5 yo FS Rotttie X seen for 24 hr vomiting, inappetance, 1 wk hx of diarrhea in early April.  No hx of dietary indiscretion.

• Hypokalemia, neutrophila & leukocytosis on B/W
• Painful abdomen on palpation with firm palpable structure mid abdomen

Scan revealed complex large mass like structure adjacent to ileo-colic-cecal junction, no obstrution or free air. No other significant findings.

5 yo FS Rotttie X seen for 24 hr vomiting, inappetance, 1 wk hx of diarrhea in early April.  No hx of dietary indiscretion.

• Hypokalemia, neutrophila & leukocytosis on B/W
• Painful abdomen on palpation with firm palpable structure mid abdomen

Scan revealed complex large mass like structure adjacent to ileo-colic-cecal junction, no obstrution or free air. No other significant findings.

• In the first video for the orginal scan you can see the thickened terminal ielum dorsal and caudal (at 5:00 on the image) to the mass
• Second video show transverse of same area

The patient was rescanned 3 weeks later, was doing much better, eating but still had PM soft stool.

• Re-scan showed increase in mass size, slightly diminshed ileal thickness, closer to normal.
• FNA done later by rDVM had pyogranulmatous inflammation with reactive fibroplasia consistent with nodular steatitis, no neoplastic cells seen. Recommend biopsy for further evaluation.
• But dog is doing better!

  So my question is this: has anyone seen anything like this and what would cause this bizarre configuration with no foreign body or neoplasia?