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CT Lymphangiography with Contrast Medium Injection into the Perianal Subcutaneous Region in a Dog with Chylothorax

  • Kim, Kitae (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Choen, Sangkyung (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Hwang, Jaewoo (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Jang, Moonjung (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Yoon, Junghee (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Choi, Mincheol (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
  • Received : 2018.09.20
  • Accepted : 2018.11.26
  • Published : 2018.12.31

Abstract

A 7-year-old intact female Shih-Tzu with chylothorax was presented. Percutaneous popliteal computed tomographic lymphangiography was performed to evaluate the thoracic duct and seek any potential cause of chylothorax. Despite two attempts, visualization of the thoracic duct failed and perianal subcutaneous computed tomographic lymphangiography with injection of iodinated, nonionic water-soluble contrast medium (0.6 ml/kg) was performed. A single branch of intact thoracic duct and dilated and tortuous lymphatics were detected. It was diagnosed as idiopathic chylothorax. Perianal subcutaneous lymphangiography is considered a less-invasive, easy and reliable method to visualize lymphatics in patients with chylothorax.

Keywords

References

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  1. Computed tomographic lymphangiography of the thoracic duct by subcutaneous iohexol injection into the metatarsal region vol.49, pp.1, 2018, https://doi.org/10.1111/vsu.13324
  2. Computed tomographic lymphangiography via intra‐metatarsal pad injection is feasible in dogs with chylothorax vol.61, pp.4, 2018, https://doi.org/10.1111/vru.12865