This 6-year-old MN DSH was presented for once daily emesis over the preceding 4 days followed by acute exacerbation of vomiting at presentation. The physical exam revealed mildly palpable small intestinal thickening. The CBC was normal with mild elevation of amylase on blood chemistry analysis.
This 6-year-old MN DSH was presented for once daily emesis over the preceding 4 days followed by acute exacerbation of vomiting at presentation. The physical exam revealed mildly palpable small intestinal thickening. The CBC was normal with mild elevation of amylase on blood chemistry analysis.
Case Study
Chronic Ulcerative Lymphoplasmacytic Eosinophilic Enteritis in a 6 year old MN DSH cat
DX
Chronic ulcerative lymphoplasmacytic eosinophilic enteritis
Sonographic Differential Diagnosis
Moderate, assumed focal, small bowel wall thickening.
Image Interpretation
The longitudinal image segment is moderately and slightly asymmetrically thick walled. Loss of bowel wall delineation is also noted. The lumen is empty and contracted, supporting a non-obstructing process.
Outcome
The patient responded well to a long term IBD protocol with uneventful resolution post op.
Clinical Differential Diagnosis
GI pathology – IBD, pancreatitis, trichobezoar, intestinal neoplasia, GI obstruction.
Sampling
Exploratory laparotomy was performed with intestinal resection of the pathological portion of duodenum presented. Histopath: chronic ulcerative lymphoplasmacytic eosinophilic enteritis with associated lymphadenitis.
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Patient Information
Patient Name :
Sam H
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00108
Clinical Signs
- Vomiting
Exam Finding
- Thickened Intestines
Images
Blood Chemistry
- Amylase, High
Clinical Signs
- Vomiting