A 7-year-old spayed female English bulldog was presented for lethargy, shaking and anorexia. Physical examination was within normal limits. Radiographs revealed pulmonary edema and gas patterns in the stomach and gastrointestinal tract.
A 7-year-old spayed female English bulldog was presented for lethargy, shaking and anorexia. Physical examination was within normal limits. Radiographs revealed pulmonary edema and gas patterns in the stomach and gastrointestinal tract.
Blood pressure and coagulation panel with Plavix therapy, gastrointestinal protectants and broad spectrum antibiotics should be considered in this patient. However, given the aggressiveness of the right adrenal gland mass, which is suspicious of pheochromocytoma, the prognosis long term is very poor.
The right adrenal gland mass has significantly progressed from 3.8 x 2.5 cm to 4.37 x 2.5 cm with vascular invasion into the vena cava. The left adrenal gland was mildly prominent and irregular as well. There is a thrombus at the splenic vessel in the region of the gastric fundus which continued into the midabdomen. No blood flow was noted in this region.
The patient was started on antibiotics and IV fluids.
Pulmonary edema – cardiac disease, ARDS, post seizure, post upper airway obstruction, possibly pneumonia.
Cytology of abdominal fluid revealed that the effusion was an exudate. No infectious agents were identified and no evidence of neoplasia was seen. Culture and sensitivity revealed suspicion of bacterial growth.
