Presented by: Rebecca McIntosh June 22, 2011 NCSU Ultrasound Rotation.

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Presentation transcript:

Presented by: Rebecca McIntosh June 22, 2011 NCSU Ultrasound Rotation

Signalment Canine 6 year old English Setter White and Black Intact female Hunting/breeding

Presenting Complaint Anorexia, vomiting 7 days duration Diarrhea, weight loss 6 weeks

History April 2011 Had litter of puppies 3 survived Treated with Cephalexin for diarrhea May 22 Became anorexic May 24 Began vomiting, hypoalbuminemic on bloodwork

History May 28 Barium study performed Showed mild irregular, rough appearing mucosa of stomach and SI Started on Baytril Given Dexamethasone SP May 30 Presented to NCSU SAES

Physical Exam Abdomen tense on abdominal palpation No peripheral lymphadenopathy Remainder of PE unremarkable BCS 3/9 No melena on rectal

Diagnostic Imaging Lateral abdominal radiograph Loss of serosal detail Mass effect in cranial abdomen Remainder of radiographs aborted at owner’s request Abdominal ultrasound strongly recommended

Differential Diagnosis Neoplasia GI Foreign Body Inflammation -IBD

Diagnostic Imaging Abdominal Ultrasound

Diagnostic Imaging Abdominal Ultrasound

Diagnostic Imaging Abdominal Ultrasound

Diagnostic Imaging Normal Bowel

Diagnostic Imaging

Abdominal Ultrasound

Diagnostic Imaging Abdominal Ultrasound

Diagnostic Imaging Abdominal Ultrasound

Diagnostic Imaging Abdominal Ultrasound Normals 40mm <7.5mm 5-10mm <25mm 3-4mm <3mm 5-10mm <5mm

Diagnostic Imaging Abdominal Ultrasound Normals 40mm <7.5mm 5-10mm <15mm 5mm 5-10mm <50mm

Diagnostic Imaging Abdominal Ultrasound-typical finding

Differential Diagnosis-revised Lymphoma IBD

Diagnostics LN Aspirates Large granular lymphoma Most commonly splenic in origin

Conclusion Owner elected euthanasia No necropsy was performed

Acknowledgements: Dr. Phillips Dr. Campbell Dr. Duhadway American Cancer Society etailedGuide/small-intestine-cancer