11/03/2025
🇷🇸 Pas rase bernski planinski ovčar doveden je na veterinarski pregled zbog akutnih problema u disanju i česte pojave seroznog i krvavog sadrzaja (epistaksa) iz leve nozdrve koje traje 2 meseca. Ovi znaci obično upućuju na pojavu neke maligne promene u nazalnoj šupljini i sa njom povezanim sinusima. Drugi uzroci, između ostalog, mogu ukljucivati aspergilozu, hronični sinuzitis, strano telo u nosnoj šupljini, probleme krvnih sudova, rinitis - upala sluznice nosa, posledice bolesti zuba gornje vilice i sl.
Posle opšteg pregleda i CT dijagnostike glave, utvrđeno je prisustvo mase i sukrvičastog sadržaja u levom frontalnom sinusu i nazalnoj šupljini. Određen je operativni zahvat u cilju konkretnijeg utvrđivanja uzroka, olakšavanja simptoma i uzimanja uzorka tkiva za patohistološku analizu, obzirom da su bernski planinski psi, kao rasa, skloniji pojavi onkoloških oboljenja. Rinoskopijom, ili sličnom manje invazivnom metodom nije bilo moguće doći do ove mase.
Tokom hirurgije utvrđeno je postojanje i usledilo vađenje stranog tela duboko iza nosne šupljine, iz nazalnog frontalnog sinusa psa. Patohistološka analiza nije pokazala prisustvo tumorskih ćelija, a tegobe su se povukle uklanjanjem stranog tela...
🇬🇧 Management of unilateral epistaxis derived from the frontal sinus obstruction.
A Bernese Mountain Dog was brought for a veterinary exam due to the constant appearance of mucoid hemorrhagic contents from the nose in the last 2 months. These signs can indicate the appearance of some malignant disease, infection, nasal foreign body, chronic sinusitis, rhinitis secondary to some dental disease, etc.
After a complete physical exam, blood tests, and CT scan the presence of a mass in the left nasal frontal sinus was diagnosed and surgery was scheduled for a more specific determination of the cause, relieving the symptoms, and taking a tissue sample for histopathological analysis.
The rhinoscopy as a less invasive procedure than a surgical incision couldn't be performed.
During surgery, the presence of a foreign body in the dog's frontal sinus was noticed. The histological analysis didn't show any signs of neoplasm in the tissue sample taken during the surgery.