Suran Jantra N, Lo Annie J, Reetz Jennifer A
Sections of Radiology (J.S., J.R.) and Surgery (A.L.), Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA.
J Am Anim Hosp Assoc. 2014 Jul-Aug;50(4):284-90. doi: 10.5326/JAAHA-MS-6010.
A bronchopleural fistula (BPF) can lead to continuous pneumothorax and is rarely reported clinically in dogs. This report describes computed tomographic (CT) findings in two dogs with BPFs and subsequent continuous pneumothoraces that necessitated thoracotomy. Both dogs had a peripheral BPF in the right caudal lung lobe. The fistula in one dog was secondary to a previous foreign body migration, and the fistula in the other was thought to be secondary to dirofilariasis. On both CT examinations, a dilated subsegmental bronchus was seen communicating with the pleural space at the center of a focal, concave region of parenchymal consolidation. Multiplanar reformatting aided in identification and characterization of the BPF. The pneumothoraces resolved after right caudal lobectomy in both dogs. CT has the potential to identify BPFs, such as secondary to foreign body migration or dirofilariasis.
支气管胸膜瘘(BPF)可导致持续性气胸,在犬类临床中鲜有报道。本报告描述了两只患有BPF并继发持续性气胸而需要开胸手术的犬的计算机断层扫描(CT)结果。两只犬的右尾叶均有外周BPF。其中一只犬的瘘是先前异物迁移继发的,另一只犬的瘘被认为是恶丝虫病继发的。在两次CT检查中,均可见一个扩张的亚段支气管与实质实变灶中心的胸膜腔相通。多平面重组有助于BPF的识别和特征描述。两只犬在右尾叶切除术后气胸均得到缓解。CT有潜力识别BPF,如继发于异物迁移或恶丝虫病的BPF。