Peer-reviewed veterinary case report
Dog with fluid buildup after surgery - what went wrong?
By Peterson, S L·Published in Veterinary surgery : VS·1996·Department of Surgery, United States·View original on PubMed →
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Original publication title: Postcaval thrombosis and delayed shunt migration after pleuro-peritoneal venous shunting for concurrent chylothorax and chylous ascites in a dog.
- Species:
- dog
Plain-English summary
A 4-year-old spayed female dog was diagnosed with fluid buildup in her chest and abdomen due to a condition called intestinal lymphangiectasia. To help her, veterinarians placed a special shunt to drain the fluid. Unfortunately, she developed kidney problems shortly after surgery because of a blood clot near the shunt. The vets treated this with blood thinners, and her symptoms improved for about 10 weeks. Sadly, her condition worsened again, and she was euthanized after further complications were found during an examination.
People also search for: dog chylothorax treatment · dog kidney failure after surgery · fluid buildup in dog abdomen causes
Abstract
Simultaneous chylothorax and chylous ascites related to intestinal lymphangiectasia was diagnosed in a 4-year-old spayed female dog. Palliative pleural and peritoneal drainage was accomplished by placement of fenestrated silastic sheeting into surgically created diaphragmatic defects, and implantation of a pleuro-peritoneal venous shunt. The immediate postoperative period was complicated by acute renal failure secondary to postcaval thrombosis originating at the site of placement of the efferent pump catheter and extending to the level of the renal veins. Rapid resolution of this complication was accomplished with systemic anticoagulation. Clinical signs related to fluid accumulation resolved for 10 weeks after which acute decompensation occurred and the dog was euthanatized. Postmortem examination showed that reaccumulation of fluid was associated with migration of the efferent limb of the shunt from the caudal vena cava.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/9012108/