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?

 

smbrowndvm

7 responses to “Gastric wall pathology?”

  1. 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?

  2. 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.

  3. Thanks, I doubt they’ll

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

  4. Can you point out the layers

    Can you point out the layers and pathology to me.

    Thanks

  5. Can try symptomatic

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

  6. 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.

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