Hermaphroditism?trigone nodule?

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Hermaphroditism?trigone nodule?

-This is a 2year 10 month old MALE NEUTERED Italian Greyhound, presented for reccurrent “blood in stools”. Has been on ID hills before and was good. Off the diet and blood in stools came back. No urinary tract signs nor symptoms.

-Rectal exam: no obvious polyps.

-Laboratory WNL. Fecal float no parasites.

-This is a 2year 10 month old MALE NEUTERED Italian Greyhound, presented for reccurrent “blood in stools”. Has been on ID hills before and was good. Off the diet and blood in stools came back. No urinary tract signs nor symptoms.

-Rectal exam: no obvious polyps.

-Laboratory WNL. Fecal float no parasites.

-US: atypical small intestinal layers with muscularis hypertrophy in all loops. No focal lesions. Enlarged lns, still fusiform, mildly hyperechoic. DDX: IBD vs low grade LSA (less likely). Suggested FNA or review and then FNA. Kidneys and Bladder appear normal…except:

– Between bladder neck (trigone-ureteric papillaes) and colon there is this fusiform structure that I cant quite define where it belongs. To me..it does not belong neither to bladder wall nor colonic wall…so the only thing I can thinck of is uterus??? Or…it might be a ureteric papillaes mass? any input? I would probably request owner to re-scan this patient again for the IBD so I will try again. And I will then use the high frequency, which I totally forgot to use this time…sigh!

Comments

EL

looks like a uterus to me

looks like a uterus to me

Anonymous

Thanks! I’ll be rechecking
Thanks! I’ll be rechecking this patient in a few weeks. So… I guess surgery would be the advice, which may be good opportunity to take full thickness biopsies oh intestines and lns, too.

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