• 1. Marini RP. Physical examination, preventive medicine, and diagnosis in the ferret. In: Biology and diseases of the ferret. 3rd ed. Ames, Iowa: Wiley-Blackwell, 2014;235258.

    • Search Google Scholar
    • Export Citation
  • 2. Fox JG. Normal clinical and biological parameters. In: Biology and diseases of the ferret. 3rd ed. Ames, Iowa: Wiley-Blackwell, 2014;157185.

    • Search Google Scholar
    • Export Citation
  • 3. Wagner RA. Ferret cardiology. Vet Clin North Am Exot Anim Pract 2009;12:115134, vii.

  • 4. Olin JM, Smith TJ, Talcott MR. Evaluation of noninvasive monitoring techniques in domestic ferrets (Mustela putorius furo). Am J Vet Res 1997;58:10651069.

    • Search Google Scholar
    • Export Citation
  • 5. Lichtenberger M, Ko J. Critical care monitoring. Vet Clin North Am Exot Anim Pract 2007;10:317344.

  • 6. Hein J, Spreyer F, Sauter-Louis C, et al. Reference ranges for laboratory parameters in ferrets. Vet Rec 2012;171:218.

  • 7. Morissey JK, Kraus MS. Cardiovascular and other diseases. In: Ferrets, rabbits and rodents: clinical medicine and surgery. 3rd ed. St Louis: Elsevier Saunders, 2012;6277.

    • Search Google Scholar
    • Export Citation
  • 8. Eshar D, Wyre NR, Brown DC. Urine specific gravity values in clinically healthy young pet ferrets (Mustela furo). J Small Anim Pract 2012;53:115119.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9. Fossum TW, Hay WH, Boothe HW, et al. Chylous ascites in three dogs. J Am Vet Med Assoc 1992;200:7076.

  • 10. Gores BR, Berg J, Carpenter JL, et al. Chylous ascites in cats: nine cases (1978–1993). J Am Vet Med Assoc 1994;205:11611164.

  • 11. Lott K, Mansfield C, Abraham LA. Acute chylous peritonitis associated with acute pancreatitis in a Staffordshire Bull Terrier. N Z Vet J 2015;63:125126.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12. Myers NC III, Engler SJ, Jakowski RM. Chylothorax and chylous ascites in a dog with mediastinal lymphangiosarcoma. J Am Anim Hosp Assoc 1996;32:263269.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13. Nelson KL. Chyloabdomen in a mature cat. Can Vet J 2001;42:381383.

  • 14. Peterson SL. Postcaval thrombosis and delayed shunt migration after pleuro-peritoneal venous shunting for concurrent chylothorax and chylous ascites in a dog. Vet Surg 1996;25:228230.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15. Savary KC, Sellon RK, Law JM. Chylous abdominal effusion in a cat with feline infectious peritonitis. J Am Anim Hosp Assoc 2001;37:3540.

  • 16. Thompson MD, Carr AP. Hyponatremia and hyperkalemia associated with chylous pleural and peritoneal effusion in a cat. Can Vet J 2002;43:610613.

    • Search Google Scholar
    • Export Citation
  • 17. Wright KN, Gompf RE, DeNovo RC. Peritoneal effusion in cats: 65 cases (1981–1997). J Am Vet Med Assoc 1999;214:375381.

  • 18. Fish EJ, Welles EG, Weiss RC, et al. What is your diagnosis? Abdominal fluid from a dog. Vet Clin Pathol 2015;44:457458.

  • 19. Campbell-Beggs CL, Johnson PJ, Wilson DA, et al. Chyloabdomen in a neonatal foal. Vet Rec 1995;137:9698.

  • 20. Fish EJ, Boes KM, Wilson KE, et al. Pathology in practice. Chylous ascites with secondary neutrophilic inflammation in a foal. J Am Vet Med Assoc 2015;246:857859.

    • Search Google Scholar
    • Export Citation
  • 21. Hanselaer JR, Nyland TG. Chyloabdomen and ultrasonographic detection of an intra-abdominal abscess in a foal. J Am Vet Med Assoc 1983;183:14651467.

    • Search Google Scholar
    • Export Citation
  • 22. Mair TS, Lucke VM. Chyloperitoneum associated with torsion of the large colon in a horse. Vet Rec 1992;131:421.

  • 23. May KA, Cheramie HS, Prater DA. Chyloperitoneum and abdominal adhesions in a miniature horse. J Am Vet Med Assoc 1999;215:676678.

  • 24. Arnold CE, Taylor T, Chaffin MK, et al. Nephrectomy via ventral median celiotomy in equids. Vet Surg 2013;42:275279.

  • 25. Cruz AM, Riley CB, MacDonald DG, et al. Use of mesenteric lymphangiography in a calf with chylothorax and chyloperitoneum. J Am Vet Med Assoc 1995;206:15671571.

    • Search Google Scholar
    • Export Citation
  • 26. Naples LM, Lacasse C, Landolfi JA, et al. Acute pancreatitis in slender-tailed meerkats (Suricata suricatta). J Zoo Wildl Med 2010;41:275286.

  • 27. Montali RJ, Roberts M, Freeman RA, et al. Pathology survey of the red panda (Ailurus fulgens). In: Ryder OA, Byrd ML, eds. One medicine. Berlin: Springer, 1984;128140. Available at: link.springer.com/chapter/10.1007/978-3-642-61749-2_14. Accessed Sep 15, 2016.

    • Search Google Scholar
    • Export Citation
  • 28. Terrell SP, Fontenot DK, Miller MA, et al. Chylous ascites in a cheetah (Acinonyx jubatus) with venoocclusive liver disease. J Zoo Wildl Med 2003;34:380384.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29. Roh Y-S, Kim E-J, Cho A, et al. Chylous ascites in a hedgehog (Atelerix albiventris). J Zoo Wildl Med 2014;45:951954.

  • 30. Vilalta L, Altuzarra R, Molina J, et al. Chylous ascites in 2 ferrets. J Exot Pet Med 2017;26:150155.

  • 31. Zorgniotti F. Ferret chyloabdomen—gross necrospy findings. Veterinary Information Network website. Available at: www.vin.com/Members/Boards/DiscussionViewer.aspx?documentid=3216704&ViewFirst=1. Accessed Jun 19, 2016.

    • Search Google Scholar
    • Export Citation
  • 32. Aalami OO, Allen DB, Organ CH. Chylous ascites: a collective review. Surgery 2000;128:761778.

  • 33. Al-Busafi SA, Ghali P, Deschěnes M, et al. Chylous ascites: evaluation and management. ISRN Hepatol 2014;2014:240473.

  • 34. Cochran WJ, Klish WJ, Brown MR, et al. Chylous ascites in infants and children: a case report and literature review. J Pediatr Gastroenterol Nutr 1985;4:668673.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35. Ismail NA, Gordon J, Dunning J. The use of octreotide in the treatment of chylothorax following cardiothoracic surgery. Interact Cardiovasc Thorac Surg 2015;20:848854.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36. Lewis SJ, Egger M, Sylvester PA, et al. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ 2001;323:773776.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 37. Stajich GV, Ashworth L. Octreotide. Neonatal Netw 2006; 25:365369.

  • 38. Markham KM, Glover JL, Welsh RJ, et al. Octreotide in the treatment of thoracic duct injuries. Am Surg 2000;66:11651167.

  • 39. Leibovitch I, Mor Y, Golomb J, et al. The diagnosis and management of postoperative chylous ascites. J Urol 2002;167:449457.

  • 40. Fossum TW. Surgery of the lower respiratory system: pleural cavity and diaphragm. In: Small animal surgery. 4th ed. St Louis: Elsevier Mosby, 2013;9911032.

    • Search Google Scholar
    • Export Citation

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Chylous ascites associated with abdominal trauma and intestinal resection-anastomosis in a pet ferret (Mustela putorius furo)

Lucile ChassangDepartment of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, University of Montréal, St-Hyacinthe, QC J2S 7C6, Canada.

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Isabelle LangloisDepartment of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, University of Montréal, St-Hyacinthe, QC J2S 7C6, Canada.

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Pauline LoosDepartment of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, University of Montréal, St-Hyacinthe, QC J2S 7C6, Canada.

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Mila FreireDepartment of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, University of Montréal, St-Hyacinthe, QC J2S 7C6, Canada.

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Elizabeth O'TooleDepartment of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, University of Montréal, St-Hyacinthe, QC J2S 7C6, Canada.

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Abstract

CASE DESCRIPTION A 10-week-old 0.73-kg (1.6-lb) castrated male domestic ferret (Mustela putorius furo) was referred for exploratory laparotomy because of pneumoperitoneum and possible septic peritonitis after being bitten by the owner's dog.

CLINICAL FINDINGS Abdominal exploration revealed a large laceration of the duodenum, tears of the jejunal mesentery, and 2 small tears in the abdominal wall. Chylous abdominal effusion developed 48 hours after surgery.

TREATMENT AND OUTCOME Postoperative care included supportive treatment, analgesia, and antimicrobials. An abdominal drain was placed during the laparotomy and enabled monitoring of abdominal fluid production. Enteral feeding was provided through an esophagostomy tube. The chylous fluid production rapidly decreased after treatment with octreotide was initiated, and the ferret improved. Chyloabdomen resolved after 8 days of hospitalization and medical treatment.

CLINICAL RELEVANCE Findings suggested that chylous ascites can potentially develop secondary to blunt abdominal trauma in ferrets. In this ferret, chyloabdomen was successfully treated with octreotide administration and abdominal drainage.

Abstract

CASE DESCRIPTION A 10-week-old 0.73-kg (1.6-lb) castrated male domestic ferret (Mustela putorius furo) was referred for exploratory laparotomy because of pneumoperitoneum and possible septic peritonitis after being bitten by the owner's dog.

CLINICAL FINDINGS Abdominal exploration revealed a large laceration of the duodenum, tears of the jejunal mesentery, and 2 small tears in the abdominal wall. Chylous abdominal effusion developed 48 hours after surgery.

TREATMENT AND OUTCOME Postoperative care included supportive treatment, analgesia, and antimicrobials. An abdominal drain was placed during the laparotomy and enabled monitoring of abdominal fluid production. Enteral feeding was provided through an esophagostomy tube. The chylous fluid production rapidly decreased after treatment with octreotide was initiated, and the ferret improved. Chyloabdomen resolved after 8 days of hospitalization and medical treatment.

CLINICAL RELEVANCE Findings suggested that chylous ascites can potentially develop secondary to blunt abdominal trauma in ferrets. In this ferret, chyloabdomen was successfully treated with octreotide administration and abdominal drainage.

Contributor Notes

Dr. Chassang's present address is Exotics Department, Centre Hospitalier Vétérinaire Frégis, 94110 Arcueil, France.

Dr. Loos’ present address is Department of Infectious and Parasite Diseases, Veterinary Vaccinology, University of Liège, 4000 Liège, Belgium.

Address correspondence to Dr. Langlois (isabelle.langlois@umontreal.ca).