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Peer-reviewed veterinary case report

Chylothorax caused by diaphragmatic hernia in a dog

By Schmiedt, Chad Weber et al.·Published in Journal of the American Animal Hospital Association·2009·Department of Surgical Sciences, United States·View original on PubMed

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Original publication title: Chylothorax associated with a congenital peritoneopericardial diaphragmatic hernia in a dog.

Species:
dog

Plain-English summary

A 2-year-old dog was brought to the vet because it was having trouble breathing, not eating, and seemed very tired for the past three months. X-rays showed a lot of fluid in the chest, which tests confirmed was chyle, a type of fluid. Further scans revealed a congenital condition called a peritoneopericardial diaphragmatic hernia (PPDH), which was causing the fluid buildup. The dog underwent surgery to fix the hernia and remove the affected tissue, and afterward, the breathing problems and fluid issue were completely resolved.

People also search for: dog breathing problems · chylothorax treatment in dogs · dog surgery for hernia

Abstract

A 2-year-old dog was presented with a 3-month history of increasing respiratory effort and rate, inappetence, and lethargy. Chest radiographs demonstrated significant pleural effusion, which was consistent with chyle on biochemical and cytological evaluations. Further diagnostic evaluation, including a thoracic computed tomographic scan, revealed a peritoneopericardial diaphragmatic hernia (PPDH) resulting in a large, fat-attenuating mass within the pericardium. The dog was taken to surgery for repair of the PPDH, pericardectomy, and cisterna chyli ablation. Rapid and permanent resolution of the chylothorax occurred postoperatively. This is the first reported case of chylothorax secondary to PPDH.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19411649/