FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Vet Surg / Dermoid cysts formation is a complication of wound pinch gra...
Veterinary surgery : VS2024; 53(6); 1130-1137; doi: 10.1111/vsu.14114

Dermoid cysts formation is a complication of wound pinch grafting in a horse: A case report.

Abstract: To describe dermoid cyst formation as an uncommon complication of the pinch grafting technique in horses. Methods: Case report. Methods: A 8 year old Arabian gelding. Methods: Clinical presentation, imaging, treatment, and histopathology records were reviewed. The horse originally presented due to delayed healing of a laceration to the distal aspect of the metatarsus. The wound was treated initially with debridement and it was allowed to fill with healthy granulation tissue prior to pinch grafting. Two months after grafting, the horse started to show self-mutilation behavior targeting the wound site. Ultrasonographic examination revealed the presence of cystic lesions in the subcutaneous tissue in the wound bed and adjacent to the long digital extensor tendon. Results: Treatment involved surgical excision of the cysts, which resulted in a resolution of the self-mutilation episodes. The specimens were submitted for histopathological investigation, which revealed findings compatible with dermoid cyst formation, suspected to be secondary to the skin-grafting procedure. Conclusions: Dermoid cysts formation should be considered as a potential differential diagnosis for skin graft complications in horses.
© 2024 American College of Veterinary Surgeons.
Get Full Text
Publication Date: 2024-05-27 PubMed ID: 38803094DOI: 10.1111/vsu.14114Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • Case Reports
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article discusses the formation of Dermoid cysts as a rare complication resulting from the pinch grafting technique in horses specifically focusing on a case study of an 8-year-old Arabian gelding.

Case Details and Method

  • The research focuses on an 8-year-old Arabian gelding who originally presented a laceration to the distal aspect of the metatarsus with delayed healing.
  • The wound was initially treated with debridement allowing it to fill with healthy granulation tissue before pinch grafting occurred.
  • After two months of the grafting, the horse started showing self-mutilation behavior towards the wound. This unusual behavior led to further investigation, and ultrasonic examination revealed cystic lesions within the subcutaneous tissue in the wound bed directed towards the long digital extensor tendon.
  • The report outlines the clinical presentation, imaging, treatment strategies followed, and the review of the histopathological records.

Results

  • The research denotes that the cysts were surgically excised which led to a significant reduction in self-mutilation behavior.
  • The excised cyst specimens were sent for histopathological evaluation.
  • The investigation results confirmed the formation of dermoid cysts, suspected to be a secondary consequence of the skin-grafting procedure applied during the initial wound treatment phase.

Conclusion

  • The final inference drawn from the case study was that dermoid cyst formation should be regarded as a potential differential diagnosis for complications arising from skin grafting procedures in horses.
  • This suggests veterinarians and researchers should explore this aspect further and include it in the risk assessment for skin grafting in horses.
  • Further studies are needed for a broader understanding of skin graft complications in horses and their diagnostic strategies.

Cite This Article

APA
Pressanto MC, Bombonato C, Foote AK, Coomer RPC. (2024). Dermoid cysts formation is a complication of wound pinch grafting in a horse: A case report. Vet Surg, 53(6), 1130-1137. https://doi.org/10.1111/vsu.14114

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 53
Issue: 6
Pages: 1130-1137

Researcher Affiliations

Pressanto, Maria Chiara
  • Cotts Equine Hospital, Narberth, UK.
Bombonato, Cecilia
  • Cotts Equine Hospital, Narberth, UK.
Foote, Alastair K
  • Rossdales Laboratories, Newmarket, UK.
Coomer, Richard P C
  • Cotts Equine Hospital, Narberth, UK.

MeSH Terms

  • Animals
  • Horses / injuries
  • Dermoid Cyst / veterinary
  • Dermoid Cyst / surgery
  • Skin Transplantation / veterinary
  • Horse Diseases / surgery
  • Horse Diseases / etiology
  • Male
  • Postoperative Complications / veterinary
  • Postoperative Complications / etiology

References

This article includes 31 references
  1. Bristol DG. Skin grafts and skin flaps in the horse. Vet Clin North Am Equine Pract 2005;21(1):125‐144.
    doi: 10.1016/j.cveq.2004.11.007google scholar: lookup
  2. Tóth F, Schumacher J, Castro F, Perkins J. Full‐thickness skin grafting to cover equine wounds caused by laceration or tumor resection. Vet Surg 2010;39(6):708‐714.
    doi: 10.1111/j.1532‐950x.2010.00691.xgoogle scholar: lookup
  3. Schumacher J, Wilmink JM. Free Skin Grafting. Equine Wound Management 2016:422‐448.
    doi: 10.1002/9781118999219.ch18google scholar: lookup
  4. Schumacher J, Hanselka DV. Skin grafting of the horse. Vet Clin North Am Equine Pract 1989;5(3):591‐614.
    doi: 10.1016/s0749‐0739(17)30577‐1google scholar: lookup
  5. Hanson RR. Complications of equine wound management and dermatologic surgery. Vet Clin North Am Equine Pract 2008;24(3):663‐696.
    doi: 10.1016/j.cveq.2008.10.005google scholar: lookup
  6. Oryan A, Hashemnia M, Mohammadalipour A. Dermoid cyst in camel: a case report and brief literature review. Comp Clin Path 2012;21(5):555‐558.
    doi: 10.1007/s00580‐010‐1128‐9google scholar: lookup
  7. Hillyer LL, Jackson AP, Quinn GC, Day MJ. Epidermal (infundibular) and dermoid cysts in the dorsal midline of a three‐year‐old thoroughbred‐cross gelding. Vet Dermatol 2003;14(4):205‐209.
    doi: 10.1046/j.1365‐3164.2003.00345.xgoogle scholar: lookup
  8. Brünott A, Kroeze V, Ensink JM, Laan TTJM, Sloet Van Oldruitenborgh‐Oosterbaan MM. A colonic epidermoid cyst as a cause of chronic recurrent colic in a horse. Equine Vet Educ 2007;19(3):123‐128.
    doi: 10.2746/095777307x186460google scholar: lookup
  9. Muñoz E, Leiva M, Naranjo C, Peña T. Retrobulbar dermoid cyst in a horse: a case report. Vet Ophthalmol 2007;10(6):394‐397.
    doi: 10.1111/j.1463‐5224.2007.00571.xgoogle scholar: lookup
  10. Visser EMS, Caliskan N, Veraa S, Hermans H. A retrobulbar dermoid cyst with involvement of the sinus in an 18‐year old pony. Equine Vet Educ 2019;31(9):47‐52.
    doi: 10.1111/eve.12994google scholar: lookup
  11. Scott DW, Miller WH. Neoplasms, cysts, hamartomas, and keratoses. Equine Dermatology 2010:508‐509.
  12. Mueller RS, Bergvall K, Bensignor E, Bond R. A review of topical therapy for skin infections with bacteria and yeast. Vet Dermatol 2012;23(4):330‐341.
    doi: 10.1111/j.1365‐3164.2012.01057.xgoogle scholar: lookup
  13. Sanz MG, Sampson SN, Schneider RK, Gavin PR, Baszler TV. Detection of an epidermoid cyst in the foot of a horse by use of magnetic resonance imaging. J Am Vet Med Assoc 2006;228(12):1918‐1921.
    doi: 10.2460/javma.228.12.1918google scholar: lookup
  14. Muellner T, Nicolic A, Lang S, Schabus R, Kwasny O. Epidermoid cyst after arthroscopic knee surgery. Art Ther 1998;14(3):331‐334.
    doi: 10.1016/s0749‐8063(98)70152‐5google scholar: lookup
  15. Strahan AWB. Hernial repair by whole‐skin graft, with report on 413 cases. Br J Surg 1951;38(151):276‐284.
    doi: 10.1002/bjs.18003815104google scholar: lookup
  16. Muto T, Tomioka K, Michiya H, Kanazawa M. Epidermoid cyst in the temporomandibular joint after a dermal graft. J Craniomaxillofac Surg 1992;20(6):270‐272.
    doi: 10.1016/s1010‐5182(05)80442‐1google scholar: lookup
  17. Lazar A, Abimelec P, Dumontier C. Full thickness skin graft for nail unit reconstruction. J Hand Surg Br 2005;30(2):194‐198.
    doi: 10.1016/j.jhsb.2004.11.006google scholar: lookup
  18. Henry FP, Healy CE, O'Broin E. Epidermoid cyst post dermofasciectomy. J Plast Reconstr Aesthet Surg 2010;63(1):44‐45.
    doi: 10.1016/j.bjps.2009.05.019google scholar: lookup
  19. Kim HJ, Burm JS, Pyon JK, Kim YW. Acquired dermoid cysts within subcutaneous scar tissue. J Korean Soc Plast Reconstr Surg 2007;34(4):507‐510.
  20. Tsuyuzaki T. A contribution to pathogenesis of dermoid and epidermoid cysts. Japanese J Oral Maxillofac Surg 1976;22(4):452‐469.
    doi: 10.5794/jjoms.22.452google scholar: lookup
  21. Choi JS, Bae YC, Lee JW, Bin KG. Dermoid cysts: epidemiology and diagnostic approach based on clinical experiences. Arch Plast Surg 2018;45(6):512‐516.
    doi: 10.5999/aps.2018.00017google scholar: lookup
  22. Peters M, Brandt K, Wohlsein P. Intracranial epidermoid cyst in a horse. J Comp Pathol 2003;129(1):89‐92.
    doi: 10.1016/s0021‐9975(02)00169‐xgoogle scholar: lookup
  23. Gross TL, Ihrke PJ, Walder VJ, Affolter VK. Epidermal tumors. Skin Diseases of the Dog and Cat 2005:559‐603.
    doi: 10.1002/9780470752487.ch22t.lgoogle scholar: lookup
  24. Rutter AG. Cyst formation seven years after a cutis graft repair of hernia. Br Med J 1955;1(4919):951‐952.
    doi: 10.1136/bmj.1.4919.951google scholar: lookup
  25. Yilmaz I, Yilmazer C, Yavuz H, Bal N, Ozluoglu LN. Giant sublingual epidermoid cyst: a report of two cases. J Laryngol Otol 2006;120(3):E19.
    doi: 10.1017/s0022215106009194google scholar: lookup
  26. Cho Y, Lee DH. Clinical characteristics of idiopathic epidermoid and dermoid cysts of the ear. J Audiol Otol 2017;21(2):77‐80.
    doi: 10.7874/jao.2017.21.2.77google scholar: lookup
  27. Akı ES, Çorakçı O, Canpolat S. Multiple dermoid cysts in the epiglottis presenting with dysphonia and dysphagia: a rare case. Turk Arch Otorhinolaryngol 2022;60(3):173‐176.
    doi: 10.4274/tao.2022.2022‐7‐1google scholar: lookup
  28. Archer DC, Wilmink JM. Complications of skin grafting. Complications in Equine Surgery 2021:222‐232.
    doi: 10.1002/9781119190332.ch21google scholar: lookup
  29. Mauck MC, Smith J, Liu AY. Chronic pain and itch are common, morbid sequelae among individuals who receive tissue autograft after major thermal burn injury. Clin J Pain 2017;33(7):627‐634.
    doi: 10.1097/ajp.0000000000000446google scholar: lookup
  30. Nolazco Sassot L, Ragle CA, Farnsworth KD, Souza CRS, Jones ARE. Dermoid cyst in the intermandibular space of a 3‐year‐old thoroughbred gelding: a case report. J Equine Vet 2016;43:72‐76.
    doi: 10.1016/j.jevs.2016.05.005google scholar: lookup
  31. Frankeny RL. Intralesional administration of formalin for treatment of epidermal inclusion cysts in five horses. J Am Vet Med Assoc 2003;223(2):221‐222.
    doi: 10.2460/javma.2003.223.221google scholar: lookup
Subscribe to our newsletter
Join 99,359 horse owners like you who receive our email updates on horse health and nutrition.