This 13-year-old FS Pekinese was presented for a long term history of intermittent vomiting with a recent episode of acute vomiting which was primarily postprandial. Medical therapy was unremarkable. Blood and urine analysis were also unremarkable.
This 13-year-old FS Pekinese was presented for a long term history of intermittent vomiting with a recent episode of acute vomiting which was primarily postprandial. Medical therapy was unremarkable. Blood and urine analysis were also unremarkable.
Case Study
Pyloric Stenosis with Ulcerative Gastritis in a 13 year old FS Pekinese dog
DX
Pyloric stenosis with ulcerative gastritis
Sonographic Differential Diagnosis
Primary consideration is given to chronic inflammatory gastropathy with resultant pyloric hypertrophy. Emerging neoplasia is considered less likely.
Image Interpretation
On the long axis views, moderate to marked, circumferential, symmetrical gastric wall thickening is present throughout the pyloric region. The effected pyloric region is irregularly layered, represented by a moderately thickened muscularis and submucosal layer. The remaining gastric wall is also mildly thickened with suggested rugal fold prominence.
Outcome
The patient expired due to surgical complications after 3 days of hospital care.
Clinical Differential Diagnosis
GI pathology – Gastroenteritis/IBD, pancreatitis, neoplasia, dietary intolerance/allergy, Helicobacter, foreign body, bowel infarction.
Sampling
US guided biopsy revealed ulcerative gastritis with fibrocollagenous proliferation. Surgical approach revealed secondary pyloric stenosis, hypertrophic gastritis and pyloric fibrosis.
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Patient Information
Patient Name :
Tia A
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00078
Clinical Signs
- Vomiting
History
- Vomiting
Images
Clinical Signs
- Vomiting