Today’s case is an 11-year-old male neutered Labrador Retriever with vomiting, lethargy, and anorexia. What are your differential diagnoses?
Findings
The stomach contains a small amount of mineral material. The small intestine has mildly gas filled loops in the caudal abdomen and normal sized loops in the ventral abdomen. The colon is filled with gas and fluid. There is a round soft tissue opacity mass in the ventral abdomen superimposed on the enlarged spleen. The liver is mildly enlarged with rounded borders.
Differential Diagnosis
- Small intestine – most likely due to enteritis, less likely obstruction
- Abdominal mass – Splenic, lymph node, mesenteric
- Hepatomegaly and splenomegaly – congestion, inflammation, hyperplasia, less likely neoplasia
Diagnosis
Necrotic lipoma
-A necrotic lipoma was found on exploratory laparotomy. There was no evidence of small intestinal obstruction. The liver biopsy showed mild degenerative change.