Hyperechoic mucosal layer in a 6-year-old FS Havanese: A forum post and Case Of the Month July 2015
"When I started doing intraoperative ultrasound IOP-US in New Jersey in 2003, stimulated by knowing the lesion is more dramatic than the surgical biopsies resulted to be over and over again, we found the IOP-US applications to be vast and precise to obtain the most representative lesion through the sonogram, evidenced in our mini abstract at ECVIM a few years ago (Intra-operative ultrasound). IOP-US allows us not to play the surgical biopsy guessing game of sampling simply based on the superficial serosal appearance on the organ to be sampled, whether GI, liver, pancreas, kidney,,,,. This case of the month is a bit different than we have done in the past. We made a live typical SonoPath member forum post, provided by long time SonoPath member Jacquie Pankatz DVM, where she applied intraoperative ultrasound to this protein losing enteropathy (PLE) case in order to obtain the perfect histopath representative of the lesion. IOP-US is easy to do. You have a scalpel and a probe so why not put them together and enhance your sampling precision? The pet owner will think you are a genious... and likely some of your staff too. This is a sonographic "mojo" call to the probe. :) Nice job Jaquie! You've got game!", Dr. Eric Lindquist.
A 6-year FS Havanese with history of vomiting (mostly at night and in morning) for a few weeks; no diarrhea. Recent bloodwork found ALB 16, TP 40, GLOB 24 with other parmaters WNL. A fecal was negative. Urine SG 1.035, no protein on chemstrip and urine pro:crea ratio was pending.
A big "Thank You!" to our SonoPath community member Dr. Jacquie Pankatz, B.Sc.,DVM, IVUSS Cert. and owner of Mountain Vista Veterinary Hospital for providing us with this case study and images! This study was sampled from SonoPath's interactive forum. If you are a part of the SonoPath.com community you can see the full forum thread (it's a good one!) by clicking here. :)
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