History: 13YR MN DSH, Chronic intermittent vomiting ~ 1 year duration. Mild weight loss.
In my experience, it’s pretty rare to see an intraluminal mass in a cat’s jejunum. What do you think this might be? Neoplasia or more likely polyp secondary to chronic inflammation? Have you seen a lesion like this in a cat before? I personally can’t remember seeing anything like this in a cat before. Definitely in many dogs.
History: 13YR MN DSH, Chronic intermittent vomiting ~ 1 year duration. Mild weight loss.
In my experience, it’s pretty rare to see an intraluminal mass in a cat’s jejunum. What do you think this might be? Neoplasia or more likely polyp secondary to chronic inflammation? Have you seen a lesion like this in a cat before? I personally can’t remember seeing anything like this in a cat before. Definitely in many dogs.
I recommended surgical biopsies of the bowel along with intraoperative ultrasound to find it. We’ll see if the owners are willing.
Comments
I’m not convinced its a mass
I’m not convinced its a mass marty… any power doppler on it to see if the round structure is vascular? Other angles on it to see contiguous transition from the mucosa into the mass/structure would be cool too. I see this on occasion in the stomach that is undigested kibble or foreign matter attached to the wall that goes away magically on a recheck in a week or so…. could be somethign similar like a hairball that makes a transit into the SI some undigested kibble or marble sized fluid absrobing toy may doing th esame thing or even a piece of undigested kibble. If its persistent and real wiht power + signals then intraoperative US will likely be needed or the surgeon will easily miss it if not readily palpable owing to its luminal position and nothing external for the surgeon to see.
See abstract 3 ECVIM 2009
http://sonopath.com/resources/research-publications
and number 3 on interventional procedures
http://sonopath.com/resources/interventional-procedures
Great images!
I’m not convinced its a mass
I’m not convinced its a mass marty… any power doppler on it to see if the round structure is vascular? Other angles on it to see contiguous transition from the mucosa into the mass/structure would be cool too. I see this on occasion in the stomach that is undigested kibble or foreign matter attached to the wall that goes away magically on a recheck in a week or so…. could be somethign similar like a hairball that makes a transit into the SI some undigested kibble or marble sized fluid absrobing toy may doing th esame thing or even a piece of undigested kibble. If its persistent and real wiht power + signals then intraoperative US will likely be needed or the surgeon will easily miss it if not readily palpable owing to its luminal position and nothing external for the surgeon to see.
See abstract 3 ECVIM 2009
http://sonopath.com/resources/research-publications
and number 3 on interventional procedures
http://sonopath.com/resources/interventional-procedures
Great images!
The first clip posted to me
The first clip posted to me shows continuous attachment to the mucosa. There wasn’t much color but I didn’t appreciate any color in the normal wall either.
I recommended a recheck prior to surgical biopsies to make sure it was still there. It was very mid-jejunum right at the apex of the bladder.
Cat needs biopsies regardless for the GI changes elsewhere. If I get to recheck it I’ll update.
The first clip posted to me
The first clip posted to me shows continuous attachment to the mucosa. There wasn’t much color but I didn’t appreciate any color in the normal wall either.
I recommended a recheck prior to surgical biopsies to make sure it was still there. It was very mid-jejunum right at the apex of the bladder.
Cat needs biopsies regardless for the GI changes elsewhere. If I get to recheck it I’ll update.
yeh I think you are right on
yeh I think you are right on the continuity of the mucosa I didn’t appreciate that at first but lokoing again sure …looks like a polyp of some sort.
yeh I think you are right on
yeh I think you are right on the continuity of the mucosa I didn’t appreciate that at first but lokoing again sure …looks like a polyp of some sort.