12 yr FS DS presents for one week hx anorexia and 1 lb weight loss. No vomiting and energy still ok. Blood work at rDVM ALT 1188, T bili 9.4, ALP 208, gluc 82, CBC unremarkable.
Other findings on US were thickened submucosa and a gall bladder wall 2.4 mm thick (normal contents). Liver parenchyma not that remarkable. Do the changes in the cecum look like ulcerative colitis or typhlitis? I don’t see hyperechoic mesentery nearby and she wasn’t too reactive, but this looked really abnormal to me.
12 yr FS DS presents for one week hx anorexia and 1 lb weight loss. No vomiting and energy still ok. Blood work at rDVM ALT 1188, T bili 9.4, ALP 208, gluc 82, CBC unremarkable.
Other findings on US were thickened submucosa and a gall bladder wall 2.4 mm thick (normal contents). Liver parenchyma not that remarkable. Do the changes in the cecum look like ulcerative colitis or typhlitis? I don’t see hyperechoic mesentery nearby and she wasn’t too reactive, but this looked really abnormal to me.
Comments
The submucosal layer is maybe
The submucosal layer is maybe a bit thick but the lumen is empty and layering is solid and in tact. Empty cecal lumen is not frequent so looks a bit odd but i dont think this is a clinical issue. LN and fat are nsf. Id be more concerned about the liver wiht a needle in hand with that profile.
Thanks, Eric. Forgot to say
Thanks, Eric. Forgot to say no inc. in blood flow to the area. Just looked really weird. Starting with feeding tube and supportive care, offered FNA.