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Budd–Chiari‐like syndrome in a dog with a chondrosarcoma of the thoracic wall
Author(s) -
Whelan Megan F.,
O'Toole Therese E.,
Carlson Kimberly R.,
SutherlandSmith James,
Berg John
Publication year - 2007
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/j.1476-4431.2006.00218.x
Subject(s) - medicine , ascites , budd–chiari syndrome , surgery , chondrosarcoma , thoracic cavity , thoracotomy , inferior vena cava , venous plexus , thoracic wall , radiology
Objective: To describe a dog with Budd–Chiari‐like syndrome secondary to caudal vena cava compression from a thoracic wall chondrosarcoma. Case summary: A 9‐year‐old spayed female Shetland Sheepdog cross with a recent history of non‐productive cough developed severe abdominal distension and dyspnea. Marked ascites and enlarged hepatic veins were identified with ultrasonography. At surgery, a right thoracic wall mass was found to be compressing the caudal vena cava. Fluid analysis of the ascites revealed a modified transudate with elevated protein concentration, consistent with Budd–Chiari‐like syndrome. Clinical signs resolved following thoracotomy and complete resection of the mass. New or unique information provided: Obstruction of venous blood flow can result from compression exerted by a space‐occupying thoracic wall mass on the caudal vena cava. Clinical resolution can be achieved with return of adequate venous circulation by removal of the mass and alleviation of the external pressure.