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duodenum

Sonopath Forum

Sonopath Forum

duodenum

Hi This is a m/n 12 yr old terrier mix. He has a long history of GIsigns.This March finally got the probe on him. The gallbladder had some hyperplasiaand 3/4filling with immobile sludge. the duodenum was hyperechoic. did well on urosidol,baytril etc.He had recheck today and Iam concerned with the duodenum there is still a hyperechoic segment that seems to move into wall thickening. No loss of anatomy but could this be emerging neoplasia?? Gall bladder is improved. patient has loose feces most days.

Hi This is a m/n 12 yr old terrier mix. He has a long history of GIsigns.This March finally got the probe on him. The gallbladder had some hyperplasiaand 3/4filling with immobile sludge. the duodenum was hyperechoic. did well on urosidol,baytril etc.He had recheck today and Iam concerned with the duodenum there is still a hyperechoic segment that seems to move into wall thickening. No loss of anatomy but could this be emerging neoplasia?? Gall bladder is improved. patient has loose feces most days.

Comments

EL
July 30, 2016 at 7:18 pm -

Tough to tell on GB mucocele

Tough to tell on GB mucocele wiht one view. Need subxyphoid and right intercostal images to assess completely. there is no striating bile so Im not inclined to bring the “mucocele” term yet but skirt aorund it with ” mild overdistention and largely dependent but mobile non striating biliary sludge” or something similar.

I’ve seen this echogenic pattern in the SI before and it kinda overlays the submucosal layer and mucosae… Ive always assumes scarring or even mucosal fogging but would need higher resolution if you have a linear 12 Mhz probe on this it would define it further… or better yet if you happen to ex-lap him for some reason do IOP ultrasound and get prcise bx on it and let us know the results… Im certainly curious… not neoplastic though.

sherilin
August 1, 2016 at 6:52 pm -

The gall bladder actually

The gall bladder actually looks alittle better don’t have a motility study on him. Even the SI pattern is better then before now in just this segment? i agree very curious. i’ll keep exploring and report back with any definitive results.Thanks

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