Chronic diarrhea

Sonopath Forum

Chronic diarrhea

– 9 year old FS DSH history of chronic diarrhea unresponsive to metronidazole, hypoallergneic diet

– bloodwork unremarkable and fecal sample negative for parasites

– now losing weight

– ultrasound showed a single section of bowel that had a thickened submucosal layer and slightly thickened muscularis – rest of loops look normal.

– trace effusion seen; small normal looking jejnual LN’s

DDX: lymphoma, IBD, possibly FIP, other?  biopsy warranted

Can these processes diffusely affect only one section of bowel like this?

– 9 year old FS DSH history of chronic diarrhea unresponsive to metronidazole, hypoallergneic diet

– bloodwork unremarkable and fecal sample negative for parasites

– now losing weight

– ultrasound showed a single section of bowel that had a thickened submucosal layer and slightly thickened muscularis – rest of loops look normal.

– trace effusion seen; small normal looking jejnual LN’s

DDX: lymphoma, IBD, possibly FIP, other?  biopsy warranted

Can these processes diffusely affect only one section of bowel like this?

 

Comments

rlobetti

Lymphoma, emerging carcinoma,

Lymphoma, emerging carcinoma, and FIP more likley than IBD, as that generally is not focal. Another possiblity would be focal perforation. Laparotomy with biopsy/excison is indicated.

rlobetti

Lymphoma, emerging carcinoma,

Lymphoma, emerging carcinoma, and FIP more likley than IBD, as that generally is not focal. Another possiblity would be focal perforation. Laparotomy with biopsy/excison is indicated.

EL

 
 
I have a number of these

 
 

I have a number of these chrnic ropey bowel cases in the personal archive that have resulted in dry FIP especially when not responding. lsa, carcinoma mct all possible as well. Intraoperative ultrasound guided bx best here see our study:

 

ECVIM 2009

 

 
EL

 
 
I have a number of these

 
 

I have a number of these chrnic ropey bowel cases in the personal archive that have resulted in dry FIP especially when not responding. lsa, carcinoma mct all possible as well. Intraoperative ultrasound guided bx best here see our study:

 

ECVIM 2009

 

 
Pankatz

Surgical explore with

Surgical explore with intraoperative ultrasound was recommended but declined due to cost. Going with a trial of pred, B12, plus more metronidazole 🙁

Pankatz

Surgical explore with

Surgical explore with intraoperative ultrasound was recommended but declined due to cost. Going with a trial of pred, B12, plus more metronidazole 🙁

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