超声波和 CT 扫描发现一只患有乳糜胸并伴有脾血管肉瘤的猫的脾活动性乳糜积液和淋巴管造影后增强。

IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Veterinary Radiology & Ultrasound Pub Date : 2024-09-01 Epub Date: 2024-05-28 DOI:10.1111/vru.13387
Elodie Roels, Emilie Pierrot, Charles Porsmoguer, Annika Herrmann, Aline Fastrès, Géraldine Bolen
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引用次数: 0

摘要

一只 12 岁的家养短毛猫因复发性非心源性乳糜胸而就诊。胸部 CT-淋巴管造影证实为双侧胸腔积液,但无胸腔内潜在来源的证据。腹部 CT-淋巴管造影显示,脾脏肿块直径为 2.6 厘米,周围有乳糜积液,在超声波评估时正在聚集。脾脏切除术后,组织病理学分析显示,脾脏肿块具有脾脏血管肉瘤的特征。本病例报告强调了先进的胸部和腹部成像技术,尤其是 CT 淋巴管造影术在诊断评估猫乳糜胸中的作用。一旦发现脾脏肿块被乳糜积液包裹,就应该采取积极的病例管理策略。
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Ultrasonographic and CT-scan findings of splenic active chylous effusion and postlymphangiography enhancement in a cat with chylothorax associated with splenic angiosarcoma.

A 12-year-old domestic shorthair cat was presented with relapsing noncardiogenic chylothorax. CT-lymphangiography of the thorax confirmed bilateral pleural effusion without evidence of an underlying intra-thoracic origin. Abdominal CT-lymphangiography revealed a 2.6 cm diameter splenic mass surrounded by chylous effusion actively collecting during ultrasonographic assessment. Following splenectomy, histopathological analysis revealed that the splenic mass exhibited characteristics indicative of splenic angiosarcoma. This case report highlights the utility of advanced thoracic and abdominal imaging, notably CT-lymphangiography, in the diagnostic evaluation of chylothorax in cats. The identification of a splenic mass encased in chylous effusion should prompt a proactive case management strategy.

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来源期刊
Veterinary Radiology & Ultrasound
Veterinary Radiology & Ultrasound 农林科学-兽医学
CiteScore
2.40
自引率
17.60%
发文量
133
审稿时长
8-16 weeks
期刊介绍: Veterinary Radiology & Ultrasound is a bimonthly, international, peer-reviewed, research journal devoted to the fields of veterinary diagnostic imaging and radiation oncology. Established in 1958, it is owned by the American College of Veterinary Radiology and is also the official journal for six affiliate veterinary organizations. Veterinary Radiology & Ultrasound is represented on the International Committee of Medical Journal Editors, World Association of Medical Editors, and Committee on Publication Ethics. The mission of Veterinary Radiology & Ultrasound is to serve as a leading resource for high quality articles that advance scientific knowledge and standards of clinical practice in the areas of veterinary diagnostic radiology, computed tomography, magnetic resonance imaging, ultrasonography, nuclear imaging, radiation oncology, and interventional radiology. Manuscript types include original investigations, imaging diagnosis reports, review articles, editorials and letters to the Editor. Acceptance criteria include originality, significance, quality, reader interest, composition and adherence to author guidelines.
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