Peer-reviewed veterinary case report
Cat with rectal mass caused by eosinophilic fibroplasia
By Laura M Goffart et al.·Published in Journal of Feline Medicine and Surgery Open Reports·2022·Division of Clinical Surgery, Vetsuisse Faculty, University of Bern, Bern, Switzerland, GB·View original on DOAJ →
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Original publication title: Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
- Species:
- cat
Plain-English summary
A 9-year-old neutered male cat was brought in because he was having trouble passing stool and was losing weight. A scan showed a mass in his rectum that was causing an obstruction. The vet performed surgery to remove the mass, which was diagnosed as feline gastrointestinal eosinophilic sclerosing fibroplasia (FGESF). After surgery, the cat recovered well for over a year, eating normally and having regular bowel movements. Unfortunately, the mass returned 14 months later, and due to the cat's declining health, the owner chose to euthanize him.
People also search for: cat weight loss and constipation · cat rectal mass treatment · feline gastrointestinal eosinophilic sclerosing fibroplasia
Abstract
Case summary A 9-year-old neutered male cat was referred owing to dyschezia and weight loss. Abdominal CT revealed a heterogeneous mass in the rectum and thickening of one caudal mesenteric lymph node. The mass induced a focal rectal obstruction. Cytological evaluation of fine-needle aspirates showed signs of mixed inflammation for the rectal mass and a reactive lymph node. Because a definite diagnosis was not achieved, complete resection of the mass via a dorsal approach to the rectum was attempted. Histopathology confirmed complete removal and diagnosed feline gastrointestinal eosinophilic sclerosing fibroplasia (FGESF). The cat was treated with psyllium husks and lactulose after surgery. In the postoperative year, the owner reported normal behaviour, food intake and defecation of the patient. Dyschezia reoccurred 14 months after surgery. Imaging revealed recurrence of a rectal mass. Owing to clinical deterioration, the owner elected for euthanasia. Relevance and novel information This is the first report of rectal FGESF with dyschezia and weight loss as the main clinical signs. The case demonstrates an acceptable outcome for more than 1 year without additional immunosuppressive therapy, and emphasises that FGESF must be considered as a differential diagnosis for rectal masses in cats.
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Search related cases →Original publication on DOAJ: https://doi.org/10.1177/20551169221114330