Chylothorax in cats

Chylothorax in cats: According to Dr. Leslie Appel, a veterinarian formerly at the University of Illinois College of Veterinary Medicine, "Chylothorax is an accumulation of chylous fluid (lymph and lipids) in the chest."
Lymph is part of the fluid produced by the immune system and the lipids are long chain fatty acids or chylomicrons. The lymph normally drains from all of the body tissues and empties into the blood system, removing excess fluid from tissue. If this fluid builds up in your pet's chest, breathing can become very difficult for the animal.


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Chylothorax: A Mysterious Disease of Cats

Chylothorax is a troublesome condition that can be life-threatening for your cat.

According to Dr. Leslie Appel, a veterinarian formerly at the University of Illinois College of Veterinary Medicine, "Chylothorax is an accumulation of chylous fluid (lymph and lipids) in the chest."

Lymph is part of the fluid produced by the immune system and the lipids are long chain fatty acids or chylomicrons. The lymph normally drains from all of the body tissues and empties into the blood system, removing excess fluid from tissue. If this fluid builds up in your pet's chest, breathing can become very difficult for the animal.

There are a few conditions, such as trauma, cancer, or heart disease, that are known to cause chylothorax under some conditions. There are also some cats that get chylothorax for unknown reasons. "Build-up of fluid around the lungs makes it difficult for the cat to breathe. Signs may include open mouth breathing or increased respiratory rate," notes Dr. Appel.

Some cats may also become lethargic. Or their mucous membranes turn a bluish color because the blood isn't being oxygenated properly. Owners may also notice coughing and loss of appetite. If your cat is showing signs of respiratory distress (turning blue, rapid respiratory rate, open mouth breathing), contact the cat's veterinarian immediately.

By listening to the cat's lungs, and possibly percussing (tapping on the chest while listening to the chest with a stethoscope), your veterinarian can determine if the cat's chest contains fluid. Radiographs can also help your veterinarian diagnose chylothorax. If fluid is found, your veterinarian will want to obtain a sample. If chylothorax is the problem, the fluid will be milky white or pinkish and opaque. It will also contain large amounts of fat.

Dr. Appel notes, "There are medical and surgical methods used to manage a chylothorax."

Medical management would include monitoring fluid in the chest and removing it as necessary. Changing to a low fat diet may also help. The cat is then given supplemental fat in the form of short chain fatty acids that are used immediately by the body. Since this form of fat is not stored in the blood, it may help decrease the amount of fluid that can build up in the cat's chest.

If medical management doesn't work, another option is surgical correction. The chest is opened up and the vessels that carry the lymph are ligated (sewed shut).

"Even with surgery, the prognosis is guarded," states Dr. Appel. Surgical correction will help about 30 percent of the cats that are effected by chylothorax. Often, there are many smaller lymphatic vessels that can't be ligated, causing the chest to continue filling with fluid.

If you have any questions about chylothorax, call your veterinarian.



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By Linda March Information Specialist University of Illinois College of Veterinary Medicine


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Cats: the mere word conjures up images of mystery and beauty, of ancient Egyptian goddesses, of Halloween night and witches on broomsticks. What other animals are so associated with occult imagery, while also being commonplace companions in our daily lives ? Wolves may share a spine-tingling association with ancient legends, from the werewolf to the big bad wolf of fairy tale fame. Dogs may share our lives and can be found in most suburban backyards. Yet only cats move silently and comfortably between the two worlds of the mystic and the mundane. Why do cats fascinate us and why do we love cats so ?

Cats are beautiful. Cat lovers and non-cat lovers alike must admit to the beauty of their large, soulful eyes and lovely faces, their elegant silhouettes, their dainty noses and paws, and their metronomic tails. Cats may have shimmering green eyes, cool blue eyes or surprising yellow eyes. Their fur may be long or short, smooth or bushy, uniformly colored or patterned like tigers or calicos, and come in many shades of orange, yellow, brown, grey, black, and white, or some combination of the above.

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