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 😐

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.

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.