Hello,
Maisie is a 8 years old Cairn Terrier that presented for chronic vomiting and anorexia for 3-4 days. She didn’t respond to symptomatic treatment ( cerenia, famotidine, metronidazole, buprenorphine) and FB was suspected. U/S ruled out an obstruction but did find these thickened pylorus and pyloric duodenal junction with mild enlargement of the Panbcreatico-duodenal LN ( can see it in the clip) Maisie was hospitalized and started to improve after 3 days of iv fluids, pantoprazole, sulcrate, etc.
Hello,
Maisie is a 8 years old Cairn Terrier that presented for chronic vomiting and anorexia for 3-4 days. She didn’t respond to symptomatic treatment ( cerenia, famotidine, metronidazole, buprenorphine) and FB was suspected. U/S ruled out an obstruction but did find these thickened pylorus and pyloric duodenal junction with mild enlargement of the Panbcreatico-duodenal LN ( can see it in the clip) Maisie was hospitalized and started to improve after 3 days of iv fluids, pantoprazole, sulcrate, etc.
My questions : Is this consistent with an antral ulcer ? Is this presentation suggestive of neoplasia ?
Thank you,
Calin
Comments
The irregular appearance,
The irregular appearance, thickening, and loss of wall layering together with the visible lymph node is highly suspicious for neoplasia. Other possiblity would be fungal disease (pythiosis).
Try and get an FNA and consider endoscopy.
Thank you. Will rescan and if
Thank you. Will rescan and if still the same will FNA LN and scope biopsy pylorus
may need to corkscrew
may need to corkscrew technique on the Ln to get it to exfoliate… I would do the same on the gastric wall may not need to scope if you get recovery
Thank you
Thank you