Peer-reviewed veterinary case report
Cat with pancreatitis and liver disease develops emphysematous
By Fulton, Emily et al.·Published in Journal of the American Animal Hospital Association·2022·From the University of Glasgow, United Kingdom·View original on PubMed →
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Original publication title: Feline Emphysematous Gastritis in a Cat with Pancreatitis and Secondary Hepatic Lipidosis.
- Species:
- cat
Plain-English summary
A 7-year-old female domestic shorthair cat was brought to the vet after showing signs of extreme tiredness and not eating for two months. She was diagnosed with pancreatitis and liver problems, and the vet placed a feeding tube to help her get nutrition. Unfortunately, the cat's condition worsened, and she started drooling excessively and became very lethargic. Despite efforts to manage her symptoms, she suffered a cardiac arrest a week later. A post-mortem exam revealed severe stomach inflammation and other serious issues, which are rare in cats.
People also search for: cat not eating · cat pancreatitis treatment · why is my cat drooling · cat liver disease symptoms · emphysematous gastritis in cats
Abstract
A 7 yr old female neutered domestic shorthair was presented with a 2 mo history of lethargy and hyporexia progressing to anorexia. Initial diagnostics indicated pancreatitis with secondary hepatic lipidosis. Supportive care, including the placement of an esophageal feeding tube, was initiated. The feeding tube was removed traumatically by the cat and thus replaced. The cat acutely deteriorated while hospitalized, developing marked hypersalivation and an obtunded mentation. Radiographs were taken to confirm placement of the feeding tube in case tube dislodgement was contributing to the hypersalivation; results confirmed appropriate positioning and gastric pneumatosis. Despite intensified medical management, the patient suffered cardiopulmonary arrest 7 days after hospital admission. Post-mortem examination confirmed necrotizing gastritis with emphysema alongside segmental mucosal necrosis in the jejunum, focal pancreatic necrosis, and diffuse hepatic lipidosis. Gas in the gastric wall is a rare finding in veterinary medicine and can arise due to gastric pneumatosis or emphysematous gastritis; there are scant reports of either in feline medicine. This report documents a case of emphysematous gastritis in a cat with concurrent pancreatitis and hepatic lipidosis. The cat developed emphysematous gastritis without undergoing gastrointestinal surgery which is currently the only reported feline predis-posing factor for development.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35793486/