Weird septated colic LN.
– 10 yo M/N Feline, indoor, BSC 6/9, recent vomiting/diarrhea, started last week. Fed Science diet dry.
– Normal bloodwork. Fecal neg Nov 2019.
– Trt: Inj B12, Metro. Diarrhea stopped within 48 hrs, appetite a little better, still intermittent Vomiting (food/hair).
– U/s: thickened intestines (3.5mm), prominent muscularis, corrugated duodenum, pancreas WNL, sludge in GB.
Weird septated colic LN.
– 10 yo M/N Feline, indoor, BSC 6/9, recent vomiting/diarrhea, started last week. Fed Science diet dry.
– Normal bloodwork. Fecal neg Nov 2019.
– Trt: Inj B12, Metro. Diarrhea stopped within 48 hrs, appetite a little better, still intermittent Vomiting (food/hair).
– U/s: thickened intestines (3.5mm), prominent muscularis, corrugated duodenum, pancreas WNL, sludge in GB.
– Question 1: NPO, empty stomach fundus, but some ingesta (or fur) in pylorus/cranial duodenum, not shadowing. I don’t think it’s causing a blockage, the stomach is small, not dilated w liquid. Should we recheck the area later?
– Jejunal LN: prominent hypoechoic homogeneous LN (5.9mm). IBD vs lymphoma vs FIP vs other.
– Question 2 about colic LN: anechoic, septated, 1.2cm long by 6.4mm wide. FNA not approved at this time. Is this reactive? infected?
Thanks!
Recommend intestinal biopsies or IBD treatment if declined.
Julie
Comments
This is a cystic LN
This is a cystic LN presumabley whats happens is chronic inflammation leads to necrosis and you aspirate these and you get lymph or similar back. Occasionally suppurative fluid and can culture but usually not neoplastic. I call them “LN bags” 🙂
re Q1: likely small residual ingesta or minor hairball with that density. Not obstructive as no stasis behind it. The intestine is typical IBD pattern.
Thank you! Pretty cool, I had
Thank you! Pretty cool, I had not seen that before, LN bags. Sorry the post is on there twice.