Hi guys,
– 8yo male DSH
– Hx of chronic vomiting, loss of appetite
– On U/S I see reactive jejunal/colic lymph nodes (with reactive adjacent fat) + subtle loss of wall layering of a nearby jejunal loop + mineralized little peritoneal mass adjacente to a apparently normal loop
What do you think this mass could be? Lymph node? Granuloma? Neoplastic?
Hi guys,
– 8yo male DSH
– Hx of chronic vomiting, loss of appetite
– On U/S I see reactive jejunal/colic lymph nodes (with reactive adjacent fat) + subtle loss of wall layering of a nearby jejunal loop + mineralized little peritoneal mass adjacente to a apparently normal loop
What do you think this mass could be? Lymph node? Granuloma? Neoplastic?
Comments
Video 2 looks like a couple
Video 2 looks like a couple of reactive nodes and video 3 a suibtle intestinal thickneing may develop into something… IBD and lsa live together just depends where they want to emerge. Would need intraoperative us to identify that third video intestinal thickening as nothing would be seen with the sx eye and may be tough to find with the probe as well as its very subtle. You have a keen eye of observation:) consider malassimilation of nutrients or neoplasia elsewhere, as well as full neoplastic criteria isnt here yet though may be on its way.
Jobrag
To me the changes
Jobrag
To me the changes seen on the third video are more suggestive of early LSA. The mucosa is hyperechoic prior to this segment so IBD may also be present. This is where you really can see more with a linear transducer. I will post an image for you tomorrow morning that will exemplify this for you. As Eric pointed out, excellent attention to detail.