Case Study

Gastric Ulcer 5 Year Old MN Dachshund dog

A 5 year old MN Dachshund dog with a history of lameness that had been treated by the owner with Aleve for 2 weeks, was presented for elevation of vomiting and anorexia for 2 weeks. Abnormalities on CBC and serum biochemistry were severe anemia (14%), leukocytosis, hypoproteinemia, and low BUN. Blood transfusion was given.

A 5 year old MN Dachshund dog with a history of lameness that had been treated by the owner with Aleve for 2 weeks, was presented for elevation of vomiting and anorexia for 2 weeks. Abnormalities on CBC and serum biochemistry were severe anemia (14%), leukocytosis, hypoproteinemia, and low BUN. Blood transfusion was given.

DX

Gastric ulcer

Sonographic Differential Diagnosis

Aggressive gastritis, likely ulcer. Reactive, surrounding lymphadenopathy. Concurrent pancreatitis. Recommend surgical excision and repair of suspected ulcerative lesion. Leakage into the abdomen that has been walled off by reactive fat may be an issue. Regional lymphnode and gastric wall biopsies are essential. Aggressive gastrointestinal protectant therapy with plasma expanders, plasma transfusion, aggressive antibiotics and pain management would all be recommended.

Image Interpretation

The stomach revealed significantly thickened wall with reactive surrounding fat and dilated, fluid filled lumen. Loss of detail was noted. Uniform wall thickening in the pyloric outflow was noted at 1.0 cm. Penetrating gas lesion was noted into the wall indicating ulcerative disease in the pyloric outflow. The proximal small intestine appeared dilated and edematous. The distal small intestine was unremarkable. Reactive fat and associated pancreatitis were also noted indicating transmural gastric pathology. Minor surrounding lymph nodes were also noted. The right limb of the pancreas appeared hypoechoic and inflamed with reactive surrounding fat.