7
Is there an obstruction?
1 · The case
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2 · Your answer
2 · The answer
7
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Discussion (7)
Christine Devlin
The stomach and small intestine appear to have normal thickness (subjectively - no measurement available) and layering. The GI tract, as seen, (colon is not imaged) does not appear to be obstructed, although there is some densely shadowing material shown at the 2:00 mark. This could be bony chips or other foreign material but not a wedged foreign body.There is no hyperechogenicity seen in the mesentery to indicate steatitis, nor free fluid.
Dominique Author
Keep your thoughts until the answer shows up...
What is the next step you recommend?
CVUES replying to Dominique
Enteritis can cause FUO, no? Can't recommend next steps because I'm not a DVM. But I think a supportive regimen of fluids, etc. would be reasonable. If not effective I would recheck in a week and rescan with a straight linear higher freq probe and a pre-scan ingestion of vegetable oil to dilate the lacteals in case of lymphangectasia. No vomiting/diarrhea? I'm assuming the initial scan was part of an otherwise normal full abd scan.
LJK
Dominique - As Dean Lowe would have said, "OK. Enough play. Now get back to work!" LJK
Dominique Author
Why??? Lets keep playing as long as we can...
JP
No obstructive pattern seen in the stomach or Gi tract nor obvious FB. There is mild distension seen in several loops of SI showing a gas pattern mixed with hyperechoic digesta with some loops showing mild distension with anechoic fluid. Regular intestinal wall layering is maintained and subjectively overall thickness appears normal. The mucosal layer may be mildly thickened when compared to the muscularis layer is some views. There is no abdominal effusion, mesenteric fat inflammation or pockets of gas in the abdominal cavity. No lymph nodes are seen. I can't see anything in this study that would explain FUO? Next steps: perform complete full abdominal scan, three-view chest rads, bloodwork, u/a, and specific testing for pathogens depending on region. But I must be missing something.......?
JP
lymphangiectasia would be unlikely in a 10month old dog and usually does not present with fever
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