Enteric duplication + Linear FB

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Enteric duplication + Linear FB

Greetings,

Faisca is a 1yo M/N DSH. Yesterday he became very letargic, had hemorrhagic diarrhea, salivary vomit and loss of appetite. He is an outdoor cat and the owner did find a small piece of sewing thread in the vomit. 

Greetings,

Faisca is a 1yo M/N DSH. Yesterday he became very letargic, had hemorrhagic diarrhea, salivary vomit and loss of appetite. He is an outdoor cat and the owner did find a small piece of sewing thread in the vomit. 

The abdominal U/S revealed decreased peristaltic movements, diffuse hypoechoic thickening of the muscularis and associated mesenteric root lymphadenopathy. I also found a small intramural submucosal cyst in the jejunum and a linear foreign body that was not retracting the bowel. Since I couldn’t prove that the FB wasn’t just a simple worm I decided to wait and today he’s doing much better after some fluids and ABs.

My questions are:

1. How can you tell a linear FB from a worm?

2. Should I be worried with the jejunal cyst (enteric duplication)?

Comments

EL
March 20, 2015 at 4:52 pm -

great question! Both linear

great question! Both linear fb and worm burdens can cause obstruction but you get accordian pleating of the bowel with linear fb and usually there is a bundle of material anchoring the linear fb in the pylorus or elsewhere.

Do a basic search on linear fb

http://sonopath.com/members/case-studies/search?text=linear+fb&species=All

& you will see what I mean. Good move being cautious here and a good ol fecal flotation helps as well. Your image is typical for round worm.

Attached is a still of a worm burden actually causing an obstructive pattern. The echogenic foci are worms.

EL
March 20, 2015 at 4:52 pm -

great question! Both linear

great question! Both linear fb and worm burdens can cause obstruction but you get accordian pleating of the bowel with linear fb and usually there is a bundle of material anchoring the linear fb in the pylorus or elsewhere.

Do a basic search on linear fb

http://sonopath.com/members/case-studies/search?text=linear+fb&species=All

& you will see what I mean. Good move being cautious here and a good ol fecal flotation helps as well. Your image is typical for round worm.

Attached is a still of a worm burden actually causing an obstructive pattern. The echogenic foci are worms.

jgalvaobraga
March 20, 2015 at 6:08 pm -

Thanks EL,
 
Any thoughts on

Thanks EL,

 

Any thoughts on the enteric duplication?

 

 

jgalvaobraga
March 20, 2015 at 6:08 pm -

Thanks EL,
 
Any thoughts on

Thanks EL,

 

Any thoughts on the enteric duplication?

 

 

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