Leary Meredith L, Sinnott-Stutzman Virginia
Department of Emergency and Critical Care, Angell Animal Medical Center, Boston, MA, 02130.
J Vet Emerg Crit Care (San Antonio). 2018 Jul;28(4):346-355. doi: 10.1111/vec.12734. Epub 2018 Jun 15.
To describe 2 cases of gastric dilatation-volvulus (GDV) in cats. To describe 2 unique clinical settings in which the disease occurs in cats, and to highlight the differences between GDV in cats and dogs.
Two neutered female Persian cats were presented for evaluation of respiratory distress. Initial physical examination revealed tachypnea, dyspnea, and a markedly distended and painful abdomen in both cats. Radiographs revealed a gas-dilated stomach and gastrointestinal (GI) tract in both cats but were only diagnostic for GDV in 1 case. Gastric dilatation-volvulus was confirmed during exploratory laparotomy and gastropexy was performed in each case. Both cats were successfully discharged from the hospital.
Gastric dilatation-volvulus in cats is a rare event and appears to occur in 2 clinical settings: in combination with traumatic diaphragmatic hernia (as previously reported) and without a history of trauma or diaphragmatic hernia, as in the 2 cases reported here. Clinicians should consider GDV in the list of differentials for cats with respiratory distress and abdominal distension, even if classic radiographic findings are not present.
描述2例猫胃扩张-扭转(GDV)病例。描述该病在猫中发生的2种独特临床情况,并强调猫与狗的胃扩张-扭转之间的差异。
两只绝育的雌性波斯猫因呼吸窘迫前来评估。初次体格检查发现两只猫均有呼吸急促、呼吸困难以及明显膨胀且疼痛的腹部。X光片显示两只猫均有胃和胃肠道气体扩张,但仅1例诊断为胃扩张-扭转。在剖腹探查术中确诊为胃扩张-扭转,每例均进行了胃固定术。两只猫均成功出院。
猫胃扩张-扭转是一种罕见情况,似乎发生在2种临床情况下:与创伤性膈疝合并(如先前报道),以及无创伤或膈疝病史,如本文报道的2例。临床医生应将胃扩张-扭转列入有呼吸窘迫和腹胀的猫的鉴别诊断清单中,即使没有典型的X光表现。