Skip to content

04-00460 Lottie M Gastric ulcer ——NEED CDX——-

Case Study

04-00460 Lottie M Gastric ulcer ——NEED CDX——-

The patient, a 10 year old FS Maltese, was presented for vomiting and diarrhea. On blood work she was found to have minor anemia and a WBC of 33,000.  

The patient, a 10 year old FS Maltese, was presented for vomiting and diarrhea. On blood work she was found to have minor anemia and a WBC of 33,000.  

Sonographic Differential Diagnosis

Gastritis with 1.0 cm ulcer and regional localized peritonitis.
Air accumulation.
Emphysematous hepatitis, localized.
The small bladder calculus will likely pass without difficulty and was not obstructed at this time.

Image Interpretation

The stomach in this patient was significantly thickened at 1.15 cm in the pyloric outflow with a 1.0 cm cavitation with air accumulation within the wall and regional hyperechoic surrounding fat. This was associated with the mural defect. This is strongly consistent with ulcerative change. The duodenum and small intestine appeared unremarkable. Significant blood flow was noted to the region of the mural defect. There was no overt evidence of neoplasia. Air accumulation appears to be present in the right limb of the limb of the pancreas. Air penetration into the right medial liver was noted. The portal vein revealed no evidence of portal vein thrombosis.

DX

Gastric ulcer

Outcome

None

Sampling

None

Video

Patient Information

Type of Imaging : Ultrasound

Clinical Signs

  • Diarrhea
  • Vomiting

Images

lotti_gastric_ulcer_stomachlotti_gastric_ulcer

CBC

  • RBC, Low
  • WBC, High

Clinical Signs

  • Diarrhea
  • Vomiting