Tallaj Katherine M, Cortes Yonaira, Gannon Kristi M, Fettig Arthur A
Oradell Animal Hospital, Paramus, NJ, USA.
JFMS Open Rep. 2021 Feb 24;7(1):2055116921990295. doi: 10.1177/2055116921990295. eCollection 2021 Jan-Jun.
A 10-week-old intact male domestic shorthair kitten presented for an acute onset of lethargy, vomiting and anorexia. An abdominal mass effect was palpable on presentation. Blood work, abdominal radiographs and point-of-care abdominal ultrasound showed severe anemia, decreased serosal detail and abdominal effusion, respectively. Based on the concern for an abdominal organ torsion or ruptured mass, an emergency abdominal exploratory surgery was performed. Torsion of the entire caudate liver lobe was discovered with a secondary hemoabdomen, and a liver lobectomy was performed. The kitten was stabilized and discharged 3 days after surgery. At the recheck examination, 15 days postoperatively, the patient was reported to be doing well.
Liver lobe torsion is a rare condition previously reported in six other cats; however, this is the first peer-reviewed report in a kitten successfully treated with surgery with no identifiable underlying cause.
一只10周大的未绝育雄性家养短毛小猫因突然出现嗜睡、呕吐和厌食前来就诊。就诊时可触及腹部肿块效应。血液检查、腹部X光片和即时腹部超声分别显示严重贫血、浆膜细节减少和腹腔积液。基于对腹部器官扭转或肿块破裂的担忧，进行了紧急腹部探查手术。发现整个尾状肝叶扭转并伴有继发性腹腔积血，遂进行了肝叶切除术。小猫术后3天病情稳定并出院。术后15天复诊时，据报告患者情况良好。
肝叶扭转是一种罕见病症，此前在其他六只猫中也有报道；然而，这是第一份经同行评审的关于一只小猫成功接受手术治疗且无明确潜在病因的报告。
