Approximately 4 year old DSH presented one year ago for vomiting.
Abdominal US performed at that time showed moderately increased muscularis and overall increased wall thickness: duodenum=3.4mm thick, jejunum=4.9mm thick and ileum=3.2mm thick. The gallbladder showed a slightly thickened wall and reactive fat was seen adjacent to the intestines. Full thickness biopsies were recommended but not pursued.
Approximately 4 year old DSH presented one year ago for vomiting.
Abdominal US performed at that time showed moderately increased muscularis and overall increased wall thickness: duodenum=3.4mm thick, jejunum=4.9mm thick and ileum=3.2mm thick. The gallbladder showed a slightly thickened wall and reactive fat was seen adjacent to the intestines. Full thickness biopsies were recommended but not pursued.
The cat is currently doing well on prescription diet alone (RC Ultamino). Abdominal US shows persistent thickened small intestinal muscularis layer and overall wall thickness. Duodenum=3.5-3.9mm, jejunum=3.4mm, and ileum = 3.4mm.
Would you treat this with anything else besides prescription diet even though the cat is feeling fine and doing well?
Electrocute
2 responses to “Thickened muscularis in an asymptomatic DSH”
Besides dietary
Besides dietary hypersensitivity, the other big differential would be inflammatory bowel disease; both of which dietary management plays an important role. As the cat is doing well and intestinal thickening has remained static would continue with the diet. I assume that the cat has been previously treated with metronidazole/fenbendazole to rule out helminths and protozoa.
Thank you Dr. Lobetti. I
Thank you Dr. Lobetti. I assume so but will check.
2 responses to “Thickened muscularis in an asymptomatic DSH”
Besides dietary
Besides dietary hypersensitivity, the other big differential would be inflammatory bowel disease; both of which dietary management plays an important role. As the cat is doing well and intestinal thickening has remained static would continue with the diet. I assume that the cat has been previously treated with metronidazole/fenbendazole to rule out helminths and protozoa.
Thank you Dr. Lobetti. I
Thank you Dr. Lobetti. I assume so but will check.