This 7-month-old mixed-breed dog was presented for vomiting and anorexia. CBC and blood chemistry profiles revealed mild azotemia with repeatable ALP, mildly elevated ALT, and elevated postprandial bile acids.
This 7-month-old mixed-breed dog was presented for vomiting and anorexia. CBC and blood chemistry profiles revealed mild azotemia with repeatable ALP, mildly elevated ALT, and elevated postprandial bile acids.
Lymphoplasmacytic gastroenteritis in a 7 month old mixed breed dog
History
Comments
No video is available on this patient.
Clinical Differential Diagnosis
Foreign body, gastroenteritis, IBD, pancreatitis, motility disorder, neoplasia.
DX
Lymphoplasmacytic gastroenteritis
Sampling
Surgical full thickness intestinal samples were obtained, and histopathology revealed mild to moderate lymphoplasmacytic gastroenteritis. Concurrent mild microvascular dysplasia was present on hepatic histopathological analysis.
Sonographic Differential Diagnosis
The sonographic findings were suggestive of moderate to marked inflammatory disease such as gastroenteritis, inflammatory bowel disease, or dietary indiscretion. A proliferative gastric component, either primary or secondary to inflammatory disease, was also considered possible.
Image Interpretation
The image of the stomach showed gastric wall thickening with echogenic mural remodeling. Moderate to marked gastric wall thickening was present and most severe within the distal greater curvature. A majority of the gastric wall thickening involved the mucosal and submucosal layers, resulting in a markedly irregular mucosal surface. The muscularis and serosal layers are within normal limits.
Outcome
The patient responded well to broad-spectrum antibiotics and novel protein diet with hepatic nutraceuticals. The patient was currently asymptomatic 6 months post diagnosis, with normal blood parameters.
Patient Information
Patient Name : Lucy S
Age : 7 Months
Species : Canine
Liz Wuz Here : Yes
Status : Complete
Code : 04_00009
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
- Azotemia
- Post-Prandial Bile Acids, High
Clinical Signs
- Anorexia
- Vomiting
Images
