Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats
Acute abdomen syndrome is an emergency in small animal practice that requires rapid diagnosis to determine the appropriate treatment. No studies have correlated the preoperative abdominal ultrasonography (US) findings with the clinical, surgical, cytopathologic, and histopathologic findings. This re...
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MDPI AG
2017-08-01
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| Series: | Veterinary Sciences |
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| Online Access: | https://www.mdpi.com/2306-7381/4/3/39 |
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| author | Ahmed Abdellatif Martin Kramer Klaus Failing Kerstin von Pückler |
| author_facet | Ahmed Abdellatif Martin Kramer Klaus Failing Kerstin von Pückler |
| author_sort | Ahmed Abdellatif |
| collection | DOAJ |
| description | Acute abdomen syndrome is an emergency in small animal practice that requires rapid diagnosis to determine the appropriate treatment. No studies have correlated the preoperative abdominal ultrasonography (US) findings with the clinical, surgical, cytopathologic, and histopathologic findings. This retrospective study was designed to evaluate abdominal US in the diagnosis of acute abdomen syndrome using surgery as a “criterion standard”. The most frequently misinterpreted lesions with US were also identified. The study included 50 dogs and cats with physical examination, an US diagnosis, US guided fine-needle aspiration cytology, intraoperative findings, and histopathology. Intraoperatively, 49 primary and 43 secondary lesions were identified. The sensitivity, specificity, and positive and negative predictive values for US were calculated. There was a good agreement between the US diagnosis and intraoperative findings of 86.9% (80/92), for both primary and secondary lesions (p < 0.0001). Cytology and histopathology examinations corroborated the US in 86.4% (n = 64/74) of primary and 66.2% of secondary (n = 49/79) lesions. Using US as the “criterion standard”, the sensitivity of abdominal palpation for identification of ascites and masses was 32.4% and 43.7%, respectively, while the specificity was 93.7% and 94.4%, respectively. Abdominal US is a useful preoperative modality for diagnosing acute abdominal diseases in dogs and cats. Care should be taken with interpretation of gastrointestinal perforation, omental tumors, and common bile duct rupture, as these lesions are frequently misinterpreted with US. |
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| issn | 2306-7381 |
| language | English |
| last_indexed | 2024-12-16T16:53:23Z |
| publishDate | 2017-08-01 |
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| spelling | doaj.art-f3b10b99784c4ec6a2a452f6a68830bf2022-12-21T22:23:57ZengMDPI AGVeterinary Sciences2306-73812017-08-01433910.3390/vetsci4030039vetsci4030039Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and CatsAhmed Abdellatif0Martin Kramer1Klaus Failing2Kerstin von Pückler3Department of Veterinary Clinical Science, Clinic for Small Animals (Surgery), Justus-Liebig University (JLU), 35392 Gießen, GermanyDepartment of Veterinary Clinical Science, Clinic for Small Animals (Surgery), Justus-Liebig University (JLU), 35392 Gießen, GermanyUnit for Biomathematics and Data Processing, Veterinary Faculty, Justus-Liebig University (JLU), Gießen 35392, GermanyDepartment of Veterinary Clinical Science, Clinic for Small Animals (Surgery), Justus-Liebig University (JLU), 35392 Gießen, GermanyAcute abdomen syndrome is an emergency in small animal practice that requires rapid diagnosis to determine the appropriate treatment. No studies have correlated the preoperative abdominal ultrasonography (US) findings with the clinical, surgical, cytopathologic, and histopathologic findings. This retrospective study was designed to evaluate abdominal US in the diagnosis of acute abdomen syndrome using surgery as a “criterion standard”. The most frequently misinterpreted lesions with US were also identified. The study included 50 dogs and cats with physical examination, an US diagnosis, US guided fine-needle aspiration cytology, intraoperative findings, and histopathology. Intraoperatively, 49 primary and 43 secondary lesions were identified. The sensitivity, specificity, and positive and negative predictive values for US were calculated. There was a good agreement between the US diagnosis and intraoperative findings of 86.9% (80/92), for both primary and secondary lesions (p < 0.0001). Cytology and histopathology examinations corroborated the US in 86.4% (n = 64/74) of primary and 66.2% of secondary (n = 49/79) lesions. Using US as the “criterion standard”, the sensitivity of abdominal palpation for identification of ascites and masses was 32.4% and 43.7%, respectively, while the specificity was 93.7% and 94.4%, respectively. Abdominal US is a useful preoperative modality for diagnosing acute abdominal diseases in dogs and cats. Care should be taken with interpretation of gastrointestinal perforation, omental tumors, and common bile duct rupture, as these lesions are frequently misinterpreted with US.https://www.mdpi.com/2306-7381/4/3/39dogcatultrasonographyacute abdomenlaparotomy |
| spellingShingle | Ahmed Abdellatif Martin Kramer Klaus Failing Kerstin von Pückler Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats Veterinary Sciences dog cat ultrasonography acute abdomen laparotomy |
| title | Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats |
| title_full | Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats |
| title_fullStr | Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats |
| title_full_unstemmed | Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats |
| title_short | Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats |
| title_sort | correlation between preoperative ultrasonographic findings and clinical intraoperative cytopathological and histopathological diagnosis of acute abdomen syndrome in 50 dogs and cats |
| topic | dog cat ultrasonography acute abdomen laparotomy |
| url | https://www.mdpi.com/2306-7381/4/3/39 |
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