Medical Imaging of Tracheal laceration in a Young Alaskan Malamute Dog

어린 알래스카 말라뮤트견에서 기관열상의 영상의학증례

  • Choi, Ho-Jung (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-Won (College of Veterinary Medicine, Chungnam National University) ;
  • Ha, Ji-Young (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Kim, Jae-Hwan (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Park, Ki-Tae (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Yeon, Seong-Chan (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Lee, Hee-Chun (Research Institute of Life Sciences, Gyeongsang National University)
  • 최호정 (충남대학교 수의과대학) ;
  • 이영원 (충남대학교 수의과대학) ;
  • 하지영 (경상대학교 생명과학연구원) ;
  • 김재환 (경상대학교 생명과학연구원) ;
  • 박기태 (경상대학교 생명과학연구원) ;
  • 연성찬 (경상대학교 생명과학연구원) ;
  • 이희천 (경상대학교 생명과학연구원)
  • Accepted : 2012.04.20
  • Published : 2012.04.30

Abstract

A 2-month-old, intact female Alaskan Malamute was presented for evaluation of dyspnea and subcutaneous emphysema of the neck following biting wound. Two small punctured skin lesions and crepitus on the neck were found during physical examination. Radiographs revealed pneumomediastinum and subcutaneous emphysema. Confirmative diagnosis of tracheal laceration was made by identifying the tracheal wall discontinuity on the computed tomography. CT is a valuable tool to diagnose an external traumatic tracheal injury, and more specifically, to assess the location and the extent of laceration, and it leads to early definitive treatment and reduction of the incidence of complications.

2개월령의 알래스카 말라뮤트견이 교상후 호흡곤란과 경부피하기종을 주증으로 내원하였다. 신체검사에서 두 개의 작은 피부열상과 경부의 염발음이 확인되었다 방사선 검사에서 종격기종과 피하기종이 관찰되었다. 종격동기종의 원인을 파악하기 위해서 컴퓨터 단층촬영검사를 실시하였다. 컴퓨터 단층촬영검사결과 경도의 기관열상이 2군데에서 관찰되었다. 컴퓨터 단층촬영검사는 기관의 외상성의 진단에 유용하며, 특히 열상의 위치와 정도를 잘 영상화할 수 있으므로 정확한 처치와 이로 인한 부작용을 줄일 수 있다.

Keywords

References

  1. Bhandal J, Kuzma A. Tracheal rupture in a cat: diagnosis by computed tomography. Can Vet J 2008; 49: 595-597.
  2. Caron JP, Townsend HGG. Tracheal perforation and widespread subcutaneous emphysema in a horse. Can Vet J 1984; 25: 339-341.
  3. Chen J, Shanmuganathan K, Mirvis SE, Killeen KL, Dutton RP. Using CT to diagnose tracheal rupture. Am J Roentgenol 2001; 176: 1273-1280. https://doi.org/10.2214/ajr.176.5.1761273
  4. Clements DN, McGill S, Beths T, Sullivan M. Tracheal perforation secondary to suture irritation in a dog following a ventral slot procedure. J Small Anim Pract 2003; 44: 313-315. https://doi.org/10.1111/j.1748-5827.2003.tb00160.x
  5. Fadoo F, Ruiz DE, Dawn SK, Webb WR, Gotway MB. Helical CT esophagography for the evaluation of suspected esophageal perforation. Am J Roentgenol 2004; 182: 1177-9. https://doi.org/10.2214/ajr.182.5.1821177
  6. Hardie EM, Spodnick GJ, Gilson SD, Benson JA, Hawkins EC. Tracheal rupture in cats: 16 cases (1983-1998). J Am Vet Med Assoc 1999; 214: 508-512.
  7. Rha JY, Mahony O. Bronchoscopy in small animal medicine: indications, instrumentation, and techniques. Clin Tech Small Anim Pract 1999; 14: 207-212. https://doi.org/10.1016/S1096-2867(99)80012-7
  8. Mitchell SL, McCarthy R, Rudloff E, Pernell RT. Tracheal rupture associated with intubation in cats: 20 cases (1996- 1998). J Am Vet Med Assoc 2000; 216: 1592-1595. https://doi.org/10.2460/javma.2000.216.1592
  9. Mussi A, Ambrogi MC, Ribechini A, Lucchi M, Menoni F, Angeletti CA. Acute major airway injuries: clinical features and management. Eur J Cardio Thorac surg 2001; 20: 46-52. https://doi.org/10.1016/S1010-7940(01)00702-3
  10. Roach W, Krahwinkel DJ. Obstructive lesions and traumatic injuries of the canine and feline tracheas. Compend Contin Educ Pract Vet 2009; 31: 86-93.
  11. Scaglione M, Romano S, Pinto A, Sparano A, Scialpi M, Rotondo A. Acute tracheobronchial injuries: impact of imaging on diagnosis and management implications. Eur J Radiol 2006; 59: 336-343. https://doi.org/10.1016/j.ejrad.2006.04.026
  12. Venker-van Haagen AJ, Vroom MW, Heijn A, Ooijen PG. Bronchoscopy in small animal clinics: an analysis of the results of 228 bronchoscopies. J Am Anim Hosp Assoc 1985; 21: 521-526.
  13. White CS, Templeton PA, Attar S. Esophageal perforation: CT findings. Am J Roentgenol 1993; 160: 767-770. https://doi.org/10.2214/ajr.160.4.8456662