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