This 11 year old FS Miniature Schnauzer dog was presented with inappetance, vomiting and tense abdomen. Possible mass effect in cranial abdomen on radiographs. WBC 3.5.
This 11 year old FS Miniature Schnauzer dog was presented with inappetance, vomiting and tense abdomen. Possible mass effect in cranial abdomen on radiographs. WBC 3.5.
mass, abscess
The stomach in this patient revealed a mural mass or abscess. The lesion measured 1.92 cm x 1.32 cm. Regional hyperechoic ill-defined enhanced fat was noted, consistent with peritonitis. The pylorus appeared free of evident pathology. The gastric lesion appeared to be in the gastric fundus.
The pancreas was coarse in architecture with mixed echogenic to hyperechoic heterogeneous, microcystic changes. This is consistent with pancreatic remodeling and possible abscessation. Inflammatory pattern also noted.
Sublumbar lymph nodes were slightly enlarged.
Exploratory surgery was recommended in this patient, ideally with intraoperative ultrasound to delineate the gastric wall lesion and ensure adequate excision. Sublumbar lymph nodes should be examined as well as the pancreas for appropriate biopsies. Guarded prognosis dependent upon histopathology of the lesion. Otherwise, ultrasound guided FNA or drainage of the lesion could be considered with medical therapy. This lesion does appear resectable.
Ultrasound guided FNA or drainage of the lesion could be considered with medical therapy
