[논문]Disappearance of pericardial effusion by suspected pericardial-pleural fistula in a Miniature Schnauzer dog

Kim, Hakhyun; Kang, Ji-Houn; Chang, Dongwoo

doi:10.14405/kjvr.2018.58.2.115

Disappearance of pericardial effusion by suspected pericardial-pleural fistula in a Miniature Schnauzer dog 원문보기

Korean journal of veterinary research = 대한수의학회지, v.58 no.2, 2018년, pp.115 - 118

Kim, Hakhyun (Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University) , Kang, Ji-Houn (Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University) , Chang, Dongwoo (Veterinary Medical Center and College of Veterinary Medicine, Chungbuk National University)

Abstract ▼ AI-Helper

A 13-year-old spayed female Miniature Schnauzer was presented with complaints of intermittent syncope. Pericardial effusion was confirmed based on the physical examination, thoracic radiographs and echocardiography. Subsequently, prompt pericardiocentesis was performed. Clinical abnormalities were immediately improved after pericardiocentesis. However, the clinical signs associated with acute collapse recurred. After the second pericardiocentesis, thoracic radiographs revealed pleural effusion, and the clinical signs resolved rapidly. The dog underwent pleural aspiration. Analysis of pleural fluid revealed almost similar features as the previous pericardial fluid. It was possible that a pericardial-pleural fistula was created during the pericardiocentesis. The pericardial and pleural effusion disappeared after the procedures.

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문제 정의

This report describes a case of a presumptive pericardialpleural fistula during pericardiocentesis in a Miniature Schnauzer. The dog showed rapid resolution of PE and development of immediate pleural effusion after pericardiocentesis.

제안 방법

A total PE fluid volume of 25 mL was removed. A thoracic radiograph was obtained after the procedure, revealing a right pleural effusion that was not detected on the thoracic radiograph only 3 h before the pericardiocentesis (Fig. 2). Despite the pleural effusion, the dog’s clinical abnormalities improved immediately.
Infectious agents or abnormal lymphoid cells were not iden-tified and bacterial culture tested negative. After pericardiocentesis, the dog was immediately stabilized, and echocardiographic examination was performed to examine the etiology of PE. However, there was no evidence of neoplasia and left atrial rupture on echocardiography.

대상 데이터

A 13-year-old spayed female Miniature Schnauzer weighing 6.80 kg was presented with acute collapse. The dog had a history of intermittent syncope.

성능/효과

Serum biochemistry profile revealed a decreased serum albumin concentration (1.9 g/dL; RI, 2.6−3.3 g/dL), an increased serum alkaline phosphatase activity (1423 IU/L; RI, 29−97 IU/L), and an increased C-reactive protein concentration (35 mg/L; RI, 0−20 mg/L).

참고문헌 (14)

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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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