A 13 year old MN DSH cat was presented for evaluation of chronic vomiting with a persistent eosinophilia and elevated ALT activity.
A 13 year old MN DSH cat was presented for evaluation of chronic vomiting with a persistent eosinophilia and elevated ALT activity.
Case Study
Thickened intestines 13 Year Old MN DSH cat
DX
Thickened intestines
Sonographic Differential Diagnosis
Thickened mid to distal small intestine with peri-serosal inflammatory pattern. Differentials include transmural inflammatory disease, dry form FIP, mast cell disease, spontaneous necrosis or lymphoma. IBD gastrointestinal pattern elsewhere. Intraoperative ultrasound with resection and anastamosis would be ideal.
Image Interpretation
The gastrointestinal tract revealed variable areas of small intestine with some minor loss of detail and peri-intestinal, hyperechoic inflammatory disease. The most dramatic inflamed intestinal tract was noted in image 1. This is assumed to be jejunum. Ideally this portion of small intestine would be surgically resected. The peri-serosal, hyperechoic, inflammatory pattern would suggest transmural pathology. Primary differentials of this portion of intestine include lymphoma, mast cell disease, dry form FIP or complicated inflammatory bowel disease and spontaneous necrosis. Intraoperative ultrasound would prove ideal in this case. Renal and hepatic biopsies would be ideal at that time. Regional lymphadenopathy was noted in the mesenteric root and measured 0.86 x 0.37 cm. Other variable areas of small intestine appeared largely normal with only minor thickening of the muscularis.
Outcome
No further outcome available.
Clinical Differential Diagnosis
GIT – neoplasia, IBD, parasitic infection, foreign body, dietary hypersensitivity Hyperthyroidism Liver – cholangio-hepatitis complex, neoplasia, FIP Systemic mastocytosis Hyper-eosinophilic syndrome
Sampling
None
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Patient Information
Patient Name :
Ansio C
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Book :
yes
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00286
Clinical Signs
- Vomiting
History
- Cholecystectomy
- Elevated ALT
- Eosinophilia
- Vomiting
Images
Clinical Signs
- Vomiting