Zemer Orly, Brenner Ori, Ginnsburg Roni, Cohen Liat, Milgram Joshua
Veterinary Teaching Hospital Koret School of Veterinary Medicine, The Hebrew University-Small Animal Surgery, Rehovot, Israel.
J Feline Med Surg. 2013 Apr;15(4):345-8. doi: 10.1177/1098612X12464629. Epub 2012 Oct 22.
A 2-month-old, intact, female domestic shorthair kitten presented with a history of acute-onset dyspnoea. Severe dyspnoea and tachypnoea were noted on physical examination. Serosanguinous fluid, consistent with a modified transudate, was aspirated from the pleural cavity immediately after the physical examination, with an immediate decrease in respiratory rate and effort. The thorax was radiographed and the entire left hemithorax appeared to be filled with a large soft tissue density mass. Thoracic ultrasound was performed and a cystic structure, measuring 3.0 cm × 1.5 cm, was seen in the left hemithorax. An explorative thoracotomy was performed and a mass obliterating the left hemithorax was found. The mass was removed by a combination of blunt and sharp dissection. A final diagnosis of thoracic pseudocyst was made on histological examination of the tissue. The mass was described as a sterile process characteristic of an organised seroma or haematoma. Recovery from surgery was uneventful and the kitten was discharged 48 h postoperatively. The kitten was still alive with no recurrence of clinical signs at the time of writing this report, 8 months postoperatively.
一只2月龄、未绝育的雌性家养短毛小猫，有急性呼吸困难病史。体格检查发现严重呼吸困难和呼吸急促。体格检查后立即从胸腔抽出与改良漏出液相符的血性浆液，呼吸频率和用力程度随即下降。对胸部进行了X光检查，整个左半胸似乎充满了一个大的软组织密度肿块。进行了胸部超声检查，在左半胸发现一个大小为3.0厘米×1.5厘米的囊性结构。进行了 exploratory thoracotomy（此处原文有误，推测应为exploratory thoracotomy，意为探查性开胸手术），发现一个占据左半胸的肿块。通过钝性和锐性分离相结合的方法切除了肿块。对组织进行组织学检查后最终诊断为胸假性囊肿。该肿块被描述为具有有组织的血清肿或血肿特征的无菌过程。手术恢复顺利，小猫在术后48小时出院。在撰写本报告时，即术后8个月，小猫仍然存活，无临床症状复发。
