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Update on 10 yr old MN Dachshund with intra-abdominal abscess

  • This is an update on the 10 yr old vomiting Dachshund with an intra-abdominal abscess that I posted about 4 weeks ago. 
  • US guided FNA and culture of the abscess at that time showed a mixed population of bacteria suspcious for FB puncture or secondary to GI tumor.
  • The owners declined surgery and any additional abscess drainage (no funds).
  • The dog is doing very well clinically on metronidazole and amoxicillin.

    • This is an update on the 10 yr old vomiting Dachshund with an intra-abdominal abscess that I posted about 4 weeks ago. 
    • US guided FNA and culture of the abscess at that time showed a mixed population of bacteria suspcious for FB puncture or secondary to GI tumor.
    • The owners declined surgery and any additional abscess drainage (no funds).
    • The dog is doing very well clinically on metronidazole and amoxicillin.
    • I did a free recheck today.  Unfortunately, the abscess persists and this time round I can connect it to the intestine which now shows abnormal wall thickening and pseudo wall layering.
    • I am thinking that there likely is an underlying tumor unless theses changes are all occuring secondary to the body’s attempt to contain the abscess.
    • This is all occuring in the region of the ICC so I am concerned that there could be colonic wall involvement but hard to tell because the wall is so abnormal.
    • What do you guys think?

Electrocute

2 responses to “Update on 10 yr old MN Dachshund with intra-abdominal abscess”

  1. This is mural for sure but

    This is mural for sure but its intussuscepting and most of the tissue still holds curvilinear patterns so this is surgical with a good R&A with intraoperative us to delineat healthy tissue to anastamose. See my annotated image from video 1. You might pop a toothpick osr something out of this thing once you get it out. i would downplay cancer here… possible but I’m rolling the dice on inflammatory, necrosis and instussusception. Cool case and nice thread!

  2. Thanks Eric for your input. 

    Thanks Eric for your input.  I will post again if the dog goes to surgery.

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