A 10-year-old SF DSH was presented for evaluation of anorexia, lethargy and pyrexia. Abnormalities on CBC and serum biochemistry were anemia (24%), low BUN, and hypoproteinemia with hypoalbuminemia (2).
Case Study
04_00527 Twinkie W Infiltrative intestinal mass, intestinal lymphoma presumed
Sonographic Differential Diagnosis
Infiltrative intestinal mass. Intestinal lymphosarcoma pattern with secondary protein losing enteropathy.
Regional lymphadenopathy. There is a strong potential for early splenic and hepatic involvement. Ultrasound-guided FNA of the intestine and liver would be recommended. Very guarded prognosis.
Image Interpretation
An intestinal mass was noted in this patient and extended for approximately 4.0 cm with complete disruption of architecture. This is strongly suggestive for underlying lymphoma. Reactive mesentery was noted throughout the mid abdomen in this patient.
Caudal abdominal lymph node was enlarged, irregular and hypoechoic with distorted architecture. The lymph node measured 3.3 x 1.9 cm.
DX
Intestinal mass, intestinal lymphoma presumed
Outcome
None
Clinical Differential Diagnosis
GIT – neoplasia, ulceration, foreign body, IBD
Pancreas – pancreatitis, neoplasia
Neoplasia
Sampling
None
Video
Patient Information
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Fever
- Lethargy
Images
Blood Chemistry
- Albumin, Low
- BUN low
- Total Protein, High
CBC
- RBC, Low
Clinical Signs
- Anorexia
- Fever
- Lethargy