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Background  The term triaditis designates the concurrent presence of idiopathic inflammatory bowel disease ( IBD ), cholangitis, and pancreatitis in cats.    Hypothesis/Objectives  The histopathology of concurrent, but often subclinical, inflammatory processes in the small intestine, liver, and pancreas of cats is poorly described. We aimed to investigate the frequency of enteritis, cholangitis, pancreatitis, or some combination of these in symptomatic and asymptomatic cats, compare clinicopathological features, and correlate histopathological with laboratory findings.    Animals  Domestic cats (27 symptomatic, 20 asymptomatic, and 8 normal).    Methods  Prospective study. Physical examination, laboratory variables ( CBC , serum biochemistry profile, serum thyroxine concentration, serum feline trypsin‐like immunoreactivity [ fTLI ], feline lipase immunoreactivity [ fPLI , as measured by Spec  fPL  ® ], urinalysis, and fecal analysis), imaging, and histopathological examinations were conducted. Feline liver, pancreas, and small intestine were biopsied during laparotomy.    Results  Inflammatory lesions were detected in 47 cats (27 symptomatic, 20 asymptomatic). In total, 20 cats had histopathologic lesions of  IBD  (13/47, 27.7%), cholangitis (6/47, 12.8%), or pancreatitis (1/47, 2.1%) alone, or inflammation involving >1 organ (27/47, 57.4%). More specifically, 16/47 cats (34.0%) had concurrent lesions of  IBD  and cholangitis, 3/47 (6.4%) of  IBD  and pancreatitis, and 8/47 cats (17%) of triaditis. Triaditis was identified only in symptomatic cats (8/27, 29.6%). A mild, positive correlation was detected between the severity (score) of  IBD  lesions and the number of comorbidities (rho = +0.367,  P  = .022).    Conclusions and Clinical Importance  Histopathological evidence of  IBD  or  IBD  with comorbidities was detected in both symptomatic and asymptomatic cats. The possibility of triaditis should be considered in symptomatic cats with severe  IBD .

Prevalence and Clinicopathological Features of Triaditis in a Prospective Case Series of Symptomatic and Asymptomatic Cats