A 7-year-old MN DSH cat was presented for intermittent vomiting typified by vomiting 2-3 times a week. The patient also had a history of constipation. The physical exam revealed mild dehydration (estimated at 5%), pyrexia, a grade IV/VI heart murmur and large amounts of firm stool in the descending colon. CBC showed a neutrophilia. Blood chemistry showed elevated ALT and hyperamylasemia. T4 was within normal limits.
A 7-year-old MN DSH cat was presented for intermittent vomiting typified by vomiting 2-3 times a week. The patient also had a history of constipation. The physical exam revealed mild dehydration (estimated at 5%), pyrexia, a grade IV/VI heart murmur and large amounts of firm stool in the descending colon. CBC showed a neutrophilia. Blood chemistry showed elevated ALT and hyperamylasemia. T4 was within normal limits.
Case Study
Colonic obstipation in a 7 year old MN DSH cat
DX
Colonic obstipation
Sonographic Differential Diagnosis
Colonic obstipation.
Image Interpretation
Significant repletion of the colon is present with hard shadowing stool. No evidence of obstructive disease is present and the colonic shadowing material is uniformly dilating the colon into the pelvic inlet.
Outcome
A subtotal colectomy was recommended. However, the owner elected to euthanize the cat.
Clinical Differential Diagnosis
Liver pathology (hepatitis, cholangiohepatitis); GI pathology ( IBD, constipation due to decreased motility, megacolon, mass lesion); gastrointestinal, hepatic or pancreatic neoplasia (lymphoma, adenocarcinoma, leiomyoma, leiomyosarcoma, mast cell tumor.)
Sampling
None
Video
Patient Information
Patient Name :
Salvidore B
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00211
Clinical Signs
- Constipation
- Vomiting
History
- Constipation
Exam Finding
- Dehydration
- Fever
- Heart Murmur
- Stool Impaction
Images
Blood Chemistry
- ALT (SGPT), High
- Amylase, High
CBC
- Neutrophils, High
Clinical Signs
- Constipation
- Vomiting