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24

Is it part of the bowel?

Jun 2, 2022 By Dominique Penninck PREMIUM
PREMIUM. This exercise is one of the 39 in the archive.
1 · The case

This video is part of the paid library.

It is included in Small Animal Ultrasonography PREMIUM (2 years).

Back to you for another exciting Time To Play!
Enjoy this unusual case…

As always, share your comments, answers, and I’ll provide the answers in a few days

Discussion (15)

eartaraz

it colud be an intestinal granuloma with regional linfadeopaty??? surgery thank you for sharing

vetozgesahin

mild ascites, splenic lymph node enlargement, jejunal segment abscess or granuloma or wall mass, omental volvulus
İ would offer diagnostic laparatomy and histopathology

Chi

Findings:
-Mild ascites in the abdomen
-Enlarged splenic lymph node
-Segmental cavrnous soft-tissue structure attached to the small intestines (suspect an edematous structure due to lack of blood flow)
- Patient exibiting discomfort when scanning the area.
DDX includes omental vessel infarction or omental volvulus?
Recommend exploratory laparotomy.

Cristina Carta

Abdominal fluid collection with enlarget spleen and splenic lymph node.
Thickned jejunum and suspect intestinal and omental volvulus (no blood flow in the omental vessels).

Cathy W Jarrett

Hypoechoic ascites, small volume.
Jejunal mural wall lesion. r/o abscess (possibly secondary to GI perforation), granuloma, GIST, other neoplasia. Would FNA and perform c/s.

Jacquie Pankatz

Eccentric, extraluminal jejunal wall mass with a spongy and cavitated appearance and low or no blood flow on colour Doppler. It appears to be confluent with the outer layers of the affected loop. Abdominal effusion and surrounding steatitis pattern. No free abdominal gas. Local lymph node enlargement. DDx: smooth muscle tumour, GIST with possible necrosis, other neoplasia (lymphoma, carcinoma), intestinal wall granuloma or abscess. I would go to surgery for R and A, and histopath. (see you at Vet Meet : ) )

Jaione Sancho

Granuloma

robertsandro2013

emorragia necrosi massa necessaria laparotomia

Daniel Capucho

Jejunal intramural hematoma or neoplasia. Laparatomia, enterectomia and biopsia suggested.

Dr Rijvan Khan

Looks like lipoma to me (mu opinion...)

eartaraz

very interesting. thank you for sharing

carole galisson

That was a great case ! thank you !

Simon nathalie

Quel beau cas toujours instructif Merci pour votre partage et souci de nous faire progresser constamment Belle journée à toute l'équipe

Dominique Author

Merci du feedback positif! Bonne journée à vous!

Monica Waissbluth

Veolesion intramular intestinal sugerente de proceso neoproliferativo, sin descartar abceso, granuloma o hematoma, rodeada por tejido de aspecto reactivo (peritonitis focal) y escaso liquido libre anecoico (derrame peritoneal escaso). Sugiero laparotomia y biopsia.