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Chronic Vomting 10 month old Lab

Sonopath Forum

Chronic Vomting 10 month old Lab

– 10 month old FS Labrador Retriever with a 6 week history of chronic intermittent vomting and weight loss; she is otherwise happy and eating

– vomits both stomach bile and food

– bloodwork unremarkable; fecal testing negative; x-rays normal (esopahagus normal)

– ultrasound showed a thickened stomach wall as you scanned toward the pyrloric antrum (thickened submucosa and muscularis) but fundus normal

– could not see evidence for a foreign body but still worried that this may be possible due age and breed

– 10 month old FS Labrador Retriever with a 6 week history of chronic intermittent vomting and weight loss; she is otherwise happy and eating

– vomits both stomach bile and food

– bloodwork unremarkable; fecal testing negative; x-rays normal (esopahagus normal)

– ultrasound showed a thickened stomach wall as you scanned toward the pyrloric antrum (thickened submucosa and muscularis) but fundus normal

– could not see evidence for a foreign body but still worried that this may be possible due age and breed

– enlarged jejunal LN’s but long and skinny and is a young dog so may be normal?

– duodenum and rest of SI tract looked normal in wall layering and thickness

What do you think of this stomach layering in such a young dog? Looks like a candidate for a full thickness biopsy?

I have a couple of clips of what I think is the pylorus taken from the right lateral side last intercostal spaces but the file is over 20MB and will not load. I can try e-mailing these direct to Sonopath. Thanks

 

 

Comments

EL

You can download handbrake

You can download handbrake which is a freeware and can change to mp4 which will help on size

http://handbrake.fr/

Muscularis thickening (lots of vomitors do this) but no loss of detail. Empty lumen so no obstructive pattern. Full thickness is not wrong but not likely neoplastic. i would tx diet change and parasites and stay canned to avoid the physical irritation of kibble expansion.

EL

You can download handbrake

You can download handbrake which is a freeware and can change to mp4 which will help on size

http://handbrake.fr/

Muscularis thickening (lots of vomitors do this) but no loss of detail. Empty lumen so no obstructive pattern. Full thickness is not wrong but not likely neoplastic. i would tx diet change and parasites and stay canned to avoid the physical irritation of kibble expansion.

rlobetti

Consider dietary

Consider dietary hypersensitivity, Helicobacter gastritis, IBD. Gastroscope with biopsies may give a diagnosis and far less invasive than full thickness.

rlobetti

Consider dietary

Consider dietary hypersensitivity, Helicobacter gastritis, IBD. Gastroscope with biopsies may give a diagnosis and far less invasive than full thickness.

Pankatz

I also thought a scope would

I also thought a scope would be a good idea in case of a missed pyloric FB.

I tried the handbrake program you suggested Eric and looks like it has worked (yeh).

Above is the clip.

 

Pankatz

I also thought a scope would

I also thought a scope would be a good idea in case of a missed pyloric FB.

I tried the handbrake program you suggested Eric and looks like it has worked (yeh).

Above is the clip.

 

EL

Looks like hypertrophy from

Looks like hypertrophy from gastritis I agree with remo. Scope is good for mucosal lesions but hit or miss on submucosa and not muscularis. So you can gauge your battles and where the sonographic lesions are. If luminal and mucosal then scope away but deeper will not be readily represnted and not seen during scope.

EL

Looks like hypertrophy from

Looks like hypertrophy from gastritis I agree with remo. Scope is good for mucosal lesions but hit or miss on submucosa and not muscularis. So you can gauge your battles and where the sonographic lesions are. If luminal and mucosal then scope away but deeper will not be readily represnted and not seen during scope.