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… may break my bones and sometimes really hurt me!

One evening we were called out of hours to see Rex who was drooling profusely, his owner said he was very quiet and although appeared hungry wouldn’t eat. On clinically examining him he cried out when tried to examine his mouth. There was a lot of bruising under his tongue so it was decided to sedate Rex and examine his mouth. When Rex was examined this is what his tongue looked like.

 

There was suspicion that Rex had been playing with a stick and we thought that was how the injury was caused. We needed to explore the wound to see where it went and what damage had been done. It was a complete surprise when we found this still in the wound.

No wonder he was so uncomfortable. We suspected that Rex had landed on the stick with force and as the stick was wet and rotten it had snapped. This left us with other worries how far had the stick gone, what actual damage had it done and were there any other bits of stick present. Any little splinters could cause future problems. Thankfully after flushing the wound continuously for several minutes we able to perform a CT scan. The results were excellent and exactly what we hoped for. We were able to rule out any damage or any lingering pieces.

 

 

And in case you want to know what the specialist saw on the CT?

There is a poorly defined region of hypo attenuation and focal swelling within the root of the tongue on midline (Figure 1, red arrowheads). Numerous small gas foci are present within the tongue and geniohyoid/mylohyoid muscles with subjective enlargement and presumed contrast enhancement of rostral aspect of the layer. There is fluid accumulation in the le retropharyngeal space and overlying subcutaneous space (Figure 2, green arrowheads). Rostrally, numerous small gas foci are seen between the le aspect of the tongue and digastricus muscle (Figure 3, yellow arrowheads)