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LN?

Sonopath Forum

Sonopath Forum

LN?

  • 10 year od WHWT presented vomiting
  • Largely unremarkable ultrasound exam apart from two small hypoechoic lesions, one caudal to stomach, adjacent to left limb of pancreas and and another adjacent to right limb of pancreas
  • Are these gastric and pancreaticoduodenal lymph nodes or should I be concerned about pancreatic masses?
  • Blood glucose was normal. 

  • 10 year od WHWT presented vomiting
  • Largely unremarkable ultrasound exam apart from two small hypoechoic lesions, one caudal to stomach, adjacent to left limb of pancreas and and another adjacent to right limb of pancreas
  • Are these gastric and pancreaticoduodenal lymph nodes or should I be concerned about pancreatic masses?
  • Blood glucose was normal. 

Comments

EL
October 8, 2018 at 12:14 pm -

Yes those are LN likley

Yes those are LN likley reactive as they maintain structure and have a defined capsule. But certainly worth watching.

rlobetti
October 9, 2018 at 4:07 pm -

Would consider chronic

Would consider chronic gastritis and Helicobacter gastritis for both the vomiting and reactive LN. 

veteurope1
October 11, 2018 at 7:13 am -

Thank you both. How do you

Thank you both. How do you treat helicobacter….amoxicilkin, clarithromycin and omeprazole? Do you get short or long term results/benefits? 

rlobetti
October 11, 2018 at 8:01 pm -

Triple therapy as you mention

Triple therapy as you mention but if there is no a good response then would need to investigate  further.

 

EL
October 15, 2018 at 12:29 pm -

Need to run it out about 3-4

Need to run it out about 3-4 weeks to eventually clear heloicobacter if its truly there.

 

 

veteurope1
October 16, 2018 at 9:06 pm -

Great thanks. 

Great thanks. 

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