Gastric wall thickening


– 10 year old MN Cockapoo with intermittent history v/d – mild weight loss

– hypoalbuminemia of 20 so not at the level for effusion to begin

– US showed muscosal striations in the SI typical of a PLE and primary or secondary lymphangiectasia

– the stomach wall was thickened in the fundus/body region. There is an inflammatory pattern in the fat in the region and mild enlargement of the local (gastric) LN. Pancreas normal.

– pylorus and pyloric outflow normal

– I can see layers so less likely neoplasia

– 10 year old MN Cockapoo with intermittent history v/d – mild weight loss

– hypoalbuminemia of 20 so not at the level for effusion to begin

– US showed muscosal striations in the SI typical of a PLE and primary or secondary lymphangiectasia

– the stomach wall was thickened in the fundus/body region. There is an inflammatory pattern in the fat in the region and mild enlargement of the local (gastric) LN. Pancreas normal.

– pylorus and pyloric outflow normal

– I can see layers so less likely neoplasia

Is this a gastritis pattern or considered gastric wall edema? possiblility of neoplasia?  Where is the submucosal layer?

This dog is not really terrible sick or showing signs of profuse vomiting.

Thanks!


2 responses to “Gastric wall thickening”

  1. Two important possiblities

    Two important possiblities would be chronic gastritis and emerging lymphoma. Consider doing an FNA of wall as gastroscopy may be non-diagnostic as the mucosal layer seems intact. Full thickness biopsy most likley needed for a final diagnosis.

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