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Duodenum papilla?

Sonopath Forum

Sonopath Forum

Duodenum papilla?

Hi, 

Miss Beasley is a 4 year old FS Scottish Terrier

  • She has had a chronic history of allergies and multiple diet trials
  • Recently developed pancreatitis from the food she was on (2 weeks ago) – tested positive on IDEXX cPL (385 [0-200]).
  • Issues resolved but has returned for a relapse in vomiting (just occasional vomiting but abdominal discomfort noted)

I did abdominal scan of her

Hi, 

Miss Beasley is a 4 year old FS Scottish Terrier

  • She has had a chronic history of allergies and multiple diet trials
  • Recently developed pancreatitis from the food she was on (2 weeks ago) – tested positive on IDEXX cPL (385 [0-200]).
  • Issues resolved but has returned for a relapse in vomiting (just occasional vomiting but abdominal discomfort noted)

I did abdominal scan of her

  • Could not locate an inflammed pancreas
  • I did find an odd little issue with the duodenum (see images and videos)

I thought this was an abnormality but then started to see some reference images I started to question myself. Is this a duodenal papilla or something pathologic?

My main concern with her was a FB/string FB but I could not locate a specific FB during my scan. Just significant pooling of ingesta in stomach and intestines. Poor progressive motility of intestines. 

 

 

Thanks for any help/insight you can provide,

Cheers,

Layne 

Comments

LyWM
April 12, 2017 at 9:55 pm -

Hi, just an update. We did an

Hi, just an update. We did an exploratory and no foreign body noted. The pancreas was normal in appearance, appears the episode of pancreatitis had resolved.

We took intestinal biopsies for a diagnosis. I didn’t do the surgery but did observe a portion of it, appears that the intestines had a few raised areas every so often (quite pronounced). I wonder if what I was seeing was GALT or peyers patches. 

Suspecting IBD, will report back with biopsies. 

Cheers,

Layne 

EL
April 12, 2017 at 10:00 pm -

sorry I wish i could have

sorry I wish i could have gotten to this earlier… you may want to consider telemed for rapid turn on these things. This looks like the panc duct. Not that there is no inflammation and the intestine has curvilinear patterns to it so when in doubt curvilinear = normal.

Compare your case to this intestinal fb in a cat jejunum

http://sonopath.com/members/case-studies/cases/jejunal-foreign-body-obstruction-8-year-old-mn-maine-coon-cat

LyWM
April 12, 2017 at 10:07 pm -

Hi, no problem. This has been

Hi, no problem. This has been a long standing case (chronic issues) and the biopsies will be very beneficial regardless to help narrow down a diagnosis for us. Gives us more confidence to utilize cerenia and other anti-nausea medications without a concern of missing a FB. 

Cheers,

Layne 

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