Peterson S L
Department of Surgery, School of Medicine, University of Colorado Health Sciences Center, Denver, USA.
Vet Surg. 1996 May-Jun;25(3):228-30. doi: 10.1111/j.1532-950x.1996.tb01404.x.
Simultaneous chylothorax and chylous ascites related to intestinal lymphangiectasia was diagnosed in a 4-year-old spayed female dog. Palliative pleural and peritoneal drainage was accomplished by placement of fenestrated silastic sheeting into surgically created diaphragmatic defects, and implantation of a pleuro-peritoneal venous shunt. The immediate postoperative period was complicated by acute renal failure secondary to postcaval thrombosis originating at the site of placement of the efferent pump catheter and extending to the level of the renal veins. Rapid resolution of this complication was accomplished with systemic anticoagulation. Clinical signs related to fluid accumulation resolved for 10 weeks after which acute decompensation occurred and the dog was euthanatized. Postmortem examination showed that reaccumulation of fluid was associated with migration of the efferent limb of the shunt from the caudal vena cava.
一只4岁已绝育的雌性犬被诊断为同时患有与肠淋巴管扩张相关的乳糜胸和乳糜性腹水。通过在手术造成的膈肌缺损处放置带孔硅橡胶片并植入胸膜-腹膜静脉分流装置，进行了姑息性胸腔和腹腔引流。术后即刻出现并发症，继发于下腔静脉血栓形成的急性肾衰竭，血栓起源于传出泵导管放置部位并延伸至肾静脉水平。通过全身抗凝迅速解决了这一并发症。与液体蓄积相关的临床症状缓解了10周，之后出现急性失代偿，该犬被实施安乐死。尸检显示，液体再次蓄积与分流装置传出支从尾腔静脉移位有关。
