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Exocrine pancreatic insufficiency with concurrent pancreatitis, inflammatory bowel disease and cholangiohepatitis in a cat
Author(s) -
Costa Devoti Chiara,
Murtagh Kevin,
Batchelor Daniel,
Silvestrini Paolo
Publication year - 2015
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2015-000237
Subject(s) - medicine , gastroenterology , pancreatitis , pancreas , exocrine pancreatic insufficiency , abdominal pain , small intestine , pathology
A five‐year‐old male Persian cat was referred for chronic weight loss, polyphagia and clay‐coloured voluminous stools. Serum biochemistry showed elevated liver enzyme activity, hypocholesterolaemia and hypocobalaminaemia. On abdominal ultrasound, a thickened small intestinal wall and tortuous biliary tract were detected. Surgical biopsies of the small intestine, liver and pancreas with concurrently low serum trypsin‐like immunoreactivity allowed a final diagnosis of pancreatitis, inflammatory bowel disease, cholangiohepatitis and exocrine pancreatic insufficiency. The cat was treated with antibiotics, prednisolone, oral pancreatic enzymes and parenteral cobalamin. At one‐year follow‐up, medical treatment has led to a complete resolution of clinical signs.