Peer-reviewed veterinary case report
Cat with vomiting diagnosed with pancreatitis and fatty liver disease
By Bruner, J M et al.·Published in Journal of the American Veterinary Medical Association·1997·Department of Veterinary Clinical Sciences, United States·View original on PubMed →
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Original publication title: High feline trypsin-like immunoreactivity in a cat with pancreatitis and hepatic lipidosis.
- Species:
- cat
Plain-English summary
A 1.5-year-old domestic shorthair cat was brought to the vet because it was vomiting and had yellowing of the skin and eyes (icterus). Tests showed high liver enzymes and bilirubin levels, and an ultrasound revealed issues with the pancreas and liver, indicating pancreatitis and hepatic lipidosis (fatty liver disease). The cat was treated with fluids and a special diet delivered through a feeding tube, but unfortunately, its condition worsened, and it was euthanized. A necropsy confirmed the diagnoses of pancreatitis and hepatic lipidosis.
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Abstract
A 1.5-year-old domestic shorthair cat was examined because of vomiting and icterus. Clinicopathologic abnormalities included high alanine transaminase, alkaline phosphatase, and gamma-glutamyltransferase activities and high total bilirubin concentration. During abdominal ultrasonography, the left limb and body of the pancreas appeared hypoechoic, and a small quantity of peritoneal effusion was seen. The liver was diffusely hyperechoic, with echogenicity similar to that of the spleen, indicating hepatic lipidosis. Feline trypsin-like immunoreactivity was high, suggesting that the cat also had pancreatitis. The cat was treated with crystalloid fluids and was fed a protein-restricted diet via a percutaneous endoscopically placed gastrostomy tube. The cat's condition continued to deteriorate despite medical treatment, and it was euthanatized. Necropsy confirmed the clinical suspicion of acute pancreatitis and hepatic lipidosis. This case suggests that measurement of trypsin-like immunoreactivity may be useful in cats suspected of having pancreatitis.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/9187724/