SURGICAL TREATMENT ON MULTIPLE CYST OF MIX POMERANIAN DOG’S SEBACEOUS GLAND: A CASE REPORT

Kista sebaseus adalah istilah yang menunjukkan kista subkutan yang terjadi karena obstruksi pembukaan duktus pilosebaceous. Sebasea diproduksi oleh kelenjar sebasea yang pada umumnya berhubungan dengan folikel rambut. Seekor anjing persilangan pomeranian berumur enam tahun, bobot badan 5,8 kg dan berjenis kelamin jantan diperiksa di Rumah Sakit Hewan, Fakultas Kedokteran Hewan, Universitas Udayana dengan keluhan terdapat penonjolan pada bagian inter digitalis kaki kiri depan. Menurut hasil pemeriksaan histopatologi terhadap biopsi tumor tersebut yang dilakukan di Balai Besar Veteriner Denpasar, didiagnosis mengalami kista kelenjar sebasea. Kista ditangani dengan melakukan pembedahan (eksisi). Premedikasi yang diberikan berupa atropin sulfat 0,5 mL dan anestesi yang digunakan berupa ketamin 0,6 mL dan xylazin 0,3 mL. Insisi dilakukan pada bagian pangkal kista kemudian dilakukan preparasi untuk membuka bagian kulit dan eksisi jaringan kista secara menyeluruh, kemudian jaringan dipindahkan dan dilakukan penjahitan pada daerah sayatan. Anjing diberi antibiotik amoksisilin trihidrat 250 mg dua kali sehari 0,5 tablet secara per oral, selama tujuh hari dan asam mefenamat 500 mg dua kali sehari 0,5 tablet secara per oral, selama lima hari. Penanganan pascaoperasi pada kasus ini disarankan untuk membatasi gerak pasien, menjaga kebersihan luka, dan rutin melakukan pengecekan terhadap luka dengan mengganti perbannya.

A rare location of primary extrahepatic hydatid cyst in the soft tissue

Hydatid cyst or cystic echinococcosis in human is rare disease caused by tapeworm Echinococcus granulosa. Hydatid cyst of soft tissue is a rare condition and we had a case of large hydatid cyst in lumbar region. This is a case of 48 years old female presented to us during October 2018 with a large diffuse swelling over the left lumbar region which was gradually grown over the last 2 years without pain. The diagnosis of hydatid cyst was not sure even in CT scan but it was in our differential diagnosis. It is confirmed during surgery after seen the multiple cyst removed from the large cystic lesion. No recurrence even after 15 months of follow up. Presence of hydatid cyst in soft tissue is usually rare and its diagnosis is not expected clinically when it presents as a soft tissue swelling. We need to confirm it during surgery or by presence of typical germinal membrane under microscope.

A Rare Case of Congenital Pulmonary Airway Malformation Associated with Intralobar Pulmonary Sequestration in an Adult - Case Report

The congenital pulmonary airway malformations (CPAM) are extremely rare malformations which are most frequently diagnosed before birth or during childhood and are extremely rarely diagnosed in adults. Sometimes, type II CPAM can be associated with pulmonary sequestrations (PS), especially those extralobar. We present the case of a 39 years old female without any known previous respiratory symptoms until this age, who has having for approximatively 2 months repeated episodes of haemoptysis. The angio-CT exam showed the existence of multiple cyst-like formations in the left inferior pulmonary lobe (LLL) and 2 arteries starting from thoracic aorta that participated at the vascularization of the LLL. We performed a left inferior lobectomy and the postoperative evolution was favorable. The histopathological exam confirmed the diagnosis of type I CPAM associated with intralobar PS. The particularity of the presented case is given by the fact that this patient of 39 years old had no previous respiratory symptoms and no cases of type I CPAM associated with intralobar PS were cited before.