– 10 year FS Lab presented for abdominal pain, anorexia and marked gas distension in the colon on x-ray; bloodwork unremarkable
– had a similar episode about 1 year ago and responded to symptomatic therapy;
– ultrasound showed a severely thickened cecal wall with some loss of layering pattern – cecal distension with liquid and debris and localized inflammation and effusion. Free fluid was also seen elsewhere in the abdomen; pain when scanning this area
– 10 year FS Lab presented for abdominal pain, anorexia and marked gas distension in the colon on x-ray; bloodwork unremarkable
– had a similar episode about 1 year ago and responded to symptomatic therapy;
– ultrasound showed a severely thickened cecal wall with some loss of layering pattern – cecal distension with liquid and debris and localized inflammation and effusion. Free fluid was also seen elsewhere in the abdomen; pain when scanning this area
– colon loops that could be seen showed normal walls but marked distension with liquid and gas bubbles – r/o possible colitis
– small intestines appeared normal with no distension
So severe typhlitis but with free fluid I am concerned about peritonitis, possible perforation or ulcerative typhlitis or neoplasia – I have recommended surgery and possible cecal resection. Thoughts?
Comments
Hmm I would fna that wall may
Hmm I would fna that wall may be lsa or carcinoma but certainly meets neoplastic criteria wiht inflammation