Retrospective study of cecocolic intussusception (cecal inversion) in nine horses (1982–1998)

We retrospectively evaluated the medical records and obtained follow-up information for nine horses which had been treated for cecocolic intussusception (CCI) between January 1982 and April 1998. During the 16-year study period, CCI was diagnosed in nine of 748 horses in which exploratory celiotomy was undertaken for abdominal pain, representing an incidence of 1.2%. Most affected horses (78%) were less than four years of age (median age was 12 months, age range was five months to 15 years). Cecocolic intussusception affected male horses (78%) more commonly than female horses. The most common clinical presentation was abdominal pain of a severe, acute nature or milder but recurrent signs of abdominal pain persisting in spite of conservative treatment for several days. Correction of CCI by either simple reduction or reduction followed by partial typhlectomy was successful if compromise of the intestine by devitalization and adhesion formation was not found at surgery. Definitive diagnosis of CCI necessitates exploratory celiotomy, although an ultrasonographic examination of the abdomen may confirm the diagnosis in some cases. When recognized early during the course of disease, surgical correction of CCI is associated with a favorable outcome; of the eight horses which underwent surgery in our series, five horses (63%) survived surgical correction of CCI. Handling of compromised gut during reduction of CCI necessitates extreme caution because the risk of intestinal tearing is quite high.     

MINERALIZED ARTERIOSCLEROSIS IN A CAT

In radiographs of a domestic short haired cat of unknown age, mineralization was identified in the pulmonary parenchyma, peripheral pulmonary vessels, the aortic outflow tract, aortic valve, celiac artery, cranial mesenteric artery, and the internal and external iliac arteries. The diffuse arterial mineralization was characterized histopathologically as arteriosclerosis. This is the first report of mineralized arteriosclerosis in a cat with corresponding radiographic signs. The arteriosclerosis is thought to be due to systemic hypertension but a definitive cause for the profound mineralization was not found. Causes of soft tissue mineralization are reviewed.     

Bronchopulmonary Disease in the Cat: Historical, Physical, Radiographic, Clinicopathologic, and Pulmonary Functional Evaluation of 24 Affected and 15 Healthy Cats

The results of clinical and pulmonary functional evaluation of 24 cats with bronchopulmonary disease and 15 healthy cats are presented. Affected cats had historical evidence of excessive reflexes (coughing, sneezing); physical evidence of airway secretions (crackles), obstruction (wheezing), and increased tracheal sensitivity; radiographic evidence of bronchial and interstitial lung disease; and cytological evidence of airway inflammation or mucous secretions. Bacterial isolates from healthy and affected cats were predominantly Gram-negative rods, indicating that bronchi of cats are not always sterile and that normal flora should be considered in interpreting cultures from cats with suspected bronchopulmonary disease. Cats were grouped according to relative disease severity based on scored historical, physical, and radiographic abnormalities. The mean (± standard deviation) baseline lung resistance measurement in healthy cats was 28.9 cm H₂O/L/s (±6.2 cm H₂O/L/s), whereas in mildly, moderately, and severely affected cats it was 38.3 cm H₂O/L/s (±21.5 cm H₂O/L/s), 44.8 cmH₂O/L/s (±7.7 cm H₂O/L/s), and 105.2 cm H₂O/L/s (±66.9 cm H₂O/L/s), respectively. In healthy cats, dynamic lung compliance was 19.8 (±7.4), whereas in mildly, moderately, and severely affected cats it was 14.7 mL/cm H₂O (±3.8 mL/cm H₂O), 17.7 mL/cm H₂O (±6.9 mL/cm H₂O), and 13.0 mL/cm H₂O (±7.9 mL/cm H₂O), respectively. Thus, airway obstruction was present in many of the affected cats. Based on acute response to the bron-chodilator, terbutaline, airway obstruction was partially reversible in many affected cats, although the degree of reversibility varied. Furthermore, based on bronchoprovocation testing, 6 (of 7) affected cats evaluated also had increased airway responsiveness to aerosolized methacholine.