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Accident could occur often and cats could be subjected to them. Examining a polytraumtized cat could present a challenge for the vet, being very easy to miss a small active bleeding, especially when that hemorrhage is located in the intestinal lumen. The aim of this case study was to highlight a possible hemorrhagia in the gastrointestinal tract, in the arterial time of contrast CT in a polytraumatized cat. A 2 year, mixed breed cat was brought for radiography examination after it was hit by a car. Radiographic exposures were done for the spine and the abdomen and ultrasound examination was used to check for internal bleeding. Contrast agent Visipaque (iodixanol, 320 mgI/ml, producer Nycomed Amersham) was administered using automated injection after the patient was general anesthetized, the dose being adjusted by the device. Clinical examination showed paleness of the mucosa and paralysis of the hind legs. Classic radiographic examination showed a luxation of the spine in the thoracic-lumbar area, and a normal aspect of the abdominal organs. The ultrasound do not reveal liquid in the abdominal cavity. Contrast CT revealed an accumulation of the contrast agent in the intestinal lumen in the arterial time of the procedure. Contrast CT examination proved to be extremely useful and revealed an accumulation of the contrast agent in the intestinal lumen due to intestinal bleeding which explain the paleness ofthe mucosa in our patient. Radiography and ultrasonography have not proven reliable in this case for a diagnostic of internal bleeding. Â

Contrast CT Examination for Assessment of Intestinal Bleeding in a Polytraumatized Cat – Case Report