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Peer-reviewed veterinary case report

Cat with low blood pressure treated by adrenal gland removal surgery

By Kang, J et al.·Published in The Journal of small animal practice·2024·Department of Veterinary Surgery, South Korea·View original on PubMed

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Original publication title: Adrenalectomy for the treatment of hypotension in a cat with phaeochromocytoma associated with caudal vena cava syndrome.

Species:
cat
Cat not eatingAppetite & weightCats

Plain-English summary

An 11-year-old spayed female Persian cat was brought in because she had been lethargic and not eating for two months. The vet found that her heart was racing and her blood pressure was low. Imaging tests showed a mass on her right adrenal gland that was pressing on a major vein. After stabilizing her condition with fluids and medications, the vet performed surgery to remove the mass, which turned out to be a pheochromocytoma (a type of tumor). Following the surgery, her blood pressure and heart rate improved and stayed stable for at least eight months afterward.

People also search for: cat lethargy and not eating · cat adrenal gland tumor treatment · Persian cat low blood pressure

Abstract

An 11-year-old spayed female, Persian cat was referred to the Jeonbuk Animal Medical Center for evaluation of a 2-month history of lethargy and anorexia. Physical examination revealed tachycardia and hypotension. Abdominal imaging via sonography and CT identified a right adrenal gland mass causing severe deviation and compression of the caudal vena cava. After stabilising the blood pressure and heart rate through positive inotropes and fluid therapy, right adrenalectomy was performed. Surgery confirmed the adrenal gland mass was severely compressing the caudal vena cava. Histopathological examination revealed that the mass was a pheochromocytoma. After adrenalectomy, blood pressure and heart rate stabilised and remained unaffected 8 months postsurgery. This report describes a rare case of an adrenal pheochromocytoma leading to caudal vena cava compression in a cat presenting with hypotension.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38169034/