Idiopathic hepatic veno-occlusive disease causing Budd-Chiari-like syndrome in a cat

T A Cave1, H Martineau, A Dickie

  • 1Department of Veterinary Clinical Studies, University of Glasgow Veterinary School.

Insights

Budd-Chiari-like syndrome (BCLS) in a cat was diagnosed via liver biopsy showing perivenular fibrosis. This rare condition, marked by portal hypertension and ascites, had an unknown cause in this feline case.

Area of Science:

  • Veterinary Medicine
  • Hepatology
  • Pathology

Background:

  • Budd-Chiari-like syndrome (BCLS) is a rare condition characterized by hepatic vein obstruction, leading to portal hypertension and ascites.
  • While documented in humans, BCLS is infrequently reported in veterinary literature.

Observation:

  • This report details a case of BCLS in a domestic cat presenting with clinical signs of portal hypertension and ascites.
  • Diagnostic imaging and clinical findings were consistent with obstruction at the hepatic vein level.

Findings:

  • Histopathological examination of the liver revealed perivenular fibrosis surrounding central and sublobular veins.
  • These microscopic lesions are comparable to those observed in human BCLS cases.

Implications:

  • This case highlights the potential for BCLS in felines, presenting similar pathological features to human counterparts.
  • The unknown etiology in this feline case warrants further investigation into potential causes of hepatic vein obstruction in cats.