This MN 10-year-old DSH was presented for partial anorexia and weight loss and the physical examination revealed palpably thickened intestines. A CBC and blood chemistry profile revealed a mild leukocytosis with slightly elevated ALT and slightly elevated lipase.
This MN 10-year-old DSH was presented for partial anorexia and weight loss and the physical examination revealed palpably thickened intestines. A CBC and blood chemistry profile revealed a mild leukocytosis with slightly elevated ALT and slightly elevated lipase.
Case Study
Intestinal lymphoma in a 16 year old MN DSH cat
Sonographic Differential Diagnosis
Annular bowel wall mass consistent with neoplasia. differentials included adenocarcinoma, round-cell tumor, and leiomyosarcoma.
Image Interpretation
Short-axis views of the intestinal mass demonstrate marked, asymmetrical, annular bowel wall thickening with an echogenic luminal center. The affected wall is hypoechoic and homogeneous with complete loss of wall layering. Note the peripheral, continuous echogenic serosa supporting a well-encapsulated mass. The empty loop of small bowel, in the far field, is thickened and irregularly layered, represented by a prominent muscularis. The linear focus in image 2 and video 1 is a 22g FNA needle.
DX
Large, granular, mature to intermediate lymphoma.
Outcome
This patient was lost to follow-up after discussing chemotherapeutic options.
Clinical Differential Diagnosis
Neoplasia, inflammatory bowel disease, foreign body, intussusception.
Sampling
An US-guided FNA was obtained and cytology revealed large, granular, mature to intermediate lymphoma.
Video
Patient Information
Patient Name :
Harley B
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00015
Clinical Signs
- Anorexia
- Weight loss
Exam Finding
- Thickened Intestines
Images
Blood Chemistry
- ALT (SGPT), High
- Lipase, High
CBC
- WBC, High
Clinical Signs
- Anorexia
- Weight loss