Lymphomegaly and Intestinal Thickening Presented by: Rebecca McIntosh June 22, 2011 NCSU Ultrasound Rotation
Feb 23, 2016
Lymphomegaly and Intestinal Thickening
Presented by: Rebecca McIntosh June 22, 2011 NCSUUltrasound Rotation
SignalmentCanine 6 year oldEnglish SetterWhite and BlackIntact femaleHunting/breeding
Presenting ComplaintAnorexia, vomiting
7 days durationDiarrhea, weight loss
6 weeks
HistoryApril 2011
Had litter of puppies3 survivedTreated with Cephalexin for diarrhea
May 22 Became anorexic
May 24 Began vomiting, hypoalbuminemic on
bloodwork
HistoryMay 28
Barium study performedShowed mild irregular, rough appearing
mucosa of stomach and SIStarted on Baytril Given Dexamethasone SP
May 30Presented to NCSU SAES
Physical ExamAbdomen tense on abdominal palpationNo peripheral lymphadenopathyRemainder of PE unremarkableBCS 3/9No melena on rectal
Diagnostic ImagingLateral abdominal radiograph
Loss of serosal detailMass effect in cranial abdomen
Remainder of radiographs aborted at owner’s requestAbdominal ultrasound strongly recommended
Differential DiagnosisNeoplasiaGI Foreign BodyInflammation -IBD
Diagnostic ImagingAbdominal Ultrasound
Diagnostic ImagingAbdominal Ultrasound
Diagnostic ImagingAbdominal Ultrasound
Diagnostic ImagingNormal Bowel
Diagnostic Imaging
Diagnostic ImagingAbdominal Ultrasound
Diagnostic ImagingAbdominal Ultrasound
Diagnostic ImagingAbdominal Ultrasound
Diagnostic ImagingAbdominal Ultrasound
Normals
40mm
<7.5mm
5-10mm
<25mm
3-4mm
<3mm
5-10mm
<5mm
Diagnostic ImagingAbdominal Ultrasound
Normals
40mm
<7.5mm
5-10mm
<15mm
5mm
5-10mm
<50mm
Diagnostic ImagingAbdominal Ultrasound-typical finding
Differential Diagnosis-revised LymphomaIBD
DiagnosticsLN Aspirates
Large granular lymphomaMost commonly splenic in origin
ConclusionOwner elected euthanasia
No necropsy was performed
Acknowledgements:Dr. PhillipsDr. CampbellDr. DuhadwayAmerican Cancer Society
http://www.cancer.org/Cancer/SmallIntestineCancer/DetailedGuide/small-intestine-cancer
Questions ?