Graham is a three and a half year old domestic short haired cat who spends his days sleeping and is fascinated by lizards.
He was presented for vomiting and not eating. He was very dehydrated and had a painful mess, high up in his intestines. The mass didn't move down the gut with an enema or intravenous fluid rehydration. He then began to vomit again and passed an enormous Spriometra tapeworm.
The tapeworm is frequently found in cats who are hunters and eat frogs and lizards. It isn't killed by the regular three monthly intestinal worming and needs a special tapeworm tablet.
Unfortunately for Graham, he suffered a complication from the tapeworm. He developed an intussusception. This is when one part of the intestines telescopes or retracts into the adjacent part. Graham had to have surgery to remove the damaged part of his intestines and then have two healthy intestine parts sutured together.
The next day he was purring, eating and much brighter than he had been for days. He continued to improve and even passed poos and stopped vomiting. He continues to have his tapeworm tablet every three months so that the problem doesn't happen again.