Lymphangioma in the metacarpal pad of a dog

A five-year-old English springer spaniel was presented with a three year history of metacarpal ulceration causing lameness. The lesion was initially thought to be caused by a foreign body, but subsequently diagnosed as lymphangioma. The dog was surgically treated with resection of the metacarpal pad and transposition of the second digital pad. A severe infection developed 11 days postoperatively but was managed with antibiotics and intensive wound therapy. The surgical technique was successful, considerable adaptation of the transposed pad occurred and the dog returned to full weightbearing on the leg. However, one year later another area of new ulceration developed on the dorsomedial aspect of the paw. This, too, was resected but recurred after a short time and the owner elected for euthanasia of the dog.