A 9-year-old SF Boston terrier was presented for evaluation of chronic diarrhea and weight loss. There had been no response to either metronidazole or Panacur. Urinalysis was normal. The only abnormalities on serum biochemistry were hypoproteinemia (3.6) and hypoalbuminemia (1.8).
Reactive mesentery and pancreatitis pattern. IBD gastrointestinal pattern with mucosal fogging and striations. This is consistent with lymphangectasia.
Treatment for pancreatitis with plasma expanders and plasma transfusion would be ideal. Recheck sonogram is recommended in one week.
The pancreas revealed mixed, hypoechoic changes with hyperechoic surrounding fat. This is suggestive for concurrent pancreatitis primarily in the right limb in a region of 2 x 3 cm.
Slight free fluid was noted, likely owing to third spacing of fluid +/- lymphatic obstruction.
The gastrointestinal tract presented mucosal striations and fogging. This is consistent with lymphangectasia. Soft stool was noted in the colon.
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GIT – IBD, lymphangectasia, dietary hypersensitivity, neoplasia, foreign body, intussusception
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