title: Serum feline-specific pancreatic lipase immunoreactivity concentrations and abdominal ultrasonographic findings in cats with trauma resulting from high-rise syndrome.
abstract: OBJECTIVE
  To evaluate serum feline-specific pancreatic lipase immunoreactivity (fPLI) concentrations and abdominal ultrasonographic findings in cats with trauma resulting from high-rise syndrome.
  
  
  METHODS
  Prospective case series. Animals-34 client-owned cats.
  
  
  METHODS
  From cats evaluated because of high-rise syndrome between March and October 2009, a blood sample was obtained for measurement of serum fPLI concentration within 12 hours after the fall and at 24, 48, and 72 hours after the first blood collection. Pancreatitis was diagnosed in cats with an fPLI concentration > 5.4 μg/L. Each cat had abdominal ultrasonography performed twice 48 hours apart, and pancreatic trauma was assessed via detection of pancreatic enlargement, hypoechoic or heteroechoic pancreatic parenchyma, hyperechoic mesentery, and peritoneal effusion. Cats were assigned 1 point for each abnormality present, and a cumulative score ≥ 3 was considered suggestive of traumatic pancreatitis.
  
  
  RESULTS
  Traumatic pancreatitis was diagnosed in 9 and 8 cats on the basis of serum fPLI concentration and ultrasonographic findings, respectively. For cats with pancreatitis, fPLI concentration was significantly higher at 12 and 24 hours after the fall than at 48 and 72 hours after the fall, and serum fPLI concentration decreased as time after the fall increased. Significant agreement existed between the use of serum fPLI concentration and abdominal ultrasonography for the diagnosis of traumatic pancreatitis.
  
  
  CONCLUSIONS
  Cats with high-rise syndrome often had serum fPLI concentrations > 5.4 μg/L within 12 hours after the fall, and concurrent evaluation of those cats via abdominal ultrasonography twice, 48 hours apart, improved detection of traumatic pancreatitis.
authors.affiliation: Clinic of Surgery and Ophthalmology, Department of Companion Animals and Horses, University of Veterinary Medicine, 1210 Vienna, Austria. vetdoc.zimmermann@yahoo.com
authors.forename: Elke
authors.initials: E
authors.lastname: Zimmermann
authors.forename: Katharina M
authors.initials: KM
authors.lastname: Hittmair
authors.forename: Jan S
authors.initials: JS
authors.lastname: Suchodolski
authors.forename: Jörg M
authors.initials: JM
authors.lastname: Steiner
authors.forename: Alexander
authors.initials: A
authors.lastname: Tichy
authors.forename: Gilles
authors.initials: G
authors.lastname: Dupré
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging*; D000058:Accidental Falls; D000818:Animals; D002371:Cat Diseases / Q000209:etiology / Q000473:pathology*; D002415:Cats; D005260:Female; D008049:Lipase / Q000235:genetics / Q000378:metabolism*; D008297:Male; D010179:Pancreas / Q000201:enzymology*; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000209:etiology / Q000662:veterinary; D014463:Ultrasonography; D014947:Wounds and Injuries / Q000473:pathology / Q000662:veterinary*
chemical_list: D008049:Lipase