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Gastric mineralisation

Sonopath Forum

Sonopath Forum

Gastric mineralisation

  • 10 year old FN Newfie presented collapsed
  • Bloods – severe (HCT 11%) regenerative anaemia, agglutination +, spherocytes present, responding to steroids/aza
  • Still clinically collapsed
  • Scanned today and initially thought there was a gastric FB (although did not fit with clinical picture) but now think there is gastric wall thickening with loss of layering and mineralisation? but not to all of stomach? 
  • There is a mild-moderate azotaemia but this does not appear like other uraemic gastritis cases I have seen

    • 10 year old FN Newfie presented collapsed
    • Bloods – severe (HCT 11%) regenerative anaemia, agglutination +, spherocytes present, responding to steroids/aza
    • Still clinically collapsed
    • Scanned today and initially thought there was a gastric FB (although did not fit with clinical picture) but now think there is gastric wall thickening with loss of layering and mineralisation? but not to all of stomach? 
    • There is a mild-moderate azotaemia but this does not appear like other uraemic gastritis cases I have seen
    • The peripheral lymph nodes were enlarged so I suspect IMHA secondary to lymphoma, cytology of LN pending
    • Has anyone seen a gastric pattern like this before?

     

Comments

jobrag
March 1, 2019 at 1:27 am -

I’ve never seen anything like

I’ve never seen anything like it before. It seems very neoplastic to me and I agree with you, with gastric wall mineralisation. With sedation you could also FNA that ugly looking wall.

Lots of bad news to give to that one 😐

EL
March 2, 2019 at 5:57 pm -

i dont like th ewall as it

i dont like th ewall as it loses mural detail but also thats a lumninal fb… we have shown in our studies that GI pathology patients get pica. This is likely a soft fb even a grass ball as its not obstructive but need fna or histopath on that gastric wall as there are 2 things going on here.

EL
March 2, 2019 at 5:58 pm -

i dont like the wall as it

i dont like the wall as it loses mural detail but also thats a lumninal fb… we have shown in our studies that GI pathology patients get pica. This is likely a soft fb even a grass ball as its not obstructive but need fna or histopath on that gastric wall as there are 2 things going on here.

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