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http://dx.doi.org/10.17555/jvc.2018.12.35.6.299

CT Lymphangiography with Contrast Medium Injection into the Perianal Subcutaneous Region in a Dog with Chylothorax  

Kim, Kitae (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
Choen, Sangkyung (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
Hwang, Jaewoo (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
Jang, Moonjung (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
Yoon, Junghee (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
Choi, Mincheol (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
Publication Information
Journal of Veterinary Clinics / v.35, no.6, 2018 , pp. 299-301 More about this Journal
Abstract
A 7-year-old intact female Shih-Tzu with chylothorax was presented. Percutaneous popliteal computed tomographic lymphangiography was performed to evaluate the thoracic duct and seek any potential cause of chylothorax. Despite two attempts, visualization of the thoracic duct failed and perianal subcutaneous computed tomographic lymphangiography with injection of iodinated, nonionic water-soluble contrast medium (0.6 ml/kg) was performed. A single branch of intact thoracic duct and dilated and tortuous lymphatics were detected. It was diagnosed as idiopathic chylothorax. Perianal subcutaneous lymphangiography is considered a less-invasive, easy and reliable method to visualize lymphatics in patients with chylothorax.
Keywords
chylothorax; CT lymphangiography; perianal region; subcutaneous; dog;
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1 Johnson EG, Wisner ER, Kyles A, Koehler C, Marks SL. Computed tomographic lymphography of the thoracic duct by mesenteric lymph node injection. Vet Surg 2009; 38: 361-367.   DOI
2 Millward IR, Kirberger RM, Thompson PN. Comparative popliteal and mesenteric computed tomography lymphangiography of the canine thoracic duct. Vet Radiol Ultrasound 2011; 52: 295-301.   DOI
3 Naganobu K, Ohigashi Y, Akiyoshi T, Hagio M, Miyamoto T, Yamaguchi R. Lymphography of the thoracic duct by percutaneous injection of iohexol into the popliteal lymph node of dogs: experimental study and clinical application. Vet Surg 2006; 35: 377-381.   DOI
4 Nelson RW, Couto CG. Clinical manifestation of the pleural cavity and mediastinal disease. In: Small Animal Internal Medicine, 5th ed. Missouri: Elsevier. 2014: 337-342.
5 Nelson RW, Couto CG. Diagnostic tests form the pleural cavity and mediastinum. In: Small Animal Internal Medicine, 5th ed. Missouri: Elsevier. 2014: 343-348.
6 Penninck D, d'Anjou MA. Thorax. In: Atlas of small animal ultrasonography, 2nd ed. Chichester: Wiley Blackwell. 2015: 81-110.
7 Schwarz T, Saunders J. Abdominal lymph nodes and lymphatic collecting system. In: Veterinary Computed Tomography, 1st ed. Chichester: Wiley Blackwell. 2011: 371-379.
8 Schwarz T, Johnson V. The pleural space. In: BSAVA manual of canine and feline thoracic imaging, 1st ed. Cheltenham: British Small Animal Veterinary Association. 2008: 321-339.
9 Singh A, Brisson B, Nykamp S. Idiopathic chylothorax: pathophysiology, diagnosis, and thoracic duct imaging. Compend Contin Educ Vet 2012; 34: E2.
10 Singh A, Brisson B, Nykamp S. Idiopathic chylothorax in dogs and cats: nonsurgical and surgical management. Compend Contin Educ Vet 2012; 34: E3.
11 Wisner E, Zwingenberger A. Pleural space. In: Atlas of small animal CT and MRI, 1st ed. Chichester: Wiley Blackwell. 2015: 398-407.
12 Singh A, Brisson BA, Nykamp S, O'Sullivan ML. Comparison of computed tomographic and radiographic popliteal lymphangiography in normal dogs. Vet Surg 2011; 40: 762-767.   DOI
13 Sturgess K. Diagnosis and management of chylothorax in dogs and cats. In Practice 2001; 23: 506-513.   DOI
14 Weisse C, Berent A. Lymphangiography. In: Veterinary image-guided interventions, 1st ed. Chichester: Wiley Blackwell. 435-438.
15 Iwanaga T, Tokunaga S, Momoi Y. Thoracic duct lymphography by subcutaneous contrast agent injection in a dog with chylothorax. Open Vet J 2016; 6: 238-241.   DOI
16 Ando K, Kamijyou K, Hatinoda K, Shibata S, Shida T, Asari M. Computed tomography and radiographic lymphography of the thoracic duct by subcutaneous or submucosal injection. J Vet Med Sci 2012; 74: 135-140.   DOI
17 Bertolini G. The pleurae, thoracic wall, and diaphragm. In: Body MDCT in small animals, 1st ed. Cham: Springer. 2017: 345-361.
18 Esterline ML, Radlinsky MG, Biller DS, Mason DE, Roush JK, Cash WC. Comparison of radiographic and computed tomography lymphangiography for identification of the canine thoracic duct. Vet Radiol Ultrasound 2005; 46: 391-395.   DOI