Department of Diagnostic Imaging, Southern Counties Veterinary Specialists, Ringwood, Hampshire, UK.
Department of Internal Medicine, Southern Counties Veterinary Specialists, Ringwood, Hampshire, UK.
Vet Med Sci. 2023 Mar;9(2):579-583. doi: 10.1002/vms3.980. Epub 2022 Oct 22.
A 2-year-old female neutered crossbreed dog was referred for investigation of a 10-day history of progressive abdominal distension. Diagnostic investigations included radiographs, abdominal ultrasound and computed tomography (CT) with lymphangiography. Fluid analysis was consistent with chylous effusion. CT revealed a metal object embedded in an ovoid homogenous soft tissue attenuating lesion, located ventral to the aorta and surrounding the roots of the celiac and cranial mesenteric arteries. At exploratory laparotomy the metallic object (projectile) was identified and retrieved under fluoroscopic guidance. Four weeks following the surgery, the abdominal distention resolved and the physical exam was unremarkable. Chyloabdomen is a rare presentation which usually carries a guarded prognosis. This is the first case report of chyloabdomen due to a foreign body granuloma, which showed that an excellent outcome can be achieved following the removal of the underlying cause.
一只 2 岁雌性已绝育的杂种犬因进行性腹胀 10 天而被转诊。诊断性检查包括 X 光片、腹部超声、淋巴管造影计算机断层扫描（CT）。液体分析结果与乳糜性积液一致。CT 显示一个金属物体嵌入一个卵圆形均匀软组织衰减病变中，位于主动脉腹侧，环绕腹腔动脉和头侧肠系膜动脉根部。在剖腹探查术中，在透视引导下识别并取出了金属物体（弹丸）。手术后 4 周，腹部肿胀消退，体检无异常。乳糜腹是一种罕见的表现，预后通常不容乐观。这是首例因异物肉芽肿引起的乳糜腹病例报告，表明在去除根本原因后可以获得极好的结果。
