: Our Case Of the Month July 2019

Case Of the Month

Case Of the Month

: Our Case Of the Month July 2019

The patient was presented for history of not eating and 3 episodes of vomiting, Owner is positive he did not get into anything. Medications: atenolol, thyroid, pentosan, Galliprant. The patient has a tense abdomen upon palpation and is vomiting bile with a foul odor, he is dehdrated. Previous history of a grade 5/6 murmur. Palpable thickened loop of bowel.

The patient was presented for history of not eating and 3 episodes of vomiting, Owner is positive he did not get into anything. Medications: atenolol, thyroid, pentosan, Galliprant. The patient has a tense abdomen upon palpation and is vomiting bile with a foul odor, he is dehdrated. Previous history of a grade 5/6 murmur. Palpable thickened loop of bowel.

DX

Jejunal mass with reactive mesentery/peritonitis type presentation and free fluid – concerning for carcinomatosis or similar

Outcome

Ultrasound guided FNA of the mass performed without complication. The mass does not appear to be obstructive at this time. The mass itself appears to be resectable. The patient underwent exploratory surgery at a veterinary referral center. A mass associated with the mid-jejunum extending 24cm was identified. The affected jejunum was resected and the two ends were anastomosed. Pathology results from the mass were consistent with intestinal hematoma. At 2 weeks post op examination the patient was found to be doing well with a fully healed incision.

Patient Information

Patient Name : Keanu Schneider LIZ GRAY 4/27/19
Gender : Male, Neutered
Species : Canine

Images

keanu_cyto_screen_shot_2019-06-11_at_2
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