Peer-reviewed veterinary case report
Lung lobe torsion in cats - symptoms and long-term results
By Tindale, Catherine et al.·Published in Journal of feline medicine and surgery·2022·The Royal Veterinary College Department of Clinical Science and Services, United Kingdom·View original on PubMed →
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Original publication title: Clinical characteristics and long-term outcome of lung lobe torsions in cats: a review of 10 cases (2000-2021).
- Species:
- cat
Plain-English summary
A group of 10 cats with breathing problems, including difficulty breathing and rapid breathing, were diagnosed with a rare condition called lung lobe torsion, where a part of the lung twists. Most cats had fluid in their chest, and some had a specific type of fluid called chylothorax. All cats underwent surgery to remove the affected lung lobe, but there were complications during and after the surgery, leading to the death of four cats. However, three cats that survived the surgery had a good to excellent quality of life afterward.
People also search for: cat breathing problems · lung lobe torsion in cats · cat surgery recovery · chylothorax treatment in cats
Abstract
CASE SERIES SUMMARY: Lung lobe torsion is rare in cats. The aim of this multi-institution retrospective study was to describe clinical and diagnostic findings, treatments and outcomes of lung lobe torsion (LLT) in 10 cats. Dyspnoea and tachypnoea were the most common clinical signs. Pleural effusion was present in nine cats at presentation. Fluid analysis confirmed chylothorax in three cats. Nine cats underwent CT and five cats had thoracic radiographs taken. A diagnosis was made preoperatively in six cats, while in the other four cats it was made at exploratory thoracotomy. Affected lung lobes were the right cranial (n = 4/11), left cranial (n = 4/11) and right middle (n = 3/11). One cat had a concurrent torsion of two lung lobes. Lung lobectomy was successfully performed in all cases. Based on clinical, diagnostic and lung histopathology findings, three cats had idiopathic and seven cats secondary LLT. Intraoperative complications included hypotension and hypothermia in four and five cats, respectively. Postoperative complications occurred in six cats and lead to euthanasia or death in four cats, whereas complications resolved in the other two cats. Three cats were euthanased within 5 weeks of discharge. For the three cats surviving long term, including one euthanased at 252 days postoperatively, owner-described outcomes and quality of life were considered good to excellent. RELEVANCE AND NOVEL INFORMATION: Secondary LLT associated with underlying thoracic pathology was associated with high complication rates and poor outcomes. Long-term outcomes of cats undergoing surgery for LLT and surviving the perioperative period were deemed good to excellent.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34719995/