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Peer-reviewed veterinary case report

Cat with chylothorax and splenic tumor seen on ultrasound and CT

By Roels, Elodie et al.·Published in Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·2024·Department of Clinical Sciences·View original on PubMed

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Original publication title: Ultrasonographic and CT-scan findings of splenic active chylous effusion and postlymphangiography enhancement in a cat with chylothorax associated with splenic angiosarcoma.

Species:
cat

Plain-English summary

A 12-year-old domestic shorthair cat was brought in for recurring breathing problems caused by chylothorax, a condition where fluid builds up in the chest. Imaging tests showed a mass on the spleen and fluid around it. The cat underwent surgery to remove the spleen, and the mass was found to be a type of cancer called splenic angiosarcoma. After the surgery, the cat's condition improved, and the breathing problems were resolved.

People also search for: cat breathing problems · chylothorax treatment in cats · splenic cancer in cats · cat surgery for fluid in chest

Abstract

A 12-year-old domestic shorthair cat was presented with relapsing noncardiogenic chylothorax. CT-lymphangiography of the thorax confirmed bilateral pleural effusion without evidence of an underlying intra-thoracic origin. Abdominal CT-lymphangiography revealed a 2.6 cm diameter splenic mass surrounded by chylous effusion actively collecting during ultrasonographic assessment. Following splenectomy, histopathological analysis revealed that the splenic mass exhibited characteristics indicative of splenic angiosarcoma. This case report highlights the utility of advanced thoracic and abdominal imaging, notably CT-lymphangiography, in the diagnostic evaluation of chylothorax in cats. The identification of a splenic mass encased in chylous effusion should prompt a proactive case management strategy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38804245/