DOI QR코드

DOI QR Code

Imaging diagnosis of hepatic lipidosis in a cat

  • Heo, Seong-Hun (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Yoon, Young-Min (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Hwang, Tae-Sung (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Jung, Dong-In (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Hee-Chun (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
  • Received : 2018.03.07
  • Accepted : 2018.04.05
  • Published : 2018.06.30

Abstract

A 5-year-old intact female Persian cat was referred with anorexia and vomiting. Physical examination revealed icterus in the pinna, oral mucosa, and sclera. Ultrasonography revealed several findings including uniformly hyperechoic hepatic parenchyma compared to adjacent falciform fat, increased attenuation of the ultrasound beam, and poor visualization of intrahepatic vessel borders. Computed tomography revealed hypoattenuation of the hepatic parenchyma with a radiodensity value of -60 Hounsfield units. The adjacent intrahepatic vessels appeared hyperattenuated relative to the hepatic parenchyma as if the vessels were contrast-enhanced. Based on ultrasonography and computed tomography results, the cat was tentatively diagnosed as feline hepatic lipidosis.

Keywords

References

  1. Armstrong PJ, Blanchard G. Hepatic lipidosis in cats. Vet Clin North Am Small Anim Pract 2009, 39, 599-616. https://doi.org/10.1016/j.cvsm.2009.03.003
  2. Center SA. Feline hepatic lipidosis. Vet Clin North Am Small Anim Pract 2005, 35, 225-269. https://doi.org/10.1016/j.cvsm.2004.10.002
  3. Center SA, Crawford MA, Guida L, Erb HN, King J. A retrospective study of 77 cats with severe hepatic lipidosis: 1975-1990. J Vet Intern Med 1993, 7, 349-359. https://doi.org/10.1111/j.1939-1676.1993.tb01030.x
  4. Gagne JM, Weiss DJ, Armstrong PJ. Histopathologic evaluation of feline inflammatory liver disease. Vet Pathol 1996, 33, 521-526. https://doi.org/10.1177/030098589603300506
  5. Kooby DA, Fong Y, Suriawinata A, Gonen M, Allen PJ, Klimstra DS, DeMatteo RP, D'Angelica M, Blumgart LH, Jarnagin WR. Impact of steatosis on perioperative outcome following hepatic resection. J Gastrointest Surg 2003, 7, 1034-1044. https://doi.org/10.1016/j.gassur.2003.09.012
  6. Lam R, Niessen SJ, Lamb CR. X-ray attenuation of the liver and kidney in cats considered at varying risk of hepatic lipidosis. Vet Radiol Ultrasound 2014, 55, 141-146. https://doi.org/10.1111/vru.12113
  7. Mathiesen UL, Franzen LE, Aselius H, Resjo M, Jacobsson L, Foberg U, Fryden A, Bodemar G. Increased liver echogenicity at ultrasound examination reflects degree of steatosis but not of fibrosis in asymptomatic patients with mild/moderate abnormalities of liver transaminases. Dig Liver Dis 2002, 34, 516-522. https://doi.org/10.1016/S1590-8658(02)80111-6
  8. Nakamura M, Chen HM, Momoi Y, Iwasaki T. Clinical application of computed tomography for the diagnosis of feline hepatic lipidosis. J Vet Med Sci 2005, 67, 1163-1165. https://doi.org/10.1292/jvms.67.1163
  9. Newell SM, Selcer BA, Cornelius LM. Imaging techniques for evaluating feline hepatobiliary disease. Vet Med (1985) 1994, 89, 859-864.
  10. Nicoll RG, O'Brien RT, Jackson MW. Qualitative ultrasonography of the liver in obese cats. Vet Radiol Ultrasound 1998, 39, 47-50. https://doi.org/10.1111/j.1740-8261.1998.tb00324.x
  11. Saadeh S, Younossi ZM, Remer EM, Gramlich T, Ong JP, Hurley M, Mullen KD, Cooper JN, Sheridan MJ. The utility of radiological imaging in nonalcoholic fatty liver disease. Gastroenterology. 2002, 123, 745-750. https://doi.org/10.1053/gast.2002.35354
  12. Siegelman ES, Rosen MA. Imaging of hepatic steatosis. Semin Liver Dis. 2001, 21, 71-80. https://doi.org/10.1055/s-2001-12930
  13. Spoldi E, Schwarz T, Sabattini S, Vignoli M, Cancedda S, Rossi F. Comparisons among computed tomographic features of adipose masses in dogs and cats. Vet Radiol Ultrasound 2017, 58, 29-37. https://doi.org/10.1111/vru.12445
  14. Yeager AE, Mohammed H. Accuracy of ultrasonography in the detection of severe hepatic lipidosis in cats. Am J Vet Res 1992, 53, 597-599.
  15. Zawie DA, Garvey MS. Feline hepatic disease. Vet Clin North Am Small Anim Pract 1984, 14, 1201-1230. https://doi.org/10.1016/S0195-5616(84)50154-5

Cited by

  1. Computed tomography diagnosis of secondary hepatic lipidosis in an awake cat with alimentary lymphoma vol.42, pp.4, 2019, https://doi.org/10.7853/kjvs.2019.42.4.279