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feline duodenal papilla enlargement/mass

Sonopath Forum

feline duodenal papilla enlargement/mass

Chronic weight loss and vomiting progressing over last year, 11 year old FS DSH.  Spleen was enlarged (extended to urinary bladder, but not thick), multiple loops of jejunum w/ inc. muscularis layer, and duodenal papilla was very enlarged/mass like.  FNA’s of thickened lymph nodes and spleen pending w/ sample prepared for spleen flow cytometry if indicated.  Thoughts about the duodenal papilla and next steps if my aspirates are not diagnostic? I didn’t feel comfortable aspirating the papilla.  

Chronic weight loss and vomiting progressing over last year, 11 year old FS DSH.  Spleen was enlarged (extended to urinary bladder, but not thick), multiple loops of jejunum w/ inc. muscularis layer, and duodenal papilla was very enlarged/mass like.  FNA’s of thickened lymph nodes and spleen pending w/ sample prepared for spleen flow cytometry if indicated.  Thoughts about the duodenal papilla and next steps if my aspirates are not diagnostic? I didn’t feel comfortable aspirating the papilla.  

Comments

EL

Looks like a duodenal mural

Looks like a duodenal mural mass lsa type in video 3. You can see the duodenal serosa going around the mass indicating that its coming from the duodenal wall and deviating the cbd which is actually normal width about 2 mm. Might be a tough stick but thats where the dx is. Rest looks like IBD cat

kromero

Thank you, Eric! No luck with

Thank you, Eric! No luck with a dx from the spleen and lymph node, but owner has opted not to proceed.