A 6-year-old, spayed female Himalayan cat with idiopathic chylothorax, which failed to respond to medical management, was successfully treated by advancement of the omentum into the thorax. Exploratory thoracotomy revealed severe, constrictive pleuritis as a sequela to chylothorax. Because of the poor prognosis for recovery from chylothorax in cats with thoracic duct ligation alone, and the lack of success in performing thoracic duct ligation in this cat, the omentum was advanced into the thorax through a hole created in the diaphragm and sutured within the thoracic cavity. The cat recovered from surgery and is clinically normal 13 months postoperatively. Omental advancement may be an effective surgical management technique for this challenging disease in cats.
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January/February 2002
Soft-Tissue Surgery|
January 01 2002
Omentalization of the Thorax for Treatment of Idiopathic Chylothorax With Constrictive Pleuritis in a Cat
Elizabeth LaFond, DVM, Diplomate ACVS;
Elizabeth LaFond, DVM, Diplomate ACVS
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907
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Walter E. Weirich, DVM, PhD, Diplomate ACVS;
Walter E. Weirich, DVM, PhD, Diplomate ACVS
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907
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S. Kathleen Salisbury, DVM, MS, Diplomate ACVS
S. Kathleen Salisbury, DVM, MS, Diplomate ACVS
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907
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J Am Anim Hosp Assoc (2002) 38 (1): 74–78.
Citation
Elizabeth LaFond, Walter E. Weirich, S. Kathleen Salisbury; Omentalization of the Thorax for Treatment of Idiopathic Chylothorax With Constrictive Pleuritis in a Cat. J Am Anim Hosp Assoc 1 January 2002; 38 (1): 74–78. doi: https://doi.org/10.5326/0380074
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