Significant weight loss and duodenal pathology in 13yr mn German Shorthair
13 yr mn GSH pointer presented for 12 pound weight loss during the last year, and vomiting every 3-4 days and intermittent diarrhea for the past few months. The patient also has intermittent urinary incontience and occaisional twitching of right front leg.
No recent bloodwork performed.
Abdominal US shows a thickened duodenal wall with pseudolayering and adjacent reactive fat. In some views, it resembles ntussusception.
13 yr mn GSH pointer presented for 12 pound weight loss during the last year, and vomiting every 3-4 days and intermittent diarrhea for the past few months. The patient also has intermittent urinary incontience and occaisional twitching of right front leg.
No recent bloodwork performed.
Abdominal US shows a thickened duodenal wall with pseudolayering and adjacent reactive fat. In some views, it resembles ntussusception.
My primary rule out is neoplasia…lsa or carcinoma, less likely severe focal IBD.
Other thoughts?
Electrocute
2 responses to “Significant weight loss and duodenal pathology in 13yr mn German Shorthair”
Neoplasia most likely as
Neoplasia most likely as there is irregular thickening and loss of layering, both of which not really associated with IBD. Also IBD also tends to involve more of the small intestine. With the reactive surrounding fat, would also think of focal perforation with peritonitis. Ideally a laparotomy is needed.
Thank you Dr. Lobetti. Those
Thank you Dr. Lobetti. Those were all my initial thoughts. The owner may not want to pursue surgery so I was trying to think of alternatives for the primary vet but it just does not seem that there are any.
2 responses to “Significant weight loss and duodenal pathology in 13yr mn German Shorthair”
Neoplasia most likely as
Neoplasia most likely as there is irregular thickening and loss of layering, both of which not really associated with IBD. Also IBD also tends to involve more of the small intestine. With the reactive surrounding fat, would also think of focal perforation with peritonitis. Ideally a laparotomy is needed.
Thank you Dr. Lobetti. Those
Thank you Dr. Lobetti. Those were all my initial thoughts. The owner may not want to pursue surgery so I was trying to think of alternatives for the primary vet but it just does not seem that there are any.