Hi everyone, I have recently had 2 cats with suspected tridatis, where the main changes were hyperechoic liver, no major changes on pancreas, mild thickening on small intestine. My main sonographic finding was localized peritonitis in the mesenteric lymph node region, close to the ileocecal junction, where the lymph nodes were hypoechoic and rounded loosing the short axis/long axis ratio.
Is this change related to tridatis, or could this be something completely separate.
Hi everyone, I have recently had 2 cats with suspected tridatis, where the main changes were hyperechoic liver, no major changes on pancreas, mild thickening on small intestine. My main sonographic finding was localized peritonitis in the mesenteric lymph node region, close to the ileocecal junction, where the lymph nodes were hypoechoic and rounded loosing the short axis/long axis ratio.
Is this change related to tridatis, or could this be something completely separate. Also, how often do you find normal pancreas (on ultrasound) and still could have pancreatitis or another pathology?
Thanks for any information
Regards, Veronica
Comments
What you are describing can
What you are describing can also be emerging lsa, mast cell disease, parasitism and dry form FIP pulling some cases out of my head from past histopath. be sure you are using a high resoltuion probe on the pancreas and monitoring them for + murphy sign (pain on probe) as you scan the pancreas as focal lesions are often missed when subtle. triad cats can be GI one day, LN the next, Panc the next and liver the next…..I don’t like the loss of LN length/width ratio and needs a needle but ideally full thickness bx with intraoperative US to ensure the sample is what you see and not a surgeon’s guess.
Click here for articles and see this study we did a few years ago
Intraoperative Ultrasound for Precise Biopsy and Resection of Transabdominally Detected Intestinal Lesions in 3 cats
If you obey all the rules. You miss all the fun. – Katharine Hepburn regards, eric
What you are describing can
What you are describing can also be emerging lsa, mast cell disease, parasitism and dry form FIP pulling some cases out of my head from past histopath. be sure you are using a high resoltuion probe on the pancreas and monitoring them for + murphy sign (pain on probe) as you scan the pancreas as focal lesions are often missed when subtle. triad cats can be GI one day, LN the next, Panc the next and liver the next…..I don’t like the loss of LN length/width ratio and needs a needle but ideally full thickness bx with intraoperative US to ensure the sample is what you see and not a surgeon’s guess.
Click here for articles and see this study we did a few years ago
Intraoperative Ultrasound for Precise Biopsy and Resection of Transabdominally Detected Intestinal Lesions in 3 cats
If you obey all the rules. You miss all the fun. – Katharine Hepburn regards, eric