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A Smooth Recovery: Successfully Treating Chylothorax in Xiao Li Hua
本站 2025/1/19 15:50:20
Case Overview
Xiao Li Hua is a 4-year-old Chinese tabby cat who came to us with sudden difficulty breathing and shortness of breath. After some tests, we diagnosed it with chylothorax. We started with a staged treatment plan, and after surgery, the cat made a great recovery. It’s been nearly a year since the surgery, and it’s doing well!

Symptoms
The cat suddenly had trouble breathing and seemed to be in distress, so the owner brought it in right away. When it arrived, the cat was lying down, struggling to breathe, and its tongue was a bit purple. We suspected chylothorax, so we immediately started oxygen therapy and gave a diuretic injection to help ease the breathing.

Initial Diagnosis
When the cat arrived, it was lethargic, struggling to breathe, and its tongue was purple. After oxygen therapy, its breathing improved slightly. We took an X-ray of the chest, which showed significant fluid buildup. We then performed a chest tap and drew about 200ml of yellowish fluid. After analysis, it was confirmed as chylothorax.

Treatment Process & Plan

Conservative Treatment: At first, we tried conservative treatment, which included draining the fluid and using medications to control the symptoms. While the cat’s condition improved a bit, the fluid kept coming back, and the results weren’t great.

Surgical Treatment: Since conservative treatment wasn’t working well, we decided to go for surgery. The procedure involved thoracotomy to ligate the thoracic duct and pericardial resection to address the fluid buildup.

Post-Op Recovery: After surgery, the cat recovered smoothly. The next day, it was eating again, and its energy levels were back to normal.

Treatment Results
About 14 days after the surgery, the cat’s wound healed, and the stitches were removed. During follow-up visits, the fluid in the chest cavity gradually decreased. The cat has been doing great ever since—it's been almost a year now with no recurrence.

Conclusion & Reflection
Chylothorax can be a tricky condition, but with timely diagnosis and treatment, we were able to help the cat recover. While conservative treatment helped ease the symptoms, it was surgery that truly solved the issue. Early diagnosis and intervention are crucial for conditions like this. We’re happy to see the cat doing so well now!


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