Hepatic lipidosis in a Maine coon cat secondary to megacolon
A six and one half year old male castrated Maine Coon cat presented to the NYSCVM Emergency Service with a chief complaint of icterus of one day duration. He had a six month history of intermittent constipation, weight loss of four pounds in one month, and a one month history of intermittent anorexia. He became completely anorexic for one week prior to presentation. He was also treated with long term clomipramine for inter-cat aggression and hair pulling. On physical examination, he had generalized icterus, severe muscle wasting, hepatomegaly, was mildly dehydrated, lethargic and weighed fourteen pounds. Initial diagnostic tests performed included a complete blood count (CBC), serum chemistry panel and urinalysis. Poikilocytosis was the only remarkable finding in the CBC. The chemistry panel revealed hypokalemia, hyperbilirubinemia, increased alkaline phosphatase (ALP), alanine animotransferase (ALT), and aspartate aminotransferase (AST) activities, a normal gamma glutamyl transferase (GGT) and decreased blood urea nitrogen and panhypoproteinemia. A coagulation panel was submitted and revealed a prolonged activated partial thromboplastin time (22s) (APTT). Before additional diagnostics were performed the patient was stabilized with intravenous fluids with a balanced electrolyte solution and a nasogastric tube was placed for enteral feeding.
Senior seminar paperSeminar SF610.1 2004 S25
Cats -- Diseases -- Case studies