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04_00532 Maize C Colonic mass, stricture

Case Study

04_00532 Maize C Colonic mass, stricture

An 11-year-old SF DSH was presented for evaluation of poor appetite for a month, tenesmus, and mucous discharge from the rectum.

 

DX

Colonic mass, stricture

Sonographic Differential Diagnosis

Colonic mass, likely sarcoma, possible adenocarcinoma. Ultrasound-guided FNA of the hypoechoic portion of the mass should be readily accessible with oncology consultation. Guarded to poor prognosis. This does not appear resectable unless the surgeon is prepared to split the pelvis as the mass extends into the pelvic inlet at least 4.0 cm past the cranial aspect of the pubic bone. Chemoreduction +/- surgical consultation would likely be the best option in this case.

Image Interpretation

The pelvis in this patient revealed a 4.42 x 3.6 cm mass. The mass deviated the colonic lumen. This appeared to be an annular lesion deriving from the colon and obstructing the stool passage. The remainder of the gastrointestinal tract was unremarkable.

Outcome

None

Clinical Differential Diagnosis

Colon – constipation, lymphoplasmacytic colitis, neoplasia, granulomatous colitis
Pelvic canal – neoplasia, abscess

Sampling

None

Patient Information

Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Anorexia
  • Tenesmus

Images

connelly_maize_feline_obstructive_colonic_mass

Clinical Signs

  • Anorexia
  • Tenesmus