Korean Journal of Veterinary Service (한국동물위생학회지)

The Korean Society of Veterinary Service (한국동물위생학회)
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Computed tomography diagnosis of secondary hepatic lipidosis in an awake cat with alimentary lymphoma

  • Oh, Narang (College of Veterinary Medicine, Kangwon National University) ;
  • Lee, Kija (College of Veterinary Medicine, Kyungpook National University) ;
  • Chung, Jinyoung (College of Veterinary Medicine, Kangwon National University) ;
  • Ahn, Jinok (College of Veterinary Medicine, Kangwon National University) ;
  • Choi, Sooyoung (College of Veterinary Medicine, Kangwon National University) ;
  • Park, Inchul (College of Veterinary Medicine, Kangwon National University)
  • Received : 2019.08.27
  • Accepted : 2019.12.05
  • Published : 2019.12.30
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Abstract

An 8-year-old castrated male Korean short hair cat was referred with chronic vomiting, diarrhea, and anorexia. The cat was diagnosed with alimentary lymphoma via fine needle aspiration. Three weeks later, he was presented again with anorexia. Hepatomegaly and hyperechoic change in the liver parenchyma were observed. Computed tomography while awake was performed and revealed hypoattenuation of the hepatic parenchyma. The cat was tentatively diagnosed with feline hepatic lipidosis secondary to alimentary lymphoma. In the feline patient with lymphoma, hepatomegaly is important to differentiate hepatic lipidosis from hepatic infiltration of lymphoma on liver. In the present case, fatty infiltration of the liver was identified via non-invasive, rapid, and convenient computed tomography examination in an awake cat with a lymphoma.

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References

  1. Barrett JF, Keat N. 2004. Artifacts in CT: recognition and avoidance. Radiographics 24:1679-1691. https://doi.org/10.1148/rg.246045065
  2. Barrs VR, Beatty JA. 2012. Feline alimentary lymphoma: 2. Further diagnostics, therapy and prognosis. J Feline Med Surg 14:191-201. https://doi.org/10.1177/1098612X12439266
  3. Center SA, Crawford MA, Guida L, Erb HN, King J. 1993. A retrospective study of 77 cats with severe hepatic lipidosis: 1975-1990. J Vet Intern Med 7:349-359. https://doi.org/10.1111/j.1939-1676.1993.tb01030.x
  4. Crabtree AC, Spangler E, Beard D, Smith A. 2010. Diagnostic accuracy of gray-scale ultrasonography for the detection of hepatic and splenic lymphoma in dogs. Vet Radiol Ultrasound 51:661-664. https://doi.org/10.1111/j.1740-8261.2010.01725.x
  5. Gieger T. 2011. Alimentary lymphoma in cats and dogs. Vet Clin North Am Small Anim Pract 41:419-432. https://doi.org/10.1016/j.cvsm.2011.02.001
  6. Heo SH, Yoon YM, Hwang TS, Jung DI, Lee HC. 2018. Imaging diagnosis of hepatic lipidosis in a cat. Korean J Vet Res 58:99-101. https://doi.org/10.14405/KJVR.2018.58.2.99
  7. Ketih P. Ricther. 2003. Feline gastrointestinal lymphoma. Vet Clin Small Anim 33:1083-1098 https://doi.org/10.1016/S0195-5616(03)00054-8
  8. Koch BL. 2008. Avoiding sedation in pediatric radiology. Pediatr Radiol 38:S225-226. https://doi.org/10.1007/s00247-008-0807-z
  9. Lam R, Niessen SJ, Lamb CR. 2014. X-ray attenuation of the liver and kidney in cats considered at varying risk of hepatic lipidosis. Vet Radiol Ultrasound 55:141-146. https://doi.org/10.1111/vru.12113
  10. Lamb CR, Hartzband LE, Tidwell AS, Pearson SH. 1991. Ultrasonographic findings in hepatic and splenic lymphosarcoma in dogs and cats. Vet Radiol Ultrasound 32:117-120. https://doi.org/10.1111/j.1740-8261.1991.tb00093.x
  11. Louwerens M, London CA, Pedersen NC, Lyons LA. 2005. Feline lymphoma in the post-feline leukemia virus era. J Vet Intern Med 19:329-335. https://doi.org/10.1892/0891-6640(2005)19[329:FLITPL]2.0.CO;2
  12. Nakamura M, Chen HM, Momoi Y, Iwasaki T. 2005. Clinical application of computed tomography for the diagnosis of feline hepatic lipidosis. J Vet Med Sci 67:1163-1165. https://doi.org/10.1292/jvms.67.1163
  13. Newell SM, Selcer BA, Cornelius LM. 1994. Imaging techniques for evaluating feline hepatobiliary disease. Vet Med 89:859-864.
  14. Oliveira CR, Mitchell MA, O’Brien RT. 2011. Thoracic computed tomography in feline patients without use of chemical restraint. Vet Radiol Ultrasound 52:368-376. https://doi.org/10.1111/j.1740-8261.2011.01814.x
  15. Ruaux CG, Steiner JM, Williams DA. 2009. Relationships between low serum cobalamin concentrations and methylmalonic acidemia in cats. J Vet Intern Med 23:472-475. https://doi.org/10.1111/j.1939-1676.2009.0308.x
  16. Spoldi E, Schwarz T, Sabattini S, Vignoli M, Cancedda S, Rossi F. 2017. Comparisons among computed tomographic features of adipose masses in dogs and cats. Vet Radiol Ultrasound 58:29-37. https://doi.org/10.1111/vru.12445
  17. Stadler K, Hartman S, Matheson J, O'Brien R. 2011. Computed tomographic imaging of dogs with primary laryngeal or tracheal airway obstruction. Vet Radiol Ultrasound 52:377-384. https://doi.org/10.1111/j.1740-8261.2011.01816.x
  18. Vail DM, Pinkerton ME, Young KM. 2013. Hematopoietic tumors. pp. 608-678. In: Withrow SJ, Vail DM (eds): Withrow and MacEwen's Small Animal Clinical Oncology. 5th ed. Elsevier, St. Louis, Missouri.
  19. Yeager AE, Mohammed H. 1992. Accuracy of ultrasonography in the detection of severe hepatic lipidosis in cats. Am J Vet Res 53:597-599.
  20. Zawie DA, Garvey MS. 1984. Feline hepatic disease. Vet Clin North Am Small Anim Pract 14:1201-1230. https://doi.org/10.1016/S0195-5616(84)50154-5