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Colonic Intramural Hematoma in a Cat: A Case Report
Colonic intramural hematoma is a rare condition in humans and companion animals. Its clinical presentation in cats has not previously been reported. An 8-year-old male American shorthair cat presented with acute onset of constipation and anorexia for 3 days. Laboratory examination indicated mild ele...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247579/ https://www.ncbi.nlm.nih.gov/pubmed/35782539 http://dx.doi.org/10.3389/fvets.2022.913862 |
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author | Hsu, Ti-Chiu Lin, Lee-Shuan Chung, Cheng-Shu Chiang, Chuan Chiu, Hsien-Chieh Huang, Ping-Hsun |
author_facet | Hsu, Ti-Chiu Lin, Lee-Shuan Chung, Cheng-Shu Chiang, Chuan Chiu, Hsien-Chieh Huang, Ping-Hsun |
author_sort | Hsu, Ti-Chiu |
collection | PubMed |
description | Colonic intramural hematoma is a rare condition in humans and companion animals. Its clinical presentation in cats has not previously been reported. An 8-year-old male American shorthair cat presented with acute onset of constipation and anorexia for 3 days. Laboratory examination indicated mild elevation of alanine aminotransferase, globulin, and total protein levels. Complete blood count was normal. Radiographs revealed a soft tissue opacity mass located caudodorsally to the urinary bladder, causing narrowing of the descending colonic lumen. Sonography showed a heteroechogenic intraluminal mass containing liquefied content between the submucosal and muscular layers of the descending colon. On computed tomographic images, the mass contained two different attenuated contents with an interface. Colonoscopy was then performed for intestinal biopsy, and the contents observed in the intraluminal mass were drained via surgical evacuation and considered as blood clots. Supportive medical treatment, including antibiotics and fecal softener, was administered, and the clinical signs resolved uneventfully. Mild chronic proctitis without apparent malignancy was confirmed histopathologically, and no recurrence was observed after more than 14 months, and thus a colonic intramural hematoma was presumptively diagnosed. The information provided by multimodal imaging of the mass was essential for the diagnosis and determination of the treatment in this case. |
format | Online Article Text |
id | pubmed-9247579 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92475792022-07-02 Colonic Intramural Hematoma in a Cat: A Case Report Hsu, Ti-Chiu Lin, Lee-Shuan Chung, Cheng-Shu Chiang, Chuan Chiu, Hsien-Chieh Huang, Ping-Hsun Front Vet Sci Veterinary Science Colonic intramural hematoma is a rare condition in humans and companion animals. Its clinical presentation in cats has not previously been reported. An 8-year-old male American shorthair cat presented with acute onset of constipation and anorexia for 3 days. Laboratory examination indicated mild elevation of alanine aminotransferase, globulin, and total protein levels. Complete blood count was normal. Radiographs revealed a soft tissue opacity mass located caudodorsally to the urinary bladder, causing narrowing of the descending colonic lumen. Sonography showed a heteroechogenic intraluminal mass containing liquefied content between the submucosal and muscular layers of the descending colon. On computed tomographic images, the mass contained two different attenuated contents with an interface. Colonoscopy was then performed for intestinal biopsy, and the contents observed in the intraluminal mass were drained via surgical evacuation and considered as blood clots. Supportive medical treatment, including antibiotics and fecal softener, was administered, and the clinical signs resolved uneventfully. Mild chronic proctitis without apparent malignancy was confirmed histopathologically, and no recurrence was observed after more than 14 months, and thus a colonic intramural hematoma was presumptively diagnosed. The information provided by multimodal imaging of the mass was essential for the diagnosis and determination of the treatment in this case. Frontiers Media S.A. 2022-06-17 /pmc/articles/PMC9247579/ /pubmed/35782539 http://dx.doi.org/10.3389/fvets.2022.913862 Text en Copyright © 2022 Hsu, Lin, Chung, Chiang, Chiu and Huang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Veterinary Science Hsu, Ti-Chiu Lin, Lee-Shuan Chung, Cheng-Shu Chiang, Chuan Chiu, Hsien-Chieh Huang, Ping-Hsun Colonic Intramural Hematoma in a Cat: A Case Report |
title | Colonic Intramural Hematoma in a Cat: A Case Report |
title_full | Colonic Intramural Hematoma in a Cat: A Case Report |
title_fullStr | Colonic Intramural Hematoma in a Cat: A Case Report |
title_full_unstemmed | Colonic Intramural Hematoma in a Cat: A Case Report |
title_short | Colonic Intramural Hematoma in a Cat: A Case Report |
title_sort | colonic intramural hematoma in a cat: a case report |
topic | Veterinary Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247579/ https://www.ncbi.nlm.nih.gov/pubmed/35782539 http://dx.doi.org/10.3389/fvets.2022.913862 |
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