Öz
A 5-year-old sterilized female cat (mixed breed) was brought to the clinic with vomiting complaint. The treatment of gastrointestinal infection was started and the patient was brought back to the veterinary clinic 24 hours later with severe vomiting, fasciculation and tremor, loss of pupillar reflex and worsening general condition. In this case; ultrasonographic imaging was used instead of radiographic imaging, which is frequently used as the first imaging method. The structure of the foreign body and what could be happen was estimated in ultrasonographic examination. When the foreign body was described to the patient owner, she confirmed that her cat had a suitable toy. Blood tests revealed hyponatremia, hypochloremia and hypokalemia. Significant neurological findings (fasciculation and tremor) were observed. Hypochloremic metabolic alkalosis caused by complete duodenal obstruction was diagnosed. After the patient's postoperative care was completed, full recovery was achieved.
Anahtar Kelimeler
Teşekkür
The authors especially thank Ismail Şahindokuyucu (Izmir/Bornova Veterinary Control Institute) for his contribution, help and English language translation.
Kaynakça
- Bebchuk TN. (2002) Feline gastrointestinal forein bodies. Vet Clin Small Anim. 32: 861-880. https://doi.org/10.1016/s0195-5616(02)00030-x
- Boag AK, Coe RJ, Martinez TA, et all (2005) Acid-base and electrolyte abnormalities in dogs with gastrointestinal foreing bodies. J Vet Intern Med. 19: 816-821. https://doi.org/10.1892/0891-6640(2005)19[816:aaeaid]2.0.co;2
- Ellison GW Intersinal obstruction (1998) In: Bojrab MJ (ed). Disease Mechanisms in Small Animal Surgery. Philadelhia USA.
- Ha YS, Hopper K and Epstein SE (2013) Incidence, nature, and etiology of metabolic alkalosis in dogs and cats. J Vet Intern Med. 4: 847–853. https://doi.org/10.1111/jvim.12122
- Jukes A, Gunew M, Marshall R. (2017) Severe muscle fasciculations and tremor in a cat with hypocloraemix metabolic alkalosis secondary to doudenal obstruction. JFMS Open Reports 1-4. https://doi.org/10.1177/2055116916686427
- Koenhemsi L, Iskefli O, Dokuzeylül B, et all (2011) Radiologic and ultrasonographic examination of a dog with acute gastric dilatation due to foreign body . Van Vet J 3: 185-187.
- Ozgermen BB, Sen Y, Unal E, et all (2016)Clinical, radiographic and ultrasonographic evaluation of gastric diseases in dogs. Turk J Vet Med Soc 2: 44-57.
- Papazoglou LG, Patikas MN Rallıs T. (2003) Intestinal foreing bodies in dogs an cats. Comp Cont Educ Pract 25: 830,843.
- Sharma A, Thompson MS, Scrivani PV et all (2011) Comparıson of radıography and ultrasonography for dıagnosıng small-ıntestınal mechanıcal obstructıon ın vomıtıng dogs. Vet Radiol Ultrasound 3: 248-255 https://doi.org/10.1111/j.1740-8261.2010.01791.x
Öz
5 yaşında kısır dişi kedi (karma ırk), kusma şikayeti ile kliniğe getirildi. Gastrointestinal enfeksiyon tedavisi başlanan hasta, 24 saat sonra artan şiddetli kusma, kas seğirmesi ve tremorlarıyla birlikte pupillar refleks kaybı ve giderek kötüleşen genel durum şikayetiyle kliniğe tekrar getirildi. Bu vakada; sıklıkla ilk görüntüleme yöntemi olarak kullanılan radyografik görüntüleme yerine ultrasonografik görüntüleme kullanıldı. Ultrasonografik muayenede cismin yapısı ve ne olabileceği hakkında tahminde bulunuldu. Hasta sahibine cisim tarif edildiğinde, kedisinin tarife uygun bir oyuncağının olduğunu doğruladı. Kan tahlili sonuçlarında hyponatremi, hypokloremi ve hypokalemi mevcuttu. Belirgin nörolojik bulgular (kas seğirmeleri ve tremorları) gözlendi. Tam duodenal obstrüksiyonun neden olduğu hypokloremik metabolik alkalosis teşhisi konuldu. Hastanın postoperatif bakımları tamamlandıktan sonra tam bir iyileşme sağlandı.
Anahtar Kelimeler
Kaynakça
- Bebchuk TN. (2002) Feline gastrointestinal forein bodies. Vet Clin Small Anim. 32: 861-880. https://doi.org/10.1016/s0195-5616(02)00030-x
- Boag AK, Coe RJ, Martinez TA, et all (2005) Acid-base and electrolyte abnormalities in dogs with gastrointestinal foreing bodies. J Vet Intern Med. 19: 816-821. https://doi.org/10.1892/0891-6640(2005)19[816:aaeaid]2.0.co;2
- Ellison GW Intersinal obstruction (1998) In: Bojrab MJ (ed). Disease Mechanisms in Small Animal Surgery. Philadelhia USA.
- Ha YS, Hopper K and Epstein SE (2013) Incidence, nature, and etiology of metabolic alkalosis in dogs and cats. J Vet Intern Med. 4: 847–853. https://doi.org/10.1111/jvim.12122
- Jukes A, Gunew M, Marshall R. (2017) Severe muscle fasciculations and tremor in a cat with hypocloraemix metabolic alkalosis secondary to doudenal obstruction. JFMS Open Reports 1-4. https://doi.org/10.1177/2055116916686427
- Koenhemsi L, Iskefli O, Dokuzeylül B, et all (2011) Radiologic and ultrasonographic examination of a dog with acute gastric dilatation due to foreign body . Van Vet J 3: 185-187.
- Ozgermen BB, Sen Y, Unal E, et all (2016)Clinical, radiographic and ultrasonographic evaluation of gastric diseases in dogs. Turk J Vet Med Soc 2: 44-57.
- Papazoglou LG, Patikas MN Rallıs T. (2003) Intestinal foreing bodies in dogs an cats. Comp Cont Educ Pract 25: 830,843.
- Sharma A, Thompson MS, Scrivani PV et all (2011) Comparıson of radıography and ultrasonography for dıagnosıng small-ıntestınal mechanıcal obstructıon ın vomıtıng dogs. Vet Radiol Ultrasound 3: 248-255 https://doi.org/10.1111/j.1740-8261.2010.01791.x
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Veteriner Cerrahi |
| Bölüm | Vaka Takdimi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Aralık 2020 |
| Yayımlandığı Sayı | Yıl 2020Cilt: 2 Sayı: 2 |
