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Murine Left Pulmonary Hilar Clamp Model of Lung Ischemia Reperfusion Injury

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Biliothorax in a Siamese cat.

Brandan G Wustefeld-Janssens¹, Joao F Loureiro, Joanna Dukes-McEwan

¹Small Animal Teaching Hospital, University of Liverpool, Veterinary School, Chester High Road, Neston, CH64 7TE, UK.

Journal of Feline Medicine and Surgery

|September 3, 2011

Summary

This summary is machine-generated.

A rare case of feline biliothorax (bile in the chest cavity) was documented. This condition, potentially caused by thoracostomy tube placement, highlights a new complication in veterinary medicine.

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Area of Science:

Veterinary Medicine
Surgical Complications
Comparative Pathology

Background:

Pyothorax is a common thoracic infection in cats requiring pleural space management.
Thoracostomy tube placement is a standard procedure for draining infected pleural effusions.

Observation:

A 2-year-old cat treated for pyothorax developed clear-yellow pleural effusion.
Pleural fluid bilirubin levels were significantly elevated (427 μmol/l) compared to serum levels (15 μmol/l).

Findings:

Exploratory surgery identified a diaphragmatic tear and a concurrent defect in the gallbladder, forming a gallbladder-pleural cavity fistula.
The fistula was suspected to be iatrogenically created during thoracostomy tube placement.

Implications:

This case describes biliothorax in a cat for the first time.
It suggests a novel, rare complication associated with thoracostomy tube placement in veterinary surgery.