Sonographic Differential Diagnosis: Evidence of marked proximal arthritis with associated gastrointestinal paralytic ileus and peri-intestinal inflammation. Infiltration with lymphoma or an equivalent neoplastic process cannot be ruled out and hence,
tissue sampling from the affected region should be considered.
Sampling: Laparotomy revealed diffuse necrotic bowel and multifocal peritonitis. Full-thickness surgical biopsies. Histopathology; chronic severe transmural ulcerative and granulomatous enteritis with predominance of lymphocytic & plasmacytic infiltrates. No evidence of neoplasia.
Outcome: The patient survived partial enterectomy and postoperative period but unfortunately died shortly afterward.
Special thanks to: Eddie Molesworth DVM and staff at Main Street Veterinary Hospital, Baltimore, MD, USA for presenting this interesting case for interpretation. |
