Today’s case is a 10-year-old male Portuguese Water Spaniel with anorexia. What is your radiographic diagnosis for this case?
The liver and spleen are normal in size and shape. The small intestine is diffusely distended with fluid with a small amount of gas. The colon is also filled with fluid. The cecum is gas distended. The peritoneal detail is good.
The findings are most consistent with functional ileus, which may be due to inflammatory disease, metabolic disease, or neurogenic disease.
- Epitheliotrophic lymphoma
Ultrasound did not identify any cause of mechanical obstruction and confirmed distended small intestine. The intestine was diffusely infiltrated with lymphoma at necropsy and was hemorrhagic in appearance. This is not a typical appearance of infiltrative disease on abdominal radiographs.