Regionally thick and

Regionally thick and irregular submuocsal layer suggestive for chronic inflammation… periserosal inflammation suggestive for acute inflammation. Acute on chronic regional inflammatory bowel likely with potential for emerging spontaneous necrosis or neoplasia (lsa) but neoplastic criteria not met at this time.

Intraoperative ultrasound to delineate the mural pattern and R&A to the level of clean healthy bowel is what I would do here.

Here is a similar case a dog named scraps with complicated acute on chronic IBD… he actually did this to his small intestine twice both resolved with R&A.

https://sonopath.com/members/case-studies/cases/lymphoplasmacytic-enteritis-granulomatous-lymphangitis-13-year-old-mn-bea

Here is an example of a more progressed case of IBD progressing into intestinal necrosis

https://sonopath.com/members/case-studies/cases/0400461-buster-bowel-necrosis

Here is an extreme version of complicated IBD/intestinal necrosis of what can happen if left alone though some respond to medical management and dont have to be cut out…. not the case on this patient this needed sx.

https://sonopath.com/members/case-studies/cases/intestinal-necrosis-and-peritonitis-mineralized-omental-hematoma-7-year-o