Dr Constantin Ifteme
In March 2017, Dr Nadejda Tsureva, working at Veterinary Clinic ” Dobro Hrumvane” in city of Sofia, Bulgaria, has done her externship at Centru de Endoscopie si Chirurgie Minim Invasiva Veterinara with Dr Constantin Ifteme in city of Bucharest, Romania.
What is the opinion of Dr Nadejda Tsureva:
“Dear colleagues and friends,
I want to thank you for the opportunity of spending some precious time in Centru de endoscopie si chirurgie digestiva veterinara in Romania. Thanks a lot to Vets on the Balkans and the Vet team of the endoscopic center.
I had the chance of meeting new friends and family. Had the chance of learning from great professionals and great people. Working with love for the animals is really important and when combined with knowledge and great skills that is how “magic” is happening. I am really pleased to know that there are more people of that special “breed”.
Thank you all for the knowledge and the smiles you shared with me.
Hope to see you again.
To my Romanian family with love.
d-r Nadezhda Tsureva
Dr Emil Ofner
Authors : Emil Ofner, DVM
Marina Barižon, DVM
Small Animal Veterinary Clinic More, Šibenik, Croatia
Bronchial foreign body in feline patient – case presentation
Male cat ( 4.5 kg ) with chronic gingivitis-stomatitis-pharyngitis syndrome was admitted to our clinic because of aspiration of loose tooth 15 days ago. At that time, the owner told us that cat first started to cough suddenly and because of coughing he received antibiotics. After a course of antibiotics, cough started to decrease, but didn’t stop completely. Thorax x-rays done on next physical examination revealed tooth inside the lungs.
Case presentation :
At the time of admission cat was stable with no apparent breathing problems. The cat was afebrile and blood work revealed elevation in leukocyte number. On x-rays we could see that the tooth (premolar) was stuck somewhere in the right caudal lung lobe (Picture 1). The x-ray scan also demonstrates a radio opaque area around the tooth, which represents fluid filled dilated bronchi ( Picture 2).
Equipment and Methods :
After initial examination, we decided to do a bronchoscopy to attempt endoscopic tooth removal. After intubation Olympus fiberoptic paediatric bronchoscope (3.6 mm diameter) with 1.2 mm working channel was introduced into the trachea (Picture 3 and 4). In level of segmental bronchi of right caudal ( posterior ) lung lobe we located bronchus plugged with white thick purulent material. In order to liquify this purulent material for aspiration we first lavaged it with warm saline. After successful aspiration of pus tooth was finally revealed. Grasping of the tooth was done with 0.9 mm diameter alligator forceps (Picture 5 and 6). After removal of the tooth rest of the pus was aspirated.
In cats most aspirated foreign objects will get trapped in the right caudal lung lobe. In our opinion the reasons for that are difference in right and left lung volumes, diameter of principal bronchi and bronchial tree anatomy. In cats average diameter of left principal bronchus is 6.0 mm, while the average diameter of right principal bronchus is 7.34 mm. Also, because of bronchial tree anatomy in the cats bronchial pathway which leads to right caudal lung lobe is more straight in comparison to left lung bronchial tree anatomy.
Majority lung foreign bodies in cats will be trapped somewhere along the right bronchial three because of anatomical differences of right and left lungs.
Cats with chronic gingivitis-stomatitis-pharyngitis syndrome may have an increase chance in aspirating foreign objects. Sudden attack of cough in cats with gingivitis-stomatitis-pharyngitis syndrome maybe can be aspirated foreign object.
Dr Constantin Ifteme
When we see something like this on The Balkans, we are so proud. 1st September was the grand opening of the biggest Digestive Endoscopy and Surgery Center on The Balkans. The guest was Dr Fausto Brandao who is emblematic vet in VeterinaryEndoscopy.
The owner and the main vet is Dr Constantin Ifteme who is 36 years old and it is really impressive, so young and so successful. He creates his own team, full of professional and passionate to veterinary medicine. This clinic and Dr Constantin Ifteme are the evidence that veterinary medicine on The Balkans go straight ahead. They also include in their practice laparoscopic surgery, laser surgery and they have Fluoroscopy machine.
Fluoroscopy is an imaging technique that uses X-rays to obtain real-time moving images of the interior of an object. In its primary application of medical imaging, a fluoroscope allows the doctor to see the internal structure and function of a patient, so that the pumping action of the heart or the motion of swallowing, for example, can be watched. This is useful for both diagnosis and therapy and occurs in general radiology, interventional radiology, and image-guided surgery.
The good news is in the center have space for courses and workshops and I am sure most of you will visit this wonderful place and have a nice time with Dr Ifteme and his such a nice team.
The best news is that Dr Constantin Ifteme will support our Endoscopy section and as well the center is included in our project Learn and Travel with Vets on The Balkans.
The team of Vets on The Balkans express their gratitude to Dr Ifteme and his beautiful and kind wife for their support of the journal, for the real friendship and hospitability.