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Surgical therapy of chylothorax via omentalization
`The omentum is the surgeon´s friend` - but it is surprising that this friend is also an effective help in the surgical therapy of a chylothorax! At least in the cat which is described in this case report...

A 6-year-old, spayed female Himalayan cat with idiopathic chylothorax, which failed to respond to medical management, was successfully treated by advancement of the omentum into the thorax.

Exploratory thoracotomy revealed severe, constrictive pleuritis as a sequela to chylothorax. Because of the poor prognosis for recovery from chylothorax in cats with thoracic duct ligation alone, and the lack of success in performing thoracic duct ligation in this cat, the omentum was advanced into the thorax through a hole created in the diaphragm and sutured within the thoracic cavity.

The cat recovered from surgery and is clinically normal 13 months postoperatively. Omental advancement may be an effective surgical management technique for this challenging disease in cats.


Source: Elizabeth LaFond, Walter E. Weirich, S. Kathleen (2002): Omentalization of the Thorax for Treatment of Idiopathic Chylothorax With Constrictive Pleuritis in a Cat. In: Journal of the American Animal Hospital Association 38:74-78 (2002)



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