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Peritoneal effusion in cats: 65 cases (1981-1997).

K N Wright1, R E Gompf, R C DeNovo

  • 1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville 37901-1071, USA.

Journal of the American Veterinary Medical Association
|February 19, 1999
PubMed
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Peritoneal effusion in cats is often linked to serious conditions like heart disease or cancer, with a generally poor prognosis. Early diagnosis is crucial for managing feline abdominal effusions.

Area of Science:

  • Veterinary Medicine
  • Internal Medicine
  • Cardiology

Background:

  • Peritoneal effusion, or fluid accumulation in the abdomen, is a significant clinical sign in cats.
  • Identifying the underlying causes and predicting outcomes are critical for feline patient care.

Purpose of the Study:

  • To investigate the signalment, common diagnoses, presence of effusions in multiple body sites, and outcomes for cats diagnosed with peritoneal effusion.
  • To establish the most frequent causes of peritoneal effusion in cats and their associated prognoses.

Main Methods:

  • A retrospective case series was conducted, reviewing medical records of 65 cats with peritoneal effusion.
  • Data were collected from 1981 to 1997, encompassing information from physical examinations, radiographs, abdominal ultrasonograms, and necropsies.

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Main Results:

  • Cardiovascular disease, neoplasia, hepatic disease, and renal disease were the most common causes of peritoneal effusion.
  • Dilated cardiomyopathy (DCM) was a frequent diagnosis, though often before taurine deficiency was recognized as a cause; neoplasia became more prevalent after 1987.
  • Right-sided congestive heart failure was common in young cats, while neoplasia increased with age. Effusions were often modified transudates and frequently accompanied by pleural effusion, with a poor overall prognosis.

Conclusions:

  • Neoplastic disease is the primary differential for peritoneal effusion in older cats, whereas right-sided heart failure is more common in kittens.
  • The underlying diseases associated with peritoneal effusion in cats generally carry a poor prognosis, emphasizing the need for prompt diagnosis and management.