A 6 year old MN DSH cat was presented for vomiting.
A 6 year old MN DSH cat was presented for vomiting.
A 6 year old MN DSH cat was presented for vomiting.
A 6 year old MN DSH cat was presented for vomiting.
IBD type gastrointestinal type pattern with portion of necrotic bowel. Potential emerging neoplasia. Potential for spontaneous perforation. Reactive omentum. Recommend intraoperative ultrasound in this patient with delineation of an infiltrative pattern with any section of bowel that is approximately 1.5 cm in width. This extends to approximately 15-20 cm. However, it turns into a more prominent low grade muscularis thickening, which is likely inflammatory bowel. Full thickness biopsies would be ideal. Recommend referring to intraoperative ultrasound abstract on www.sonopath.com from ECVIM 2009. In the meantime, broad spectrum antibiotics would be recommended. If surgery is not an option in this patient then Prednisolone can be considered. Fine-needle aspirates of the affected bowel in the muscularis region may prove fruitful. However, regardless of the underlying pathology this portion of thickened bowel is precarious and suspicious for spontaneous perforation such as bowel infarction.
The gastrointestinal tract in this patient presented some minor retained ingesta noted in the stomach. There was diffuse hypoechoic thickening of the muscularis and associated mesenteric root lymphadenopathy. A particular area of jejunum revealed some loss of detail and excessive thickening. This was approximately twice the width of any other areas of intestine and measured 1.2 cm in width. This portion of the intestine presented omental adhesion attached to the serosa. The width of serosa to mucosa measured 0.72 cm with a total width of 1.4 cm. This could be isolated surgically or further defined by intraoperative ultrasound. This intestinal presentation is most consistent with emerging lymphoma with inflammatory bowel elsewhere with the possibility of complicated inflammatory bowel disease, bowel infarction, dry form FIP or mast cell disease. Resection of the more dramatic portion of bowel is recommended. However, intraoperative delineation of the extent of the bowel is highly recommended. The mesenteric root lymph nodes measured 2.3 x 1.0 cm.
No further outcome provided.
GI tract – neoplasia, IBD, obstruction, ulceration, infectious (bacterial, protozoal, helminths), dietary, toxins Pancreatitis Metabolic – liver, renal, diabetes
Biopsy of the jejunum revealed severe, diffuse, eosinophilic enteritis. Biopsy of lymph node revealed eosinophilia infiltrate.