Diagnostic Imaging P.C. (Burgers, Copple) and Departments of Surgery (Allen) and Emergency and Critical Care (Meola, Corsi), Wheat Ridge Animal Hospital, 10140 West 44th Avenue, Wheat Ridge, Colorado 80033, USA.
Can Vet J. 2023 Oct;64(10):923-929.
A 10-year-old spayed female German shepherd dog was transferred for acute respiratory distress and a bulla-like pulmonary lesion identified on referral radiographs. Computed tomography (CT) imaging identified a bronchiole from a dilated left cranial lobar bronchus terminating into a partially fluid-filled, cyst-like pulmonary lesion and surrounding multilobar pulmonary hyperattenuation. After failure of medical management, a left cranial lung lobectomy was done. Histopathology was consistent with a bronchogenic cyst and chronic, suppurative bronchopneumonia of the remaining parenchyma. Bronchogenic cysts with concurrent bronchopneumonia should be considered in older German shepherd dogs with acute respiratory distress that fail medical management. Key clinical message: Canine bronchogenic cyst is an uncommon condition that previously has only been reported in younger German shepherd dogs. This case highlights the importance of considering this condition in a senior German shepherd dog with no prior respiratory history, as well as the difficulty of medical management with concurrent bronchopneumonia.
一只十岁已绝育的雌性德国牧羊犬因急性呼吸窘迫和转诊放射影像上发现的疱状肺病变而被转介。计算机断层扫描（CT）成像发现一个从扩张的左颅侧支气管分出的细支气管，终止于部分充满液体的囊状肺病变和周围多肺叶肺过度增强。在药物治疗失败后，进行了左颅侧肺叶切除术。组织病理学与支气管源性囊肿和剩余实质的慢性化脓性支气管肺炎一致。对于因急性呼吸窘迫而药物治疗失败的老年德国牧羊犬，应考虑并发支气管肺炎的支气管源性囊肿。关键临床信息：犬支气管源性囊肿是一种罕见的疾病，以前只在年轻的德国牧羊犬中报道过。该病例强调了在没有既往呼吸史的老年德国牧羊犬中考虑这种情况的重要性，以及并发支气管肺炎时的治疗困难。
