Sonopath Forum

Gastric wall pathology?

11 year old female spayed Labrador

-recent history of vomiting and weight loss

-unremarkable bloodwork

Do you see a thickened gastric wall with altered layering?

11 year old female spayed Labrador

-recent history of vomiting and weight loss

-unremarkable bloodwork

Do you see a thickened gastric wall with altered layering?

Comments

smbrowndvm

November 4, 2016 at 1:38 pm -

I keep going back and forth

I keep going back and forth about whether the changes I see are real. I do feel like I see “fuzzy fat” in the clips of the area of concern. Any thoughts?

November 4, 2016 at 2:04 pm -

The echogenic stripe is the

The echogenic stripe is the submucosal layer that is essentially splitting apart and in video 2 there is a paeriserosal inflammatiory pattern. This indicates transmural disease and necessitates sampling. Full thickness best here…. really bad gastritis or carcinoma or emerging lsa.

smbrowndvm

November 4, 2016 at 3:18 pm -

Thanks, I doubt they’ll

Thanks, I doubt they’ll biopsy but I’ll update if I get an answer.

randyhermandvm

November 6, 2016 at 4:43 pm -

Can you point out the layers

Can you point out the layers and pathology to me.

Thanks

rlobetti

November 6, 2016 at 7:02 pm -

Can try symptomatic

Can try symptomatic palliative therapy – omeprazole, sulcrafate, anti-emetics.

November 7, 2016 at 12:00 am -

So heres a busy labeling job

So heres a busy labeling job on the thickened and then lost submucosal layer… since this is a structural layer its alarming when this gets lumped up and even more so when it splits and dissappears as it does in this image. The detail loss region is where you want to sample guided by IOP us ideally.

randyhermandvm

November 7, 2016 at 1:04 am -

Thanks EL

Thanks EL