A 9-year-old female DLH was presented for evaluation of vomiting over a few days. Clinical examination was normal.
Case Study
04_00541 Kit Kat S Jejunal loss of layering and obstruction
Sonographic Differential Diagnosis
Multifocal to diffuse intestinal wall thickening with areas of loss of detail and entrapped chyme or hair accumulation of the distal small intestine. This pattern creates a partially obstructive pattern.
Image Interpretation
Variable portions of the small intestine were diffusely thickened with hyperechoic surrounding, periserosal fat. Reactive mesentery was noted. There were areas of loss of detail noted. This met neoplastic criteria with focal areas of free fluid and entrapped chyme within the lumen. Some of the entrapped chyme appeared to be partially obstructive owing to the mural changes within the wall. The chyme has consistency of hair or similar material. However, significant mural disease is noted.
DX
Jejunal loss of layering and partial obstruction
Outcome
None
Clinical Differential Diagnosis
GIT – neoplasia, foreign body obstruction, IBD, dietary hypersensitivity, intestinal helminths
Pancreas – pancreatitis
Sampling
None
Video
Patient Information
Gender :
Female, Intact
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Vomiting
Images
Clinical Signs
- Vomiting