Flattened adrenals in a non-Addisonian 5 year old Golden Retriever dog with vomiting, hematochezia and hypoalbuminemia.

Case Study

Flattened adrenals in a non-Addisonian 5 year old Golden Retriever dog with vomiting, hematochezia and hypoalbuminemia.

A 5-year-old NM Golden retriever was presented for vomiting. Hematochezia was present on physical examination. The only pertinent abnormality on serum biochemistry was hypoalbuminemia.

A 5-year-old NM Golden retriever was presented for vomiting. Hematochezia was present on physical examination. The only pertinent abnormality on serum biochemistry was hypoalbuminemia.

Sonographic Differential Diagnosis

Flattened adrenal glands raise concern for potential Addison’s disease. Treatment for gastritis and screening for Addison’s disease would be warranted. No evidence of overt foreign body obstruction was noted.

Image Interpretation

Both adrenal glands were flattened and isoechoic to the surrounding tissue. The right adrenal gland measured 1.85 x 0.45 cm. The left adrenal gland measured 2.6 x 0.41 cm. Given the flattened contour and isoechoic presentation, screening for Addison’s disease would be recommended.

DX

Flat adrenal glands

Outcome

The patient is currently doing well without any vomiting or diarrhea.

Clinical Differential Diagnosis

Gastrointestinal symptoms – foreign body, intussusception, IBD, neoplasia, non-specific gastro-enteritis (viral/bacterial/helminths/protozoal/toxins), dietary hypersensitivity. Hypoalbuminemia – chronic hepatopathy, neoplasia, cirrhosis, or Addison’s disease.

Sampling

Cortisol was normal.

Patient Information

Patient Name : Tug O
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 07_00097

Clinical Signs

  • Vomiting

Exam Finding

  • Fresh Blood in Stool

Images

LAdrenal_07012012040121RAdrenal_07012012040135

Blood Chemistry

  • Albumin, Low

Clinical Signs

  • Vomiting
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