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Gastritis-II: Pathophysiology01:17

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Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
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Emphysematous gastritis in a cat.

Kathryn E Rhue1, Allison A Biddick1, Kelly M Foltz1

  • 1Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL 36849.

Journal of Veterinary Emergency and Critical Care (San Antonio, Tex. : 2001)
|October 11, 2018
PubMed
Summary

Emphysematous gastritis (EG) in cats is rare and potentially fatal. This case highlights a Clostridium sp. infection and successful jejunostomy tube feeding for recovery.

Keywords:
enteral nutritiongastric pneumatosisultrasonography

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Area of Science:

  • Veterinary Medicine
  • Gastroenterology
  • Infectious Diseases

Background:

  • Emphysematous gastritis (EG) is a rare and severe condition.
  • Clostridial infections are implicated in human EG cases.
  • Only one prior feline EG case is documented.

Observation:

  • A 15-year-old cat presented with chronic weight loss and vomiting.
  • Clinicopathologic and imaging suggested primary GI and hepatobiliary disease.
  • Post-laparotomy, the cat developed sepsis with intracellular bacteria and gastric emphysema.

Findings:

  • Gastric biopsy confirmed intralesional Gram-positive rods, indicative of microbial EG.
  • Abdominal fluid culture yielded Clostridium sp., consistent with clostridial peritonitis.
  • Radiographs revealed a distended stomach with gas opacity.

Implications:

  • This is the first report implicating Clostridium sp. in feline EG.
  • Successful jejunostomy tube placement for postgastric enteral nutrition is documented.
  • This case expands understanding of feline emphysematous gastritis diagnosis and management.