Oreo is a 12 year old cat with chronic history of diarrhea that was suspected to have IBD.
Medical history is a bit sketchy – had an intestinal surgery several years ago for FB removal. Had another surgery the proceeding year and vet found a stricture, but unfortunately neither vet nor owner has any records or recollection as to whether anything was done. Diarrhea developed after that surgery.
Bloodwork (CBC/CHEM/TT4)- WNLs other than mild increase in monocytes.
Oreo is a 12 year old cat with chronic history of diarrhea that was suspected to have IBD.
Medical history is a bit sketchy – had an intestinal surgery several years ago for FB removal. Had another surgery the proceeding year and vet found a stricture, but unfortunately neither vet nor owner has any records or recollection as to whether anything was done. Diarrhea developed after that surgery.
Bloodwork (CBC/CHEM/TT4)- WNLs other than mild increase in monocytes.
Ultrasound – prominent lymph nodes in ICCJ, measuring up to 0.70cm in some areas. Hyperechoic “thick white line” surrounding ICCJ was suspected to be inflamed messentary as nodes were within that hyperechoic area (see image) 
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Medial iliac nodes 0.75cm, otherwise all other normal were WNLs. I did find a section of small intestine that appeared to have a slightly distended lumen, which was also less motile (see video) [videoembed id=7251]- scar tissue from previous surgery? No actual stricture was seen… Small intestinal thickness (ileum/jejunum) ranged from 0.24cm to 0.30cm. Several myelolipomas also seen within spleen.
FNAs were obtained from prominent lymph nodes, and “vaccuum technique” performed on small intestine.
My questions:
— the hyperechoic line around ICCJ – inflamed messentary?
— the section of intestine with distended lumen – could this just be scar tissue?
— lymph nodes in ICCJ area – it is my understanding that up to 0.5cm is normal, 0.5cm is “grey zone” (inflammation or neoplasia), and 1cm is lymphadenopathy more consistent with neoplasia?
Obviously my FNA results will be helpful in sorting things out…
Thanks
Jennifer
Comments
Looks like and adhesion to me
Looks like and adhesion to me and change of intestinal contour…happens often in my experience post intestinal sx. Ln of 1 cm or less with normal contour and longer than wide are usually reactive with some exceptions. No loss of layering in the intestine so neoplasia less likely as well. Sorry for the delay we were still tweaking some site restructure issues.
Thank you for the comment.
Thank you for the comment. Love the new website! Will there be the “subscribe” function added again? (ie. I get an email notification when someone posts on threads of interest?)
Jennifer
Looks like and adhesion to me
Looks like and adhesion to me and change of intestinal contour…happens often in my experience post intestinal sx. Ln of 1 cm or less with normal contour and longer than wide are usually reactive with some exceptions. No loss of layering in the intestine so neoplasia less likely as well. Sorry for the delay we were still tweaking some site restructure issues.
Thank you for the comment.
Thank you for the comment. Love the new website! Will there be the “subscribe” function added again? (ie. I get an email notification when someone posts on threads of interest?)
Jennifer
We can do that thx for the
We can do that thx for the suggestion!!
We can do that thx for the
We can do that thx for the suggestion!!