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Peer-reviewed veterinary case report

Cat with nasal lymphoma developed air under skin and chest after eye

By Oh, Ye-In et al.·Published in BMC veterinary research·2023·Department of Veterinary Internal Medicine, South Korea·View original on PubMed

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Original publication title: Subcutaneous emphysema and pneumomediastinum following orbital blowout pathological fracture in a cat with nasal lymphoma: a case report.

Species:
cat

Plain-English summary

A 7-year-old male Abyssinian cat was brought in with symptoms like lack of appetite, tiredness, nausea, swollen eyelids, nasal discharge, and sneezing. After a thorough examination, the cat was diagnosed with a high-grade nasal lymphoma, which had caused a fracture around the eye. Following chemotherapy, the cat developed a rare condition called subcutaneous emphysema, where air trapped under the skin, and pneumomediastinum, where air entered the chest area. Fortunately, as the tumor shrank, these complications improved, showing that treatment was effective.

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Abstract

BACKGROUND: Subcutaneous emphysema and pneumomediastinum are rare complications associated with orbital blowout pathological fracture. CASE PRESENTATION: A 7-year old, castrated male Abbysinian cat presented with anorexia, lethargy, nausea, eyelid swelling, nasal discharge, and sneezing. Based on the clinical and diagnostic work-up, the cat was diagnosed with T cell high-grade nasal lymphoma associated with orbital pathological fracture due to the tumour invasion. After chemotherapy, the cat showed massive subcutaneous emphysema from frontal region to abdomen and pneumomediastinum due to orbital blowout pathological fracture. As the nasal mass decreased in volume; the air had moved from the maxillary sinus to the subcutaneous region and the mediastinum through fascial planes in the head and neck region. CONCLUSIONS: This is a first case report of a massive subcutaneous emphysema and pneumomediastinum due to an orbital blowout pathological fracture following chemotherapy in feline nasal lymphoma in veterinary medicine.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37715215/