Peer-reviewed veterinary case report
Cat with vomiting and jugular catheter injury from parenteral
By Wakshlag, Joseph et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2011·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Extravasation injury associated with parenteral nutrition in a cat with presumptive gastrinomas.
- Species:
- cat
Plain-English summary
An 8-year-old domestic short hair cat was brought in for persistent vomiting and not eating. The cat was started on parenteral nutrition (PN) to help with its nutritional needs, but during treatment, the catheter accidentally moved, causing the PN to leak into surrounding tissues. Unfortunately, this led to severe inflammation and complications, and the cat was euthanized 36 hours later due to a poor prognosis linked to its underlying condition. This case highlights the serious risks associated with PN extravasation in cats.
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Abstract
OBJECTIVE: To describe the pathologic consequences of parenteral nutrition (PN) extravasation into the mediastinum of a cat. CASE SUMMARY: An 8-year-old domestic short hair cat with persistent vomiting and anorexia was initiated on PN for nutritional support. PN was being administered at a rate of 12.9 mL/h when inadvertent jugular catheter migration resulted in thrombophlebitis and cellulitis and 40-80 mL of PN extravasated into the SC and mediastinal tissues. The cat was euthanized 36 hours after the extravasation of PN due to poor prognosis related to the gastric complications associated with a presumed primary gastrinoma. Grossly there was excessive mediastinal lymphatic drainage and pronounced edema in the cervical SC and mediastinal tissue. Histopathologic examination of the PN-extravasated area revealed a severe mixed inflammatory reaction, represented by a severe neutrophilic and mild histiocytic infiltrate with lymphoplasmacytic perivascular cuffing. No bacterial agents were observed or cultured from this area. UNIQUE INFORMATION PROVIDED: This is the first case report of a foreign body-type reaction due to extravasation of PN (extravasation injury) in a cat. Extravasation of PN is not without pathologic consequence, and can result in a severe inflammatory reaction in affected tissues.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21827596/