DOI QR코드

DOI QR Code

Popliteal Lymphography in a Dog with Chylothorax

  • Bang, Sohyun (College of Veterinary Medicine, Chungbuk National University) ;
  • Lee, Hanbin (College of Veterinary Medicine, Chungbuk National University) ;
  • Park, Daehwan (College of Veterinary Medicine, Chungbuk National University) ;
  • An, Taegeon (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Hyunryung (College of Veterinary Medicine, Chungbuk National University) ;
  • Yu, Jin (College of Veterinary Medicine, Chungbuk National University) ;
  • Yoon, Hyunglok (College of Veterinary Medicine, Chungbuk National University) ;
  • An, Gayeon (College of Veterinary Medicine, Chungbuk National University) ;
  • Oh, Hyehong (College of Veterinary Medicine, Chungbuk National University) ;
  • Chang, Jinhwa (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Gonhyung (College of Veterinary Medicine, Chungbuk National University) ;
  • Chang, Dongwoo (College of Veterinary Medicine, Chungbuk National University)
  • 투고 : 2018.06.05
  • 심사 : 2018.11.26
  • 발행 : 2018.12.31

초록

Signalment: A dog which had been hit by car a month prior and had been experiencing recurrent pleural chyle effusion was referred to Chung-buk National University Animal Medical Center. The clinical signs included tachypnea and salivation. Results: Ultrasound-guided popliteal lymphography was performed. The computed tomography imaging revealed that the thoracic duct was ruptured and the lymph was leaking into the cranial mediastinal region. After this discovery, thoracic duct ligation was performed. The ultrasound-guided popliteal lymphography was repeated after the surgery. The second computed tomography imaging revealed that the thoracic duct rupture was resolved. Clinical relevance: We identified the etiology of chylothorax through the computed tomographic lymphography and imaged specific leakage areas. After surgery, the computed tomography imgaing confirmed the lymphatic flow modification and the treatment was successful.

키워드

참고문헌

  1. Emmet E. McGrath, Zoe Blades, Paul B. Anderson. Chylothorax: Aetiology, diagnosis and therapeutic options. ELSEVIER. 2010; 104, 1-8.
  2. Ian R. Millward, Rovert M. Kirberger, Peter N. Thompson. Comparative popliteal and mesenteric computed tomography lymphangiography of the canine thoracic duct. Vet Radiol Ultrasound. 2011; 52: 295-301. https://doi.org/10.1111/j.1740-8261.2010.01790.x
  3. Meredith L. Esterline, Maryann G. Radlinsky, David S. Biller, Diane E. Mason, James K. Roush, Walter C. Cash. Comparison of radiographic and computed tomography lymphangiography for identification of the canine thoracic duct. Veterinary Radiology & Ultrasound. 2005; 46: 391-395. https://doi.org/10.1111/j.1740-8261.2005.00071.x
  4. Sally Birch, Virginie Barberet, Kete Bradley, Kevin Parsons, Christopher Warren-Smith. Computed tomographic characteristics of the cisterna chyli in dogs. Vet Radiol Ultrasound. 2014; 55: 29-34. https://doi.org/10.1111/vru.12078
  5. Eric G. Johnson, Erik R. Wisner, Andrew Kyles, Carl Koehler, Stanley L. Marks. Computed tomographic lymphography of the thoracic duct by mesenteric lymph node injection. Veterinary Surgery. 2009; 38: 361-367. https://doi.org/10.1111/j.1532-950X.2008.00473.x
  6. Ameet Singh, Brigitte Brisson, Stephanie Nykamp. Idiopathic chylothorax in dogs and cats: nonsurgical and surgical management. Compendium: Continuting Education for Veterinarians. August 2012.
  7. Kiyokazu Naganobu, Yusuke Ohigashi, Tomomi Akiyoshi, Mitsuyoshi Hagio, Toru Miyamoto, Ryoji Yamaguchi. Lymphography of the thoracic duct by percutaneous injection of iohexol into the popliteal lymph node of dogs: experimental study and clinical application. Veterinary Surgery. 2006; 25: 277-281.
  8. T. Iwanaga, S. Tokunaga, Y. Momoi. Thoracic duct lymphography by subcutaneous contrast agent injection in a dog with chylothorax. Open Veterinary Journal. 2016; 6: 238-241. https://doi.org/10.4314/ovj.v6i3.13
  9. Mieun Kim, Hyeyeon Lee, Namsoon Lee, Mihyeon Choi, Junyoung Kim, Dongwoo Chang, Mincheol Choi, Junghee Yoon. Ultrasound-guided mesenteric lymph node iohexol injection for thoracic duct computed tomographic lymphography in cats. Vet Radiol Ultrasound. 2011; 52: 302-305. https://doi.org/10.1111/j.1740-8261.2010.01794.x