Foreign object on ultrasound after surgery? My cat had a bilateral chain mastectomy 5 months ago after a cancer diagnosis. The surgery went well and at her 2 week suture removal appointment the surgeon said everything looked great. However, soon after she developed a rather large seroma in her abdominal area. I took her to my vet and she drained almost almost 100 cc of fluid and tested the fluid to confirm it was a seroma. As expected. the seroma was back by the next week and has been there ever since (going on 4 months), though this time it was rather firm. I was told that the seroma should eventually go away on it’s own. The seroma doesn’t really seem to bother her at all. I took her to my vet 2 days ago for an unrelated matter and she was concerned that it hadn’t changed at all. She drained the fluid again so she could feel the incision underneath. She was concerned that something could be causing irritation or something could have improperly healed (she said it felt odd when palpitating the stomach). She suggested that I make an appointment with the specialty surgeon.

I took her in for her appointment today and he suggested that we could do surgery to remove subcutaneous tissue and place a drain. I really do not want to do a drain and would like to avoid another surgery if at all possible given what she’s already been through!! (and I already paid for a $3000 surgery) He said we could do a limited ultrasound of the abdomen first to make sure the body wall was intact. I agreed to the ultrasound. He called with the results and said the body wall was intact and the fluid was clear but a could see a “repeatable foreign object” near the front of the seroma that could be causing irritation and fluid buildup. It seems to me that this foreign object has to be a direct result of the surgery (flipped staple, something left inside…)?? It’s outside of the body wall. I’m very frustrated. He stuck with his recommendation of a $1,500 exploratory surgery and the drain placement. However, he did say it’s not an emergency as she doesn’t seem in any distress and has been living with it for months.

Advice on how to proceed? What questions should I ask? Should the surgeon take responsibility for this?

I am the owner of a 2 year old English Bulldog. Last year his urethra prolapsed and he received a purse string suture and was neutered at the pet ER in Bel Air. The issue resolved itself and he had been doing well until this last week when the urethra prolapsed again. We took him through the Towson pet ER so he could see a surgical specialist. They evaluated him and suggested surgery. After surgery they sent him home to recover and stressed the importance of him staying calm. We stayed by his side, even staying home from work, to ensure that he didn’t do anything to distrupt the healing. We kept him in a play pen and carried him up and down the stairs to potty. Two days after the surgery (and lots of bloody laundry later) we noticed that he was extremely uncomfortable even while on the pain and sedative meds. We also noticed the protrusion of his urethra tissue. We took him back to the surgeon and they confirmed that the urethra has prolapsed and they have recommended that the surgery be performed for a second time (tomorrow). We have ruled out the obvious contributing factors that may cause pressure such as stones, uti, etc. Any thoughts for treatment options moving forward? Are we missing anything? I just want our little guy to start feeling well again! Thank you.

Amber