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Thickened colon wall or cecum?

Sonopath Forum

Sonopath Forum

Thickened colon wall or cecum?

8 yo M/N Cat (belongs to a vet friend), u/s for FLUTD, not blocked. 

Normal bloodwork. No GI signs. Hx of 5 exploratories in the past for FB.

Thickened wall (4.5mm) with focal loss of layers in the ascending colon or cecum. Is that typhlitis? I hope it’s not neoplastic. No GI signs, no weight loss (BSC 6.5/9).

5mm cystic, rounded colic LN. Normal small intestine, IC junction. 

We plan on rechecking in a few weeks. 

Thank you for your input!

Julie

8 yo M/N Cat (belongs to a vet friend), u/s for FLUTD, not blocked. 

Normal bloodwork. No GI signs. Hx of 5 exploratories in the past for FB.

Thickened wall (4.5mm) with focal loss of layers in the ascending colon or cecum. Is that typhlitis? I hope it’s not neoplastic. No GI signs, no weight loss (BSC 6.5/9).

5mm cystic, rounded colic LN. Normal small intestine, IC junction. 

We plan on rechecking in a few weeks. 

Thank you for your input!

Julie

Comments

rlobetti
November 4, 2020 at 6:17 am -

The loss of layering is

The loss of layering is concerning and suspicious for neoplasia but would not fully exclude granulomatous reaction. The lymph node is most likely reactive. Would recommend FNA sooner than later.

sonopaws
November 4, 2020 at 8:20 pm -

Thank you Dr. Lobetti! I

Thank you Dr. Lobetti! I appreciate your input. 

sonopaws
November 25, 2020 at 10:45 pm -

Update: great news! Recheck

Update: great news! Recheck ultrasound done by a radiologist, the lesion was gone! 

rlobetti
November 26, 2020 at 8:09 am -

Good to get feedback. 

Good to get feedback. 

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