A 9-year-old SF DSH with a history of vomiting for years was presented for evaluation of acute deterioration.
A 9-year-old SF DSH with a history of vomiting for years was presented for evaluation of acute deterioration.
Case Study
04_00449 Annular jejunal mass
DX
Annular infiltrative jejunal mass with regional lymphadenopathy.
Sonographic Differential Diagnosis
Annular infiltrative jejunal mass with regional lymphadenopathy. Suggestive for focal lymphoma or other round cell neoplasia or adenocarcinoma.
Image Interpretation
A 2.78 cm wide annular mass was noted in the distal jejunum. Mid-jejunum presented dilation obstructive pattern owing to the mass with retention of chyme. The mass measured approximately 4 cm. Jejunal lymph nodes were enlarged measuring 1.5 cm, hypoechoic. The larger lymph node measured 1.66 cm in width by approximately 3 cm. Some distortion of architecture and pericapsular inflammatory pattern was noted. Given the regional lymphadenopathy, clean resection is not likely possible; however resection and anastamosis would be recommended from the functional standpoint given the obstructive pattern.
Outcome
None
Clinical Differential Diagnosis
GIT – neoplasia, IBD, ulceration, foreign body, intussusception, granulomatous enteritis, dietary hypersensitivity, Helicobacter gastritis
Pancreas – pancreatitis, neoplasia
Sampling
None
Video
Patient Information
Gender :
Female, Spayed
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- "Not Doing Right"
- Vomiting
Images
Clinical Signs
- "Not Doing Right"
- Vomiting