Sonopath Forum

Hernia?

Hello

This is Josie a 14 year old cat that has had 3-5 years of chronic vomiting and diarrhea; has been worked up extensively at regular vet including abdominal US that indicated thickened bowels at regular vet.

The clients have moved to our area and we repeated the US. I found that the stomach was in an odd position and I believe I can see the liver and a portion of the SI in contact with the heart. We performed xrays and there is an opacity between the heart and liver but cannot see any gas filled structures. The stomach is not visible on any view and does not appear to be in it’s proper location on the xrays. I was hoping for some opinions on the following US images.

Thanks you. Brent

Comments

gadams

June 21, 2017 at 1:26 am -

Does this animal have
Does this animal have dyspnoea? How is pulmonary auscultation? Can be a consolidated/hepatized lung.

Regards,
Adams

tosullivan

June 21, 2017 at 1:08 pm -

Thanks for the post!

Thanks for the post! Hepatization of the lung lobe crossed our minds but the X-rays show a little radiopacity at the apex of the heart. We usually see the consolidation from pnemonia at the Right middle. I also feel like I’m seeing bowel in the very near field. I tried as many different positions as I could and these unfortunately were the best.

Thanks

June 22, 2017 at 6:45 pm -

Not sure thats bowel. Can you

Not sure thats bowel. Can you load the rads?

tosullivan

June 22, 2017 at 10:18 pm -

Thanks. Don’t see bowel in

Thanks. Don’t see bowel in the xrays but cannot see the stomach either. Everything just seemed out of place on US. Thanks. Brent

tosullivan

June 22, 2017 at 10:21 pm -

Thanks. Don’t see bowel in

Thanks. Don’t see bowel in the xrays but cannot see the stomach either. Everything just seemed out of place on US. Thanks. Brent

tosullivan

June 26, 2017 at 1:08 pm -

As an added note on some GI

As an added note on some GI bloodwork the vitB12 was low possibly indicating malapsorption which was our initial thought. However the creatine is 20X elevated giving a little more credit to the hernia therory. Thanks. Brent

gadams

June 27, 2017 at 2:33 am -

Thanks for the

Thanks for the update tosullivan!
Accompanying the case!

Regards,

Adams.