The patient is a canine Mix, NM, 11 years, 19.8 lbs. Clinical exam findings: decreased appetite, weight loss, febrile. Albumin 2.2, amylase 1633, hematocrit 27, white count 47000 with neutrophilia and band cells. Urine specific gravity 1.035, pH 6
Case Study
04_00389 Boomer H Jejunal mass
Sonographic Differential Diagnosis
Mid to distal small intestinal mass.
Regional lymph node enlargement.
The intestinal mass appears resectable. However, given the lymph node enlargement, both differentials of reactive or infiltrative lymph node would need to be evaluated. Lymph node removal at the time of surgery is recommended. Alternatively, ultrasound-guided FNA of the mass and lymph node could be performed for further definition.
Image Interpretation
The gastrointestinal tract revealed a complex 3.52 cm small intestinal mass obliterating mural detail. In this area there was regional inflammation. Regional lymph nodes were enlarged and measured 1.5 cm each with pericapsular inflammatory pattern. This was adjacent to the jejunum.
DX
Jejunal mass
Outcome
None
Clinical Differential Diagnosis
PLE, PLN, pancreatitis, gastroenteritis, neoplasia, infectious.
UA PH
6
UA PH
6
Sampling
FNA of mass and LN: results unavailable
UA Specific Gravity Range
1.035
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Fever
- Weight loss
Images
Blood Chemistry
- Albumin, Low
- Amylase, High
CBC
- Bands
- Hematocrit, Low
- Neutrophils, High
- WBC, High
Clinical Signs
- Anorexia
- Fever
- Weight loss
Urinalysi
- Specific Gravity High