- 11 yr old mn Belgian Tervuren with a 6-8 wk history of vomiting, lethargy, anorexia and melena.
- PE shows a tense painful abdomen
- Rads taken on 12/03/19 showed no obvious foreign material or obstructive pattern. Stomach appeared hazy on VD, abdominal organs appeared WNL. Bloodwork was wnl.
- Was tx with Omeprazole 40mg 1 PO SID and Cerenia 60mg 1 PO SID with no response
- 11 yr old mn Belgian Tervuren with a 6-8 wk history of vomiting, lethargy, anorexia and melena.
- PE shows a tense painful abdomen
- Rads taken on 12/03/19 showed no obvious foreign material or obstructive pattern. Stomach appeared hazy on VD, abdominal organs appeared WNL. Bloodwork was wnl.
- Was tx with Omeprazole 40mg 1 PO SID and Cerenia 60mg 1 PO SID with no response
- Abdominal ultrasound shows a small bladder, small spleen (volume contracted), and thickened gastric wall (1.8cm) with loss of wall layering. Echogenic fat is present adjacent to the stomach and visceral surface of the liver. Cranial abdominal detail is poor. The gallbladder is small with a thickened wall. The rest of the abdomen including the small intestines appear normal
- Primary differential diagnoses include severe,chronic gastritis, gastric lymphoma or other neoplasia, and +/- concurrent pancreatitis.
- What are your thoughts? Unfortunately, this client has limited funds so exploratory or endoscopy with biopsies may not be an option.
Comments
Loss of mural detail and
Loss of mural detail and periserosal inflammation very concerned for gsastric lsa. 22gh fna maybe corkscrew technique might be necessary to recover dx cells. Scope or full thickness otherwise. Ive seen really bad gastritis do this though so not 100% neoplasia without sampling but it meets neoplastic criteria.
Thanks Eric. That is what I
Thanks Eric. That is what I am worried about.