A 2-year-old NM DSH was presented for evaluation of lethargy, weight loss, and decreased appetite with hypoalbuminemia present on serum biochemistry.
Case Study
04_00521 Fabian R Intestinal mass, lymphoma
Sonographic Differential Diagnosis
Small intestinal mass with regional free fluid. Lymphomatosis type presentation.
FNA were performed without complication.
Exploratory surgery with aggressive resection, anastamosis and adjunctive chemotherapy would be the best option in this patient if the owner decides to progress with therapy.
Image Interpretation
A 5+ cm mid small intestinal mass was noted with regional inflammation and free fluid. FNA were performed without complications. This is strongly suggestive for lymphoma or FIP. Regional inflammation was noted associated with paraneoplastic reactive fat or peritonitis. The mass may be resectable. However, given the free fluid lymphatic obstruction is suspected. This appears to occupy 10-14 cm of intestines with ill defined margins.
DX
FNA of the intestinal mass are consistent with high-grade lymphoma
Outcome
None
Clinical Differential Diagnosis
GIT – IBD, lymphoma, dietary hypersensitivity, Helicobacter gastritis, foreign body, granulomatous enteritis
FIP
Sampling
FNA of the intestinal mass are consistent with high-grade lymphoma
Video
Patient Information
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Lethargy
- Weight loss
Images
Blood Chemistry
- Albumin, Low
Clinical Signs
- Anorexia
- Lethargy
- Weight loss