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IBD vs lymphoma

Sonopath Forum

Hello

This is Sunny an 8 year old Golden Doodle. He has had vomiting and diarrhea for 6 months. His stools are rancid.

Hello

This is Sunny an 8 year old Golden Doodle. He has had vomiting and diarrhea for 6 months. His stools are rancid.

We performed endoscopic biopsy but could not get the scope into the SI because of what appeared to be redundant tissue at the pylorus. We passed a biopsy forcep into the pylorus but it would only advance 5-10 cm. We retrieved what appeared to be friable samples. We performed and US because we feared we would not get diagnostic results from the samples and we see hyperechoic walls on the duodenum extending up to and including the pylorus. The walls are hyperechoic and the layers of the bowel are not distinguishable. We are hopeful for a severe IBD but are fearful of lymphoma. The rest of the bowels seemed to have thickened mucosa. I was hoping for some opinions on the images as to what the major rule outs are. Thanks. Brent