I have had two cats in the last two weeks with similar bowel lesions. These are not sick, sick cats but just kind of ADR. Bloodwork including fPLI has been unremarkable. Only findings on abdominal ultrasound was a thickened muscularis layer in the small intestine diameter range 0.26-.36cm.
– my differentials would be IBD and neoplasia (lymphoma)
– biopsy warranted but owners not willing
– so B12, metronidazole, famotidine for the vomiter and a hypoallergenic diet
– any other suggestions?
I have had two cats in the last two weeks with similar bowel lesions. These are not sick, sick cats but just kind of ADR. Bloodwork including fPLI has been unremarkable. Only findings on abdominal ultrasound was a thickened muscularis layer in the small intestine diameter range 0.26-.36cm.
– my differentials would be IBD and neoplasia (lymphoma)
– biopsy warranted but owners not willing
– so B12, metronidazole, famotidine for the vomiter and a hypoallergenic diet
– any other suggestions?
Comments
Ropey bowel syndrome. Jacquie
Ropey bowel syndrome. Jacquie the more important thing than thickness is muscularis/mucosal ratio. I have these diffs in the archive: IBD, lsa, mct, dry fip and of course all need full thickness for the dx. Occasionally i get bartonella + on these but i am more concerned when loss of detail is present in the bowel layers such as that of the intraoperative US study. see number 3 ecvim 2009 can download poster and abstract by clicking here
if there is no detail loss or reactive mesentery associated with the serosa suggestive for transmural inflammation (like in this attached image with a fb obstruction and ill defined mesentery attached to the serosa) then I look hard at the pancreas and look for a + murphy sign when scanning the panc because the lesions can be subtle.
Ropey bowel syndrome. Jacquie
Ropey bowel syndrome. Jacquie the more important thing than thickness is muscularis/mucosal ratio. I have these diffs in the archive: IBD, lsa, mct, dry fip and of course all need full thickness for the dx. Occasionally i get bartonella + on these but i am more concerned when loss of detail is present in the bowel layers such as that of the intraoperative US study. see number 3 ecvim 2009 can download poster and abstract by clicking here
if there is no detail loss or reactive mesentery associated with the serosa suggestive for transmural inflammation (like in this attached image with a fb obstruction and ill defined mesentery attached to the serosa) then I look hard at the pancreas and look for a + murphy sign when scanning the panc because the lesions can be subtle.
Here are a couple of feline
Here are a couple of feline pancreatitis presentations that may need some gain adjustments and higher resolution to pick up. The key is to feel their pain when scanning the area as a trigger to zoom in or adjust gain settings and scan at 2-4 cm of depth.
Here are a couple of feline
Here are a couple of feline pancreatitis presentations that may need some gain adjustments and higher resolution to pick up. The key is to feel their pain when scanning the area as a trigger to zoom in or adjust gain settings and scan at 2-4 cm of depth.
or zoom
or zoom
or zoom
or zoom
see the undulating contour of
see the undulating contour of the capsule and panc duct which is also a key for me.
see the undulating contour of
see the undulating contour of the capsule and panc duct which is also a key for me.
and of course pinching of the
and of course pinching of the cbd is important… sorry got off on a panc tangent but the clinical signs you describe make me think more low grade panc than ibd or other. When I see the ropey bowel i look hard at the pancreas.
and of course pinching of the
and of course pinching of the cbd is important… sorry got off on a panc tangent but the clinical signs you describe make me think more low grade panc than ibd or other. When I see the ropey bowel i look hard at the pancreas.
Here is a nice article from
Here is a nice article from Margie Sherck on VIN that you can access as well on the subject
What Makes Cats Tick? Feline Internal Medicine Module 1 : Feline Pancreatitis : Underdiagnosed and Overlooked
Margie Scherk DVM, DABVP (feline) Vancouver, B.C. Canada
and here is an applicable past case of the month
and this one
Here is a nice article from
Here is a nice article from Margie Sherck on VIN that you can access as well on the subject
What Makes Cats Tick? Feline Internal Medicine Module 1 : Feline Pancreatitis : Underdiagnosed and Overlooked
Margie Scherk DVM, DABVP (feline) Vancouver, B.C. Canada
and here is an applicable past case of the month
and this one
Oh and my owner “not wanna
Oh and my owner “not wanna sample” empirical triad disease blast with weight loss is:
Zithro 50 mg sid x 2-3 weeks longer if bart +,
prednisolone 2.5-5 mg sid
b12 injections 2 x week
hypoallergenic diet.
pain manage if painful too.
owners will give 2 meds a day so that’s friendly, the b12 injections get them back in so you know how they are doing and the hypodiet is because the vast majority of these panc and gi infiltrates are lp infiltrates…fighting the “antigen surveillance” phenomenon.
usually works for whatever blanket reasons and if it isnt working then they will often go for samples or at least let you scan again to see if anything progressed after a month.
Oh and my owner “not wanna
Oh and my owner “not wanna sample” empirical triad disease blast with weight loss is:
Zithro 50 mg sid x 2-3 weeks longer if bart +,
prednisolone 2.5-5 mg sid
b12 injections 2 x week
hypoallergenic diet.
pain manage if painful too.
owners will give 2 meds a day so that’s friendly, the b12 injections get them back in so you know how they are doing and the hypodiet is because the vast majority of these panc and gi infiltrates are lp infiltrates…fighting the “antigen surveillance” phenomenon.
usually works for whatever blanket reasons and if it isnt working then they will often go for samples or at least let you scan again to see if anything progressed after a month.
Great information as always –
Great information as always – thanks!
Great information as always –
Great information as always – thanks!