Stricturing colonic mass with minor intestinal thickening elsewhere in a 14 year old MN DSH cat

Case Study

Stricturing colonic mass with minor intestinal thickening elsewhere in a 14 year old MN DSH cat

A 14-year-old MN DSH cat was presented for evaluation of chronic diarrhea and weight loss. Abnormalities on CBC and serum biochemistry were mild anemia, elevated liver enzymes (AST 184, ALT 163) and mild hyperglycemia.

A 14-year-old MN DSH cat was presented for evaluation of chronic diarrhea and weight loss. Abnormalities on CBC and serum biochemistry were mild anemia, elevated liver enzymes (AST 184, ALT 163) and mild hyperglycemia.

DX

Stricturing colonic mass with minor intestinal thickening elsewhere.

Image Interpretation

A stricturing colonic mass was noted in the descending colon. Wall thickness measured 1.0 cm serosa to mucosa with complete thickening of 2.5 cm. Minor intestinal thickening was noted elsewhere. The colonic infiltrative pattern extends into the pelvic inlet beyond the level of the cystourethral junction. 

Outcome

Splitting the pelvis would be necessary for surgical resection, making resection difficult. . Ultrasound-guided FNA of the wall of the colon is recommended to assess for carcinoma versus lymphoma or a mild potential for granulomatous disease. Colonoscopy is another option. Guarded prognosis.

Clinical Differential Diagnosis

Hyperthyroidism
GIT – inflammatory bowel disease, dietary hypersensitivity, neoplasia, foreign body
Liver – cholangio-hepatitis complex, neoplasia, granulomatous disease

Patient Information

Patient Name : Buddy Letendre
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04-00568

Clinical Signs

  • Anemia
  • Diarrhea
  • Weight loss

Images

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Blood Chemistry

  • ALT (SGPT), High
  • AST (SGOT), High
  • Glucose, High

CBC

  • Hematocrit, Low

Clinical Signs

  • Anemia
  • Diarrhea
  • Weight loss
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