This 12-year-old MN DSH was presented for anorexia and weight loss. The physical exam revealed a focally thickened intestine in the mid abdomen but was otherwise normal. The CBC was normal. Blood chemistry evaluation revealed a slightly elevated lipase and slightly elevated triglyceride with moderately subnormal T4. The urinalysis was normal.
This 12-year-old MN DSH was presented for anorexia and weight loss. The physical exam revealed a focally thickened intestine in the mid abdomen but was otherwise normal. The CBC was normal. Blood chemistry evaluation revealed a slightly elevated lipase and slightly elevated triglyceride with moderately subnormal T4. The urinalysis was normal.
Case Study
Colonic Adenocarcinoma in a 12 year old MN DSH cat
Sonographic Differential Diagnosis
Obstructive colonic mass-carcinoma, lymphoma, mast cell disease, complicated colitis with stricture. Appears resectable with subtotal colectomy.
Image Interpretation
Obstructive colonic annular lesion with loss of mural detail. Luminal dirty shadow accumulation suggests an obstructive pattern.
DX
Colonic adenocarcinoma
Outcome
Given the focal nature of the pathology exploratory surgery was selected given the possibility of clean resection without sampling by US-guided methods. The patient recovered uneventfully and was clinically normal for 5 months until a recurrence of the mass was noted on abdominal palpation. This was confirmed sonographically and metastatic disease was noted. The patient was euthanized 2 weeks later after not responding to steroid therapy.
Comments
No video is available on this patient.
Clinical Differential Diagnosis
GI pathology – Intestinal neoplasia, IBD, pancreatitis, intestinal obstruction, granulomatous disease.
Sampling
Ileocecocolic anastomosis was performed with histopathological analysis revealing colonic adenocarcinoma.
Patient Information
Patient Name :
Monet F
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00110
Clinical Signs
- Anorexia
- Weight loss
Exam Finding
- Thickened Intestines
Images
Blood Chemistry
- Hypertriglyceridemia
- Hypothyroidism
- Lipase, High
Clinical Signs
- Anorexia
- Weight loss