Cargando…

Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass

CASE SUMMARY: A 9-year-old neutered male cat was referred owing to dyschezia and weight loss. Abdominal CT revealed a heterogeneous mass in the rectum and thickening of one caudal mesenteric lymph node. The mass induced a focal rectal obstruction. Cytological evaluation of fine-needle aspirates show...

Descripción completa

Detalles Bibliográficos
Autores principales: Goffart, Laura M, Durand, Alexane, Dettwiler, Martina, Vincenti, Simona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373184/
https://www.ncbi.nlm.nih.gov/pubmed/35966900
http://dx.doi.org/10.1177/20551169221114330
_version_ 1784767547221999616
author Goffart, Laura M
Durand, Alexane
Dettwiler, Martina
Vincenti, Simona
author_facet Goffart, Laura M
Durand, Alexane
Dettwiler, Martina
Vincenti, Simona
author_sort Goffart, Laura M
collection PubMed
description CASE SUMMARY: A 9-year-old neutered male cat was referred owing to dyschezia and weight loss. Abdominal CT revealed a heterogeneous mass in the rectum and thickening of one caudal mesenteric lymph node. The mass induced a focal rectal obstruction. Cytological evaluation of fine-needle aspirates showed signs of mixed inflammation for the rectal mass and a reactive lymph node. Because a definite diagnosis was not achieved, complete resection of the mass via a dorsal approach to the rectum was attempted. Histopathology confirmed complete removal and diagnosed feline gastrointestinal eosinophilic sclerosing fibroplasia (FGESF). The cat was treated with psyllium husks and lactulose after surgery. In the postoperative year, the owner reported normal behaviour, food intake and defecation of the patient. Dyschezia reoccurred 14 months after surgery. Imaging revealed recurrence of a rectal mass. Owing to clinical deterioration, the owner elected for euthanasia. RELEVANCE AND NOVEL INFORMATION: This is the first report of rectal FGESF with dyschezia and weight loss as the main clinical signs. The case demonstrates an acceptable outcome for more than 1 year without additional immunosuppressive therapy, and emphasises that FGESF must be considered as a differential diagnosis for rectal masses in cats.
format Online
Article
Text
id pubmed-9373184
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-93731842022-08-13 Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass Goffart, Laura M Durand, Alexane Dettwiler, Martina Vincenti, Simona JFMS Open Rep Case Report CASE SUMMARY: A 9-year-old neutered male cat was referred owing to dyschezia and weight loss. Abdominal CT revealed a heterogeneous mass in the rectum and thickening of one caudal mesenteric lymph node. The mass induced a focal rectal obstruction. Cytological evaluation of fine-needle aspirates showed signs of mixed inflammation for the rectal mass and a reactive lymph node. Because a definite diagnosis was not achieved, complete resection of the mass via a dorsal approach to the rectum was attempted. Histopathology confirmed complete removal and diagnosed feline gastrointestinal eosinophilic sclerosing fibroplasia (FGESF). The cat was treated with psyllium husks and lactulose after surgery. In the postoperative year, the owner reported normal behaviour, food intake and defecation of the patient. Dyschezia reoccurred 14 months after surgery. Imaging revealed recurrence of a rectal mass. Owing to clinical deterioration, the owner elected for euthanasia. RELEVANCE AND NOVEL INFORMATION: This is the first report of rectal FGESF with dyschezia and weight loss as the main clinical signs. The case demonstrates an acceptable outcome for more than 1 year without additional immunosuppressive therapy, and emphasises that FGESF must be considered as a differential diagnosis for rectal masses in cats. SAGE Publications 2022-08-10 /pmc/articles/PMC9373184/ /pubmed/35966900 http://dx.doi.org/10.1177/20551169221114330 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Goffart, Laura M
Durand, Alexane
Dettwiler, Martina
Vincenti, Simona
Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
title Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
title_full Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
title_fullStr Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
title_full_unstemmed Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
title_short Feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
title_sort feline gastrointestinal eosinophilic sclerosing fibroplasia presenting as a rectal mass
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373184/
https://www.ncbi.nlm.nih.gov/pubmed/35966900
http://dx.doi.org/10.1177/20551169221114330
work_keys_str_mv AT goffartlauram felinegastrointestinaleosinophilicsclerosingfibroplasiapresentingasarectalmass
AT durandalexane felinegastrointestinaleosinophilicsclerosingfibroplasiapresentingasarectalmass
AT dettwilermartina felinegastrointestinaleosinophilicsclerosingfibroplasiapresentingasarectalmass
AT vincentisimona felinegastrointestinaleosinophilicsclerosingfibroplasiapresentingasarectalmass