What are the medical problems with intra-abdominal neoplasia?
Aug 01, 2004
Editor’s Note: In our ongoing telemedicine series, Dr. Johnny Hoskins presents medical case studies. The format is focused heavily on radiology and ultrasonography and details complicated yet comprises fairly common cases that most veterinarians will be exposed to in practice.
The cat presented for sniffling and eating well but not as much as normal. The cat is FIP positive. Owner suspected URI.
The findings show rectal temperature of 101.8°F, heart rate 180 beats/min, sinus rhythm, respiration 20 breaths/min, pink mucous membranes and no heart murmur heard. Soft tissue mass is palpated in the middle to cranial abdomen.
A complete blood count, serum chemistry profile and urinalysis were performed and are outlined in Table 1.
Survey thoracic and abdominal radiographs are done. The thoracic radiographic views are unremarkable. The abdominal radiographs are depicted in Images 1 and 2 (p. 20S).
The abdominal radiographs show a mass effect in the mid to cranial abdomen and a relative lack of accumulated intra-abdominal fat.
Thorough abdominal ultrasound is performed with the cat positioned in dorsal recumbency. (See Images 3 through 7.)
The urinary bladder is distended with urine and contains some urine sediment material — no masses or calculi noted. The stomach is normal.
Therapy thereafter would depend on the findings from the exploratory laparotomy and histopathologic examination.