Severe muscle fasciculations and tremor in a cat with hypochloraemic metabolic alkalosis secondary to duodenal obstruction

Jukes, A J; Gunew, M.; Marshall, R

doi:10.1177/2055116916686427

Cited by 2 publications

(3 citation statements)

References 23 publications

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“…The term pneumatosis describes the abnormal accumulation of gas within tissue. 91 The condition has only rarely been reported, with just four cats in the literature with pneumatosis within the gastric, 91,92 small 65,66 and large 93 intestinal wall.…”

Section: Uncommon Conditionsmentioning

confidence: 99%

“…One of the more common types of foreign body, seen particularly, but not exclusively, in longhaired cats, are trichobezoars, also known as hairballs ( Figure 11). 39,[63][64][65][66] The typical ultrasonographic appearance is that of a mixed echogenicity cylindrical or spherical mass associated with variable acoustic shadowing, which is largely determined by the size and density of the hairball. 1 Plication of the intestine should be differentiated from intestinal corrugation, which describes regular, symmetrical undulations of the intestinal wall in the presence of a straight serosa (Figure 9).…”

Section: Foreign Bodiesmentioning

confidence: 99%

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Feline abdominal ultrasonography: What’s normal? What’s abnormal? The diseased gastrointestinal tract

Griffin

2019

Journal of Feline Medicine and Surgery

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Practical relevance: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. B-mode ultrasonography is likely the most widely used modality for imaging the gastrointestinal (GI) tract in cats and it can help in the diagnosis of GI masses, foreign bodies and disorders of the ileocaecocolic junction. Clinical challenges: Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images. Even differentiating between normal variations and pathological changes can be challenging for all but the most experienced. For example, while for inflammatory conditions of the feline GI tract changes are frequently identified on ultrasound, there may occasionally be no changes to the appearance of the intestine; hence a ‘normal’ ultrasound does not exclude the possibility of inflammatory disease. Aim: This review, part of an occasional series on feline abdominal ultrasonography, describes the appearance of a range of conditions that affect the feline GI tract; the normal GI tract is addressed in an accompanying article in this issue of JFMS. Aimed at general practitioners who wish to improve their knowledge and confidence in feline abdominal ultrasound, this review is accompanied by high-resolution images and videos available online as supplementary material. Equipment: Ultrasound facilities are readily available to most practitioners, although use of ultrasonography as a diagnostic tool is highly dependent on operator experience. Evidence base: Information provided in this article is drawn from the published literature and the author’s own clinical experience.

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Section: Uncommon Conditionsmentioning

confidence: 99%

Section: Foreign Bodiesmentioning

confidence: 99%

Feline abdominal ultrasonography: What’s normal? What’s abnormal? The diseased gastrointestinal tract

Griffin

2019

Journal of Feline Medicine and Surgery

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“…Duodenal obstruction as a cause of vomiting with symptomatic alkalosis has been reported recently in the veterinary literature. [6] The diagnosis of a duodenal obstruction due to a portal hypertension without cirrhosis was not confirmed by invasive testing since the patient was stable and the stenosis had resolved.…”

Section: Discussionmentioning

confidence: 99%

Extreme metabolic alkalosis and acute kidney injury in a 38-year-old male patient

Heymer¹,

Lienig²,

Löffler

et al. 2018

Indian Journal of Critical Care Medicine

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Repeated vomiting may lead to profound loss of fluid and electrolytes. We describe a case with life-threatening acid-base disturbances due to vomiting. A 38-year-old man presented to an emergency department with weakness and decreased urine output after having vomited up to 20 times per day over a period of 7 days. Arterial blood gas analysis revealed a metabolic alkalosis with partial respiratory compensation. Initial management consisted of oxygen therapy and intravenous fluid therapy with normal saline and potassium chloride. To prevent further gastric losses of HCl, proton-pump inhibitors and metoclopramide were administered. The vomiting was caused most likely by a temporary duodenal stenosis due to portal hypertension of unknown etiology. In our opinion, this case demonstrates the successful management of a life-threatening condition by simple measures. Despite extensive diagnostic procedures, the effective treatment of the underlying condition consisted of watchful waiting.

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Severe muscle fasciculations and tremor in a cat with hypochloraemic metabolic alkalosis secondary to duodenal obstruction

Cited by 2 publications

References 23 publications

Feline abdominal ultrasonography: What’s normal? What’s abnormal? The diseased gastrointestinal tract

Feline abdominal ultrasonography: What’s normal? What’s abnormal? The diseased gastrointestinal tract

Extreme metabolic alkalosis and acute kidney injury in a 38-year-old male patient

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