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.
Case Study
Gastric Ulcer 5 Year Old MN Dachshund dog
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.
Outcome
Patient went to surgery where a gastric ulcer was found. No followup available.
Clinical Differential Diagnosis
GI tract ulceration – drug induced, neoplasia, foreign body. GI tract perforation with peritonitis
Sampling
None
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Patient Information
Patient Name :
Raven R
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00331
Clinical Signs
- Anorexia
- Lameness
- Vomiting
Images
Blood Chemistry
- BUN low
- Total Protein, Low
CBC
- RBC, Low
- WBC, Low
Clinical Signs
- Anorexia
- Lameness
- Vomiting