Lung lobe torsion in association with a chronic diaphragmatic hernia and haemorrhagic pleural effusion in a cat

Hambrook, Lydia E; Kudnig, Simon T.

doi:10.1177/1098612x12439270

Cited by 11 publications

(21 citation statements)

References 21 publications

(88 reference statements)

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“…Results of a PubMed search reveal that over the last 13 years, 22 articles pertaining to DH in dogs and cats have been published. Of these, 3 were specifically related to chronic DH, 6 are primarily imaging studies, and 3 are related to specific treatment modalities . Of the remaining 10 reports, 7 are case reports, 1 is a case series with 3 cats, and 2 are retrospective studies .…”

Section: Specific Traumatic Disease Categoriesmentioning

confidence: 99%

The impact of surgical timing and intervention on outcome in traumatized dogs and cats

Peterson

Buote

Barr

2015

J Vet Emergen Crit Care

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Section: Specific Traumatic Disease Categoriesmentioning

confidence: 99%

The impact of surgical timing and intervention on outcome in traumatized dogs and cats

Peterson

Buote

Barr

2015

J Vet Emergen Crit Care

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“…Pleural effusion is generally present in all cases of lung lobe torsion and the presentation is acute in the literature 3–6. This patient had no pleural effusion and the presentation could be considered chronic given there was a week of medical treatment by the referring veterinarian prior to referral.…”

Section: Discussionmentioning

confidence: 84%

“…Any condition that leads to partial collapse of the lung lobe can potentially cause lung lobe torsion. A single report of lung lobe torsion in a patient with a diaphragmatic hernia has been published 5…”

Section: Discussionmentioning

confidence: 99%

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Chronic lung lobe torsion in a pug

Elliott¹,

Cassel

2018

Vet Rec Case Rep

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This case report documents a chronic presentation of a lung lobe torsion involving the right cranial and right middle lung lobe in a dog and the benefit of CT in aiding in the diagnosis. The patient presented to the referral practice two weeks after clinical signs developed with minimal resting dyspnoea. The referring veterinarian suspected a diaphragmatic hernia and had been medically managing the patient prior to referral. The radiographic findings showed features more consistent with a lobar mass and no pleural effusion was noted. Signs suggestive of lung lobe torsion were seen on the CT scan, except for the absence of pleural effusion. The patient was a pug, a predisposed breed, which further supported the diagnosis. On lateral thoracotomy a lung lobe torsion of the right cranial and right middle lung lobe was found. Unfortunately the patient did not survive the surgery.

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“…In addition to a traumatic aetiology, it has been associated with conditions such as chronic respiratory disease, pulmonary migrating foreign bodies, and chylothorax (Williams and Duncan 1986;Hoover et al 1992;Gelzer et al 1997;Neath et al 2000;Da Silva and Monnet 2011). In cats, the torsion is associated with diaphragmatic or peritoneopericardial hernia, feline asthma and chylothorax (Kerpsack et al 1994;Dye et al 1998;Mclane and Buote 2011;Hambrook and Kundig 2012). Spontaneous torsion in cats has also been reported (Millard et al 2008).…”

mentioning

confidence: 99%

Emphysematous lesions in the right cranial lung lobe and torsion of the right medial lung lobe in a British shorthair cat: a case report

Dokic¹,

Pirog²

2015

Vet. Med. - Czech

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ABSTRACT:A three-year-old male British shorthair cat that had exhibited progressive lethargy and intermittent dyspnoea for 14 days was referred for evaluation of acute respiratory deterioration. Clinical findings included rapid and shallow breathing, pale mucous membranes, sound suppression on the right side, and a subcutaneous haematoma in the right epigastric area. Serum biochemistry analysis showed leukocytosis and thrombocytosis. Radiographs revealed hydropneumothorax, a broken eighth right rib, atelectatic right cranial lung lobe (RCrL), and consolidation of the right middle lobe (RML). Doppler examination revealed sonographic changes in the echotexture of both lobes and venous flow was absent in the twisted RML. Furthermore, bronchoscopy showed proximal narrowing of the cat's RML bronchus. Exploratory surgery via medial sternotomy confirmed torsion of the RML and identified deteriorated gas-containing lesions in the collapsed RCrL. Both lung lobes were removed by standard lobectomy, and postoperative recovery was without major complications. Histopathological examination diagnosed multiple bullae and blebs, with significant subpleural haemorrhages in the atelectatic RCrL, whereas tissue congestion with haemorrhages, necrosis, and thrombosis typical for lung lobe torsion were observed in the RML. No other underlying aetiology was apparent. Two months post-operatively, the cat presented with similar acute onset of dyspnoea and spontaneous pneumothorax and was euthanised at the owner's request. The autopsy revealed identical new emphysematous changes in the contra-lateral lung lobes that had been absent at the time of surgery. Emphysematous lesions, regardless of their origin, should be considered in the etiopathology of lung lobe torsion.

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Lung lobe torsion in association with a chronic diaphragmatic hernia and haemorrhagic pleural effusion in a cat

Cited by 11 publications

References 21 publications

The impact of surgical timing and intervention on outcome in traumatized dogs and cats

The impact of surgical timing and intervention on outcome in traumatized dogs and cats

Chronic lung lobe torsion in a pug

Emphysematous lesions in the right cranial lung lobe and torsion of the right medial lung lobe in a British shorthair cat: a case report

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