– this is the colon of an estimated 5 year old MN DSH who lives in a shelter
– history of chronic diarrhea; the colon palpated firm and ropey upon abdominal palpation; mild anemia on bloodwork; Feleuk/FIV negative
– the colon is disffusely thickened with a hyperechoic mucosal layer.
– there is some loss of layering detail seen in some segments but I can see layers although altered
– the R medial iliac LN was hypoechoic and enlarged
– this is the colon of an estimated 5 year old MN DSH who lives in a shelter
– history of chronic diarrhea; the colon palpated firm and ropey upon abdominal palpation; mild anemia on bloodwork; Feleuk/FIV negative
– the colon is disffusely thickened with a hyperechoic mucosal layer.
– there is some loss of layering detail seen in some segments but I can see layers although altered
– the R medial iliac LN was hypoechoic and enlarged
– the ileal muscularis layer was mildly thickened the ICJ and the IC LN’s prominent but rest of GI unremarkable
DDX: ulcerative colitis, lymphoma, mast cell, FIP, carcinoma
FNA of the thickened colon wall was performed with cytology pending
I am leaning toward colitis with this one as the wall layering appears to be maintained. Any thoughts?
