A 15-year-old DSH presented for projectile vomiting, primarily 2-4 hours postprandial, with a decreased appetite and minor weight loss. A CBC and blood chemistry profile revealed mild azotemia but were otherwise normal.
A 15-year-old DSH presented for projectile vomiting, primarily 2-4 hours postprandial, with a decreased appetite and minor weight loss. A CBC and blood chemistry profile revealed mild azotemia but were otherwise normal.
Pyloric foreign body and gastric lymphoplasmacytic inflammation in a 15 year old DSH cat
History
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No video is available on this patient.
Clinical Differential Diagnosis
Gastritis, neoplasia, IBD, foreign body, motility disorder.
DX
Pyloric hair foreign body, mild lymphoplasmacytic gastric inflammation, lymphocytic lymphoma
Sampling
Exploratory surgery revealed mild hair accumulation in the stomach with mild lymphoplasmacytic gastric inflammation. Concurrently, a distal small-intestine thickening was biopsied and histopathology revealed lymphocytic lymphoma. This portion of the intestine was not found during the sonogram.
Sonographic Differential Diagnosis
The differential diagnosis included a partially or intermittently obstructing pyloric foreign body. The sonographic appearance supported a soft structure such as cloth or hair.
Image Interpretation
The pylorus was focally, mildly distended with echogenic ingesta. Fragmented dirty distal acoustic shadowing was associated with the pyloric structure, suggesting the presence of soft material. The pyloric wall appeared to possess a normal, uniform wall thickness. The adjacent soft tissue structures were within normal limits.
Outcome
This patient responded well over 6 months on a prednisone/chlorambucil combination protocol.
Patient Information
Patient Name : Samantha B
Age : 15 Years
Species : Feline
Liz Wuz Here : Yes
Status : Complete
Code : 04_00008
Blood Chemistry
- Azotemia
Clinical Signs
- Anorexia
- Vomiting
- Weight loss
Images
