NAVLE Gastrointestinal and Digestive

Feline Intussusception Study Guide

Intussusception is the invagination or telescoping of one segment of the gastrointestinal tract into the lumen of an adjacent segment. The invaginated portion is called the intussusceptum, while the receiving segment is the intussuscipiens.

Overview and Clinical Importance

Intussusception is the invagination or telescoping of one segment of the gastrointestinal tract into the lumen of an adjacent segment. The invaginated portion is called the intussusceptum, while the receiving segment is the intussuscipiens. This condition represents a surgical emergency in cats and is an important differential diagnosis for acute abdominal conditions on the NAVLE.

While intussusception is less common in cats than in dogs, it carries significant morbidity and mortality if not promptly diagnosed and treated. The condition most commonly affects young cats under one year of age, with approximately 80% of cases occurring in animals less than 12 months old. The ileo-colic junction is the most frequently affected site, though intussusception can occur anywhere along the gastrointestinal tract.

Category Specific Causes and Notes
Intestinal Parasitism Roundworms (Toxocara cati), hookworms (Ancylostoma), whipworms - most common in kittens
Viral Enteritis Feline panleukopenia virus (FPV/feline distemper) - highly significant in unvaccinated kittens
Bacterial Enteritis Salmonella, Clostridium spp., Campylobacter - cause inflammation and altered motility
Foreign Bodies Linear foreign bodies (string, thread, tinsel) particularly common in cats
Intestinal Neoplasia Lymphoma, adenocarcinoma, papillary adenoma - more common in older cats as lead points
Previous Abdominal Surgery Altered motility and adhesions post-operatively can predispose to intussusception
Inflammatory Bowel Disease Chronic intestinal inflammation alters motility patterns
Idiopathic No identifiable cause found in approximately 30-70% of cases

Etiology and Predisposing Factors

Intussusception occurs when increased motility (hyperperistalsis) of an intestinal segment drives it toward a relaxed following segment. The exact cause is often unclear, but several predisposing factors have been identified.

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