Anderson Moores Veterinary Specialists, Hampshire, UK.
Vet Surg. 2023 May;52(4):607-617. doi: 10.1111/vsu.13938. Epub 2023 Jan 26.
To describe the clinical presentation, imaging findings, treatment, and outcome in dogs and cats with traumatic pulmonary pseudocysts (TPP).
Retrospective observational study.
Nine client-owned dogs and two cats.
The hospital database of Anderson Moores Veterinary Specialists was reviewed for cases with a diagnosis of TPP based on computed tomography (CT). Clinical presentation, additional injuries, treatment, and outcome were recorded.
Eleven patients with TPP were identified. The ratio of TPP detected by radiographs when compared to CT was 7:11 (64%). Seven cases were managed conservatively, and three underwent lung lobectomy. One cat was euthanized due to the severity of concomitant injuries. The decision to perform thoracic surgery was due to refractory pneumothorax (2) or very large TPP (1). Ten patients survived to discharge. No patients died as a result of the TPP.
Radiographic lesions were identified in about two-thirds of cases diagnosed by CT. TPPs were not fatal in our population but were commonly associated with severe concomitant injuries. Conservative treatment led to the resolution of smaller TPPs.
Conservative management of TPP is appropriate in most cases, although selected cases may benefit from surgical treatment.
描述外伤性肺假囊肿（TPP）患犬和猫的临床症状、影像学表现、治疗方法和转归。
回顾性观察性研究。
9 只患犬和 2 只猫。
对安德森摩尔兽医专家医院基于计算机断层扫描（CT）诊断为 TPP 的病例进行了数据库检索。记录了临床症状、其他损伤、治疗方法和转归。
共发现 11 例 TPP 患者。与 CT 相比，X 线片检测到 TPP 的比例为 7:11（64%）。7 例患者接受了保守治疗，3 例接受了肺叶切除术。1 只猫因合并伤严重而被安乐死。进行开胸手术的原因是难治性气胸（2 例）或非常大的 TPP（1 例）。10 例患者存活至出院。没有患者因 TPP 而死亡。
在通过 CT 诊断的病例中，约有三分之二的病例存在放射学病变。在我们的病例中，TPP 并非致命，但常与严重的合并伤相关。较小的 TPP 经保守治疗可消退。
TPP 大多数情况下采用保守治疗是合适的，但部分病例可能受益于手术治疗。
