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Pet Forum / Miscellaneous / Animal Health / January 2005Haemothorax
We have a cat with haemothorax, dreinage of ca 60ml of blood was evacuated after yesterday, so our cat got better. Hematocrit dropped to 23%. Today, again blood was evacuited /about 60ml/ -with Ht - 15 %. What cause it ?? We still don't know. Ultrasonography was done, X-ray, Kidney and liver work OK, No inflammatory in system was diagnosed. What should we do now? Tommarow we will get fresh blood. We suspected neoplasma in respiratory system . Please, may be a vet answer for my question, tkank uoy > We suspected neoplasma in respiratory system . > Please, may be a vet answer for my question, tkank uoy There are four major causes of hemothorax in dogs in cats- trauma, systemic bleeding disorders, neoplasia and long lobe torsion. We could rule out trauma as you would mentioned it, activated clotting time and platelet count should rule out bleeding disorders,lung lobe torsion is very rare in cats so the most possible diagnosis would be neoplasia of lungs or heart. Sometimes it's not possible to cytologically ( looking the cells from effusion under microscope) detect neoplastic cells but nevertheless that test should be done.If all those test show up negative, your cat might be facing exploratory thoracotomy (opening the thorax in order to see what is the cause of bleeding). Please, let us know about further developments. This morning we got him 50ml blood and he is better now. Thanks for your suggestion. This cat, spayed male, came to Poland 4 years ago from N.Y. City. After stabilisation -we gonna make an exloratory thoracotomy. Janusz G > > We suspected neoplasma in respiratory system . > > Please, may be a vet answer for my question, tkank uoy [quoted text clipped - 9 lines] > facing exploratory thoracotomy (opening the thorax in order to see what is > the cause of bleeding). Please, let us know about further developments. > so the most possible diagnosis would be neoplasia of lungs or heart. > Sometimes it's not possible to cytologically ( looking the cells from > effusion under microscope) detect neoplastic cells but nevertheless that > test should be done.If all those test show up negative, your cat might be > facing exploratory thoracotomy (opening the thorax in order to see what is > the cause of bleeding). Please, let us know about further developments. ......in the end what would be the purpose of opening up a cat with suspected cancer of the lung and/or heart? Just to know? I wouldn't imagine the prognosis would be very good with that diagnosi and treatment choices probably aren't optimal either.. buglady take out the dog before replying > ......in the end what would be the purpose of opening up a cat with > suspected cancer of the lung and/or heart? Just to know? I wouldn't > imagine the prognosis would be very good with that diagnosi and treatment > choices probably aren't optimal either.. Depending on a skill of a surgeon and quality of equipment some tumors could be removed.Heart tumors are probably beyond the reach of non-specialist veterinary surgeon, but with lungs it's a bit different story. You could remove a part of lung with the tumor. I don't know exactly about the cats, but you can removed one entire side in the dogs, leaving him with only one lung. > We have a cat with haemothorax, dreinage of ca 60ml of blood was evacuated > after yesterday, so our cat got better. Hematocrit dropped to 23%. Today, [quoted text clipped - 5 lines] > We suspected neoplasma in respiratory system . > Please, may be a vet answer for my question, tkank uoy The fluid that was aspirated from the chest cavity should have been at least sent for cytology (microscopic evaluation of the cells in that fluid). That could be *extremely* important diagnostic information. Ask your vet what that showed. HMc |
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