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- Title
Balloon dilation and intralesional steroid for benign rectal stricture management in a cat
- Authors
Chavkin, Jessica A.; Spector, Donna J.; Stanley, Skye W.
- Abstract
A 4-year-old castrated male domestic shorthair presented for 1 week of constipation and tenesmus. A rectal stricture had been diagnosed 8 months prior at the time of adoption and the cat had been successfully managed with stool softeners until presentation. A complete diagnostic work-up failed to reveal an underlying etiology for the stricture and colonoscopy was performed. Endoscopic biopsies of the stricture revealed benign non-specific inflammatory changes. Balloon dilation of the rectal stricture was performed during the initial colonoscopy and 3 and 9 days later. Triamcinolone acetonide was injected into the stricture site with endoscopic guidance during the third dilation procedure. The patient has been monitored for over 27 months; follow-up indicates no signs of tenesmus and repeated rectal examinations reveal no stricture recurrence. This case report demonstrates that endoscopic balloon dilation with intralesional steroid injection represented a minimally invasive and effective option for the treatment of a benign rectal stricture in this cat, and deserves further prospective investigation.
- Subjects
CATHETERIZATION; CONSTIPATION; RECTAL diseases; VETERINARY endoscopy; TRIAMCINOLONE acetonide; TREATMENT of cat diseases; THERAPEUTICS
- Publication
Journal of Feline Medicine & Surgery, 2010, Vol 12, Issue 8, p663
- ISSN
1098-612X
- Publication type
Article
- DOI
10.1016/j.jfms.2010.04.008