Peer-reviewed veterinary case report
Cat constipation from rectal stricture treated with balloon dilation
By Chavkin, Jessica A et al.·Published in Journal of feline medicine and surgery·2010·Department of Medicine, United States·View original on PubMed →
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Original publication title: Balloon dilation and intralesional steroid for benign rectal stricture management in a cat.
- Species:
- cat
Plain-English summary
A 4-year-old male domestic shorthair cat was brought in for a week of constipation and straining to defecate. He had a rectal stricture (narrowing) diagnosed eight months earlier, which had been managed with stool softeners. After a thorough examination and colonoscopy, doctors found that the stricture was benign and not caused by any serious issues. They performed balloon dilation on the stricture and injected a steroid to help reduce inflammation. Over 27 months of follow-up, the cat showed no signs of straining or recurrence of the stricture, indicating that this treatment was successful.
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Abstract
A 4-year-old castrated male domestic shorthair presented for 1 week of constipation and tenesmus. A rectal stricture had been diagnosed 8 months prior at the time of adoption and the cat had been successfully managed with stool softeners until presentation. A complete diagnostic work-up failed to reveal an underlying etiology for the stricture and colonoscopy was performed. Endoscopic biopsies of the stricture revealed benign non-specific inflammatory changes. Balloon dilation of the rectal stricture was performed during the initial colonoscopy and 3 and 9 days later. Triamcinolone acetonide was injected into the stricture site with endoscopic guidance during the third dilation procedure. The patient has been monitored for over 27 months; follow-up indicates no signs of tenesmus and repeated rectal examinations reveal no stricture recurrence. This case report demonstrates that endoscopic balloon dilation with intralesional steroid injection represented a minimally invasive and effective option for the treatment of a benign rectal stricture in this cat, and deserves further prospective investigation.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/20605101/