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Saddle Thrombus

Rating: 8

I had a persian die of what appeared to be a saddle thrombus--first to the tail (this may have been misdiagnosed as an injury) and then four days later to the rear leg(s) which appeared to cause his death. A month prior to this problem he had a bloody nose. He had also been treated with prednisone for IBD. Could any of these things be related. after all of the specialist visits and ultrasounds, the cost of necropsy was prohibitive. It was a heartrending experience to loose my best buddy so painfully, and I guess I'm looking for closure.

Four Response(s) to “Saddle Thrombus”:

  • Master Advisor Matthew says:

    January 08th, 2009 at 04:09 PM

    Hi

    I don't see any link between any of the events you mentioned. Surely the tail was a dislocation or something - unless the end of the tail was cold rather than only limp. There is no link with the nose bleed - if anything that's the opposite problem. Prednisone isn't known to cause that. Sounds like bad luck to be honest.

    Current Rating: Rating: 8
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    Matthew Homfray
    PDSA is the UK's leading veterinary charity, caring for more than 350,000 pet patients belonging to people in need. We provide free veterinary treatment to sick and injured animals and we promote responsible pet ownership.
  • Sharon says:

    January 10th, 2009 at 09:26 PM

    Thank you for answering the question--though it appears I didn't provide you with enough information. Two doctors-my regular vet, and an internal medicine specialist thought it was a clot. A cardiologist, and a surgeon who both looked at the tail and detected a slight pulse below the swollen purple area at the base of the tail thought it still might be an injury. After sending me home with instructions to watch for sepsis and necrosis, I took McGee in to the regular vet to check the tail, twice,-- the surgery was going to be later in the week. He died in horrible pain with what appeared to be paralyzed back limb(s) before that could happen. My vet seemed to feel that the original diagnosis was probably correct, and he threw another clot. There was no way to tell for sure--even necropsy--which after an already high vet bill was cost prohibitive. I was told that there were diseases such as certain cancers,accute pancreatitis, lymphomas etc where hemorrhaging and clotting can occur, although it did appear that too much time had passed for it to be DIC. I was looking for a fresh outlook, and some empathy. The answer you gave me was honest and direct based on the information I gave you. Telling someone the loss of their best friend was "bad luck", well...

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    Sharon C.
  • Master Advisor Matthew says:

    January 11th, 2009 at 05:14 AM

    Hi

    I'm sorry if you felt that was insensitive - I only meant that saddle thrombus doesn't occur due to environmental factors and therefore you couldn't have prevented it from happening unless the cat had been on aspirin as a preventative, which anyway is only treating the symptom not the cause. There is usually some underlying hypertrophic cardiomyopathy causing the clot to form.

    Most owners are relieved to be told that there wasn't anything they should or realistically could have done differently, and derive solace from that.

    Current Rating: Rating: 9
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    Matthew Homfray
    PDSA is the UK's leading veterinary charity, caring for more than 350,000 pet patients belonging to people in need. We provide free veterinary treatment to sick and injured animals and we promote responsible pet ownership.
  • Sharon says:

    January 11th, 2009 at 01:38 PM

    Thanks for the second reply. I see now what you were trying to say. This whole ordeal only took place right before Christmas, so the shock/hurt is still pretty new. The problem with any written response is that tone cannot be detected in the answer. It is very comforting to know that "there wasn't anything that should or realistically could have done differently, and derive solace from that." No one has said that before, they just keep on talking about the mystery of it all, and I felt that I should have done something differently to at least have spared McGee all that pain. You can't second guess your self, but I probably would have had my little guy euthanized to have spared him that. I don't believe that we should keep animals alive for us--but he was only six.

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    Sharon C.

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