An 11-year-old SF Miniature Schnauzer was presented for evaluation of 1 month duration of vomiting and recent onset diarrhea. Abnormalities on serum biochemistry were low-normal albumin and elevated triglycerides.
Case Study
11_00053 Molly M Multicentric LSA
Sonographic Differential Diagnosis
Mesenteric lymphadenopathy. This is strongly suggestive for lymphoma.
Infiltrative intestinal pattern. This is suggestive for lymphoma. Reactive mesentery and regional inflammation. FNA of the mesenteric lymph nodes were performed without complication.
Image Interpretation
The gastrointestinal tract revealed an infiltrative pattern with enlarged, hypoechoic, ill-defined lymph nodes with loss of architecture and regional mesenteric inflammation. Variable areas of an infiltrative pattern were noted throughout the intestinal tract. A minor amount of free fluid was noted likely owing to lymphatic obstruction/strangulation. This is likely a paraneoplastic fluid formation.
DX
Lymphosarcoma
Outcome
None
Clinical Differential Diagnosis
GIT – IBD, neoplasia (lymphoma, adenocarcinoma), granulomatous enteritis, ulceration, intussusception, foreign body
Idiopathic hyperlipidemia
Sampling
FNA of the lymph nodes were consistent with lymphoma.
Video
Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Diarrhea
- Vomiting
Images
Blood Chemistry
- Albumin, Low
- Hypertriglyceridemia
Clinical Signs
- Diarrhea
- Vomiting