9yold FN Mini Schnauzer cross presented with acute vomiting of 12-16h duration. Responded to fluidtherapy, pain relief and gastric protectants. Fairly normal biochemistry and CBC.
Question: I can see some trapped gas in the gastric mucosa but I’m not sure of the relevance of this finding. I didn’t thick much of it while scanning but suddenly revising some notes I find some mention of ulcers can appear like horizontal trapped gas…Any input on this?
9yold FN Mini Schnauzer cross presented with acute vomiting of 12-16h duration. Responded to fluidtherapy, pain relief and gastric protectants. Fairly normal biochemistry and CBC.
Question: I can see some trapped gas in the gastric mucosa but I’m not sure of the relevance of this finding. I didn’t thick much of it while scanning but suddenly revising some notes I find some mention of ulcers can appear like horizontal trapped gas…Any input on this?
Also, patient is clinically well now. Pancreatic lipase test was not performed. On US pancreas appeared normal in the left limb and mildly heterogenous in echogenicity with mild irregular capsular contour in the right limb. No reactive mesentery but mild corrugated pattern of desc duodenum. I blammed the Vomiting to mild pancreatitis or some acute gastritis of unknown reason…Question: with fairly normal pancreas we can still have pancreatitis, right? changes may appear later? What is the significance of heterogeneous pancreas? I believed it was potentially fibrosis/sequelae from previous inflammatory episodes. Can is still be related to acute vomiting presentation?
Thank you for any comments.
Comments
It appears to me that there
It appears to me that there is some trapped gas in mucosa. I suspect that could happen if there is some ulceration.
I am posting a still of your 3rd cine. Does that section of the gastric wall look grossly thickened to you?
I just recently had a study read and it was not all that obvious there was a mass in the stomach (one of the differentials however). Exploratory revealed a large mass that appeared to be some sort of adenocarcinoma. It was not resectable. Owners would not allow a biopsy- but FNA not consistent with a round cell mass.
Thanks for your comment!
Thanks for your comment! Well, I wasn’t sure how to measure that section… In my head, i was thinking that type of image ( exactly what I mean) if it’s not trapped gas It could be an artifact from prominent folds if imflammed… In that case the measurement would not be too dramatic. If it is trapped gas then I guess I should be measuring the whole thickeness and that is quite thick ( approx 1cm I reckon). I can’t quite understand how an ulcer can show trapped gas… Or may be I’m just not understanding the whole concept… Then may be it’s a mass…? I hope I get to re-scan this patient. Now I feel I have failed to diagnose something… In any case, I did mention the possibility of ulcer and gastritis in my report but did not think of mass… Thanks for that…I hope it’s not.
The gas intrapment doesnt
The gas intrapment doesnt pass the submucosal layer that I can see but some minor reactive fat is noted outside the serosa which you see a lot in gastritis/ulcers. I would tx for ulcers and rescan in 5-7 days
Thanks EL. It is actually the
Thanks EL. It is actually the treatment that she got. I will let you know if I re-scan this patient and what it looks like.
Thanks so much.