projections(ventrodorsal, left lateral, and right lateral) was performed to check for metastases, and no alteration was detected. Cytologysuggested presence of leiomyoma. The patient underwent exploratory laparotomy with pubic osteotomy for intrapelvic access...