Kawamura Yuta, Itou Hiroki, Kida Akitomo, Sunkawa Hiroki, Kawamura Kenji
Kawamura Animal Hospital, Niigata, Japan.
Yamagata University Hospital, Yamagata, Japan.
Front Vet Sci. 2021 Aug 2;8:707120. doi: 10.3389/fvets.2021.707120. eCollection 2021.
An 8-year-old Ragdoll cat was admitted to our hospital after its owner noticed sudden lethargy. Abdominal ultrasonography showed a large amount of blood in the abdominal cavity, and the cat was diagnosed as having hemorrhagic shock caused by the rupture of an intra-abdominal mass. Blood transfusion was performed on the 1st day of hospitalization. On the 2nd day, contrast-enhanced computed tomography (CT) was performed, and hemorrhage from a mass originating in the caudate lobe of the liver was noted. Transcatheter arterial embolization (TAE) was performed to stop the bleeding from the mass using Gelpart to embolize the feeding artery. The following day, fever and elevation of liver enzyme levels were observed, but these subsided within a few days. At discharge 5 days after TAE, no fluid was found in the peritoneal cavity, and no further intra-abdominal bleeding occurred. Sixty-six days after TAE, we were able to perform resection surgery with the cat in good condition. A partial response was observed on CT performed before surgery. Histopathology revealed cholangiocellular adenoma. The cat was doing well as of postoperative day 549. This case indicates that TAE may be effective for initial hemostasis and stabilization of conditions in animals with tumor-induced hemorrhage.
一只8岁的 Ragdoll 猫在其主人注意到它突然嗜睡后被送往我院。腹部超声检查显示腹腔内有大量血液，该猫被诊断为腹腔肿物破裂导致失血性休克。住院第1天进行了输血。第2天，进行了增强计算机断层扫描（CT），发现肝脏尾状叶有一肿物出血。采用 Gelpart 栓塞供血动脉，行经导管动脉栓塞术（TAE）以止住肿物出血。次日，观察到发热和肝酶水平升高，但数天内这些症状消退。TAE 术后5天出院时，腹腔内未发现积液，也未再发生腹腔内出血。TAE 术后66天，我们得以在猫状况良好的情况下进行切除手术。术前 CT 显示部分缓解。组织病理学检查显示为胆管细胞腺瘤。截至术后549天，这只猫情况良好。该病例表明，TAE 对于肿瘤性出血动物的初始止血和病情稳定可能有效。
