Case Index - - September 2005 - Case of the Month.
Scroll down to the bottom for the final answer.
Signalment: 5 y.o. terrier mix fs dog
History: vomting for 3 weeks. Bloodwork all normal.
Images of pylorus/proximal duodenum fanning on- and off the lesion
Questions:
i. Differentials for lesion?
ii. Other imaging tests indicated?
Answer:
Pyloric inflammatory polyp: large numbers of spirochetes on histology
DDX: other gastric/duodenal inflammatory or neoplastic masses or atypical foreign body lesions
Testing: endoscopy or surgical biopsy or excision, US of sternal and cranial abdominal LN’s, other lesions in liver, etc?
