Hello there,
Precious is a 4 year old DSH which had ruptured pyometra with generalized peritonitis. After sx and intensive care treatment ( hosp, Jackson -Pratt abd. drain, Esophagostomy feeding tube, triple antibiotics) she is improving(really well!!!). However on the US recheck there is this structure which has fluid in it and didn’t change in 7 days.This structure was imaged in the left caudal quadrant. Other then that there is no fluid in the abdomen.
Suspect this is omentum with adhesions and fluid trapped/abcess (probably not – fluid is very clear….)
Hello there,
Precious is a 4 year old DSH which had ruptured pyometra with generalized peritonitis. After sx and intensive care treatment ( hosp, Jackson -Pratt abd. drain, Esophagostomy feeding tube, triple antibiotics) she is improving(really well!!!). However on the US recheck there is this structure which has fluid in it and didn’t change in 7 days.This structure was imaged in the left caudal quadrant. Other then that there is no fluid in the abdomen.
Suspect this is omentum with adhesions and fluid trapped/abcess (probably not – fluid is very clear….)
Can this be gauze from previous sx?
Would you FNA or go to exploratory if structure persist?
Thank you,
Calin
Comments
pictures:
pictures:
pictures:
pictures:
This looks like tubular
This looks like tubular tissue and some fluid trapped… residual uteroine hron or something? Doesn;t look like a sponge left behind that can do this but doesnt have this organization. Omental abscesses usually have a thin granulation bed and not this well organized so don’t think its that. I think they have to go back in on this now that she is stable.
Sound’s good. Knowing that
Sound’s good. Knowing that this was peritonitis an FNA would not give a lot of new info, right? So I think you are right if lesion looks the same in 7 days exploratory would be next.
Thank you again.
This looks like tubular
This looks like tubular tissue and some fluid trapped… residual uteroine hron or something? Doesn;t look like a sponge left behind that can do this but doesnt have this organization. Omental abscesses usually have a thin granulation bed and not this well organized so don’t think its that. I think they have to go back in on this now that she is stable.
Sound’s good. Knowing that
Sound’s good. Knowing that this was peritonitis an FNA would not give a lot of new info, right? So I think you are right if lesion looks the same in 7 days exploratory would be next.
Thank you again.
Correct… fna may give you
Correct… fna may give you an idea of what type of tissue if you hit the hypoechoic tubular tissue…i.e.uterine but needs sx anyway
Correct… fna may give you
Correct… fna may give you an idea of what type of tissue if you hit the hypoechoic tubular tissue…i.e.uterine but needs sx anyway
These are examples of omental
These are examples of omental abscesses so you can see the difference… thin walls and no tissue organization.
These are examples of omental
These are examples of omental abscesses so you can see the difference… thin walls and no tissue organization.
Thank you.
Thank you.
Thank you.
Thank you.