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Enlarged left adrenal gland, Conn’s Syndrome likely in a 17 year old FS DSH

Case Study

Enlarged left adrenal gland, Conn’s Syndrome likely in a 17 year old FS DSH

A 17-year-old FS DSH cat was presented for Inappetence, thickened intestines, kidney failure and hypertension. Abnormalities on CBC and serum biochemistry were increased BUN 44 and Creatinine 2.6. Potassium 3.6 slightly subnormal. 

A 17-year-old FS DSH cat was presented for Inappetence, thickened intestines, kidney failure and hypertension. Abnormalities on CBC and serum biochemistry were increased BUN 44 and Creatinine 2.6. Potassium 3.6 slightly subnormal. 

Image Interpretation

The left adrenal gland in this patient was enlarged, hypoechoic and rounded. The left adrenal gland measured 1.63 x 1.2 cm. 

DX

Enlarged left adrenal gland, Conn's disease likely

Outcome

Testing aldosterone levels recommended to assess for Conn’s disease. Hypertension is likely related to the left adrenal tumor +/- emerging renal failure. Left adrenalectomy, renal biopsy and gastrointestinal biopsies would be warranted given the diffuse intestinal thickening to rule out underlying occult lymphoma versus more likely inflammatory bowel with hypertrophied muscularis.

Patient Information

Patient Name : Macie Reuter
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Code : 07_00198

Clinical Signs

  • Anorexia
  • Renal Failure

History

  • Anorexia
  • GI Issues
  • Hypertension
  • Renal Failure

Images

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Blood Chemistry

  • BUN high
  • Creatinine, High
  • Potassium, Low

Clinical Signs

  • Anorexia
  • Renal Failure