Eight year old indoor only DSH with chronic vomiting. Now anorexia and diarrhea. Rounded and enlarged mesenteric lymph nodes, so concerned about lymphoma over IBD. Can you comment on the stomach – looks like diffuse muscularis thickening here as well, but want to be sure I’m not overinterpreting since seems like the muscularis layering in the antrum of a normal patient can appear thick.
Eight year old indoor only DSH with chronic vomiting. Now anorexia and diarrhea. Rounded and enlarged mesenteric lymph nodes, so concerned about lymphoma over IBD. Can you comment on the stomach – looks like diffuse muscularis thickening here as well, but want to be sure I’m not overinterpreting since seems like the muscularis layering in the antrum of a normal patient can appear thick.
Comments
You are correct. Muscularis
You are correct. Muscularis thickens in vomiting patients. There is no mural detail loss here. The submucosa is a bit thick but in tact so chronic inflammatory issues likely here. LSA and IBD and even MCT can run at the same time in a GI tract so depends where you sample. Could have round cell neoplasia in the nodes and ibd in the stomach for example.