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Pyogranulomatous Transmural Enteritis in a 3-year-old MN Catahoula Dog: Our Case Of the Month April 2018

Case Of the Month

Case Of the Month

Pyogranulomatous Transmural Enteritis in a 3-year-old MN Catahoula Dog: Our Case Of the Month April 2018

A 3-year-old, MN, Catahoula Leopard Dog was presented for a 4 month history of ADR, diarrhea, and vomiting which had acutely worsened within the last 48 hours. Physical examination found the patient with a body score of 2/9 with a 14 lb weight loss, temperature of 102.9, QAR, and mildly dehydrated. CBC/Chem, cPLI, and fecal were all WNL with the exception of an increase in monocytes (11%) with a normal WBC of 14,650. A full abdominal ultrasound was performed.

A 3-year-old, MN, Catahoula Leopard Dog was presented for a 4 month history of ADR, diarrhea, and vomiting which had acutely worsened within the last 48 hours. Physical examination found the patient with a body score of 2/9 with a 14 lb weight loss, temperature of 102.9, QAR, and mildly dehydrated. CBC/Chem, cPLI, and fecal were all WNL with the exception of an increase in monocytes (11%) with a normal WBC of 14,650. A full abdominal ultrasound was performed.

DX

Jejunal mass: Severe, multifocal suppurative pyogranulomatous transmural enteritis. Mesenteric lymph node: Reactive.

Outcome

An abdominal exploratory was performed and a 1 inch jejunal mass was found causing an almost complete G.I. obstruction. A resection and anastamosis was performed with 18 inches of small intestine removed. The mass along with a section of mesenteric lymph node was sent to histopathology. The patient recovered very well post-operatively. He was treated with IV fluids and antibiotics, for the next 48 hours. At staple removal the patient was found to be in excellent recovery , with no vomiting or diarrhea, and several pounds of weight gain.

Sampling

Full-thickness surgical biopsies of both the jejunal mass and a section of mesenteric lymph node were obtained.

Image Interpretation

Obstructive pattern with undefined intestinal wall thickening and shadowing material.

Video

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Patient Information

Patient Name : Ridge Breton Lisbon Road AH Dr. Karen Ebersole
Gender : Male, Neutered
Species : Canine

Clinical Signs

  • "Not Doing Right"
  • Diarrhea
  • Vomiting

Exam Finding

  • Weight loss

Images

chyme_filled_stomach_1_inch_intestinal_wall_thickeningshadowing_materialdilated_sm_intestinemass_causing_obstruction_2018_breton

CBC

  • Monocytes, High

Clinical Signs

  • "Not Doing Right"
  • Diarrhea
  • Vomiting