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Vet. Sci. 2017, 4(3), 39; doi:10.3390/vetsci4030039

Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats

1
Department of Veterinary Clinical Science, Clinic for Small Animals (Surgery), Justus-Liebig University (JLU), 35392 Gießen, Germany
2
Animal Surgery Department, Assiut University, Assiut 71515, Egypt
3
Unit for Biomathematics and Data Processing, Veterinary Faculty, Justus-Liebig University (JLU), Gießen 35392, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Patrick Butaye
Received: 6 June 2017 / Revised: 7 August 2017 / Accepted: 7 August 2017 / Published: 8 August 2017
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Abstract

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. View Full-Text
Keywords: dog; cat; ultrasonography; acute abdomen; laparotomy dog; cat; ultrasonography; acute abdomen; laparotomy
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MDPI and ACS Style

Abdellatif, A.; Kramer, M.; Failing, K.; von Pückler, K. Correlation between Preoperative Ultrasonographic Findings and Clinical, Intraoperative, Cytopathological, and Histopathological Diagnosis of Acute Abdomen Syndrome in 50 Dogs and Cats. Vet. Sci. 2017, 4, 39.

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