Feline Gastrointestinal Eosinophilic Sclerosing Fibroplasia and Duodenal Perforation in a 1-Year-Old British Shorthair Cat.

Erin L Patterson, Emily J Ball, Justin M Lavallee
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Abstract

Objective: To provide a case description, including perioperative management, of a young cat with feline gastrointestinal eosinophilic sclerosing fibroplasia that presented with septic peritonitis.

Case summary: A 1.5-year-old male castrated British Shorthair was presented with an acute history of vomiting, inappetence, and periuria. On presentation, the patient was in shock and was apparently painful on abdominal palpation. Abdominal radiographs identified a mass effect within the stomach, pneumoperitoneum, and a mild lack of serosal detail consistent with scant peritoneal effusion. Exploratory laparotomy confirmed a mass affecting the pylorus and proximal duodenum, which was ruptured at the level of the major duodenal papilla. Mass resection with concurrent gastroduodenostomy and cholecystojejunostomy was performed, and feline gastrointestinal eosinophilic sclerosing fibroplasia (FGESF) was diagnosed histopathologically. The cat was discharged 4 days postoperatively. Two weeks after surgery, treatment with prednisolone was initiated, and a hypoallergenic diet was recommended. Short-term medical management was challenged by poor owner compliance, and the patient was lost to follow-up 7 months after surgery.

New or unique information provided: To the authors' knowledge, this is the first report of FGESF as a cause of gastrointestinal perforation and septic peritonitis. FGESF should be considered a differential for perforated gastrointestinal masses in cats.

1岁英国短毛猫胃肠道嗜酸性硬化纤维增生和十二指肠穿孔。
目的:提供一个病例描述,包括围手术期处理,猫胃肠嗜酸性硬化性纤维增生,并提出化脓性腹膜炎。病例总结:一只1.5岁的雄性阉割英国短毛猫,有急性呕吐、食欲不振和尿潴留史。入院时,病人处于休克状态,腹部触诊明显疼痛。腹部x线片发现胃内肿块效应,气腹,轻度浆膜缺乏,与少量腹膜积液一致。剖腹探查证实一肿块影响幽门及近端十二指肠,并在十二指肠乳头处破裂。肿块切除并发胃十二指肠吻合术和胆囊空肠吻合术,组织病理学诊断为猫胃肠道嗜酸性硬化性纤维增生(FGESF)。术后4 d猫出院。手术后两周,开始使用强的松龙治疗,并推荐低过敏性饮食。短期医疗管理受到业主依从性差的挑战,患者在术后7个月失去随访。提供新的或独特的信息:据作者所知,这是FGESF作为胃肠道穿孔和脓毒性腹膜炎的原因的第一份报告。FGESF应被视为猫胃肠道穿孔肿块的鉴别指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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