Skip to content

We value your privacy

We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.

Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Feline Pylorus

Sonopath Forum

Sonopath Forum

Feline Pylorus

Hi, I have this cat:  reccurrent episodes of vomiting which responds to symptomatic treatment. Tendency to eating plastics according to owner. CBC and biochem are usually normal. US for further diagnostics.

Questions:

Hi, I have this cat:  reccurrent episodes of vomiting which responds to symptomatic treatment. Tendency to eating plastics according to owner. CBC and biochem are usually normal. US for further diagnostics.

Questions:

I can see a hypoechoic (relatively)-poorly defined area in pylorus, which I consider abnormal. It does not seem to be due to oblicque angles since it is round and obvious in multiple different views. I am attaching longitudinal view and transverse views. There does not seem to have regional Lns enlargement. No other major findings. only reactive medial iliac Lns with normal S/L axis ratio. What differentials does this include…being so focal I thought inflammatory is unusual???

 

Also, initially I thought stomach was completely empty, then I see an accumulation of “something” with hyperechoic surface and distal echoshadowing which I assumed was gas but now I’m not so sure (just after revising the clips). Any inputs in video number 3? I am always very worried to diagnose a FB that is not…

 

I suggested rescanning for monitoring. I was thinking 4-6 weeks but now I wonder whther I should re-scan again on empty stomach for that potential FB like…tomorrow. So that to see whether that is still there or not…

 

Thanks for helping.

Silvana.

 

Comments

EL
October 1, 2015 at 11:36 am -

The pylorus has a focal

The pylorus has a focal hypoechoic area in the wall and you lose the submucosal layer (arrow). I would keep an eye out for lymphoma or similar here an dmay be causing a delayed outflow given the stricturing appearance. If it grows a bit you can usg fna it. In the last video there is a mix of fluid chyme on the left, but in the fundus a 2 cm something is there that can be plastic, grass blades or ribbon or even a broken up hairball (arrow). Could scope… anytime a patient is vomiting often despite med tx the scope is warranted especially if the problem is mucosal or luminal.

randyhermandvm
October 1, 2015 at 12:56 pm -

I just wanted you to see that

I just wanted you to see that I posted a similar case last October.

You can access the case here: https://sonopath.com/forum/pylorus-mass

The point I wanted to make was that I aspirated this mass 3 times and could not get it to exfoliate. When I posted the cat I could see my needle marks and bruising going straight into the mass. Histopath confirmed LSA. I am not saying you should not try to aspirate, but don’t be surprised if it comes out negative.

Anonymous
October 1, 2015 at 2:32 pm -

Thank you Eric and Randy. I
Thank you Eric and Randy. I will discuss Fna and endoscopic approach for this one.

EL
October 1, 2015 at 2:39 pm -

try the “corkscrew technique”

try the “corkscrew technique” it will allow you to carve out cells on fna in small and tough spaces. Straight jab or woodpecker technique likely won’t exfoliate well here.

Subscribe