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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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Chapter Three The Abd omen 347<br />

within the lumen of the cyst. The cysts did not communicate with the intestines <strong>and</strong> peristalsis<br />

was not observed within the cysts.<br />

L A R G E I N T E S T I N E<br />

Size Changes. The normal colon may be empty or may contain air, fluid, or fecal material.<br />

It varies in size <strong>and</strong> position depending on the amount <strong>and</strong> type of material present.<br />

Normally the colon is no more than 3 times larger in diameter than the small bowel. When<br />

the colon is severely distended, differential diagnoses should include atresia ani, colonic<br />

obstruction, megacolon, volvulus, or obstipation (Fig. 3-123). 400-402<br />

The colon can become distended if the animal is well trained <strong>and</strong> not allowed to go<br />

outside to defecate. Therefore the size of the colon must always be evaluated relative to<br />

Fig. 3-118 A 14-year-old neutered<br />

male domestic short-haired cat had<br />

been vomiting <strong>and</strong> had an abdominal<br />

mass. An oblique sonogram<br />

revealed a normal intestinal loop<br />

(short arrows) <strong>and</strong> a focal, severe,<br />

concentric thickening of the<br />

mucosa-submucosa-muscularis<br />

layer (largest arrows), which arises<br />

abruptly from the normal-sized loop<br />

of intestine (medium-sized arrows).<br />

Diagnosis: Intestinal adenocarcinoma.<br />

Fig. 3-119 A 9-year-old Yorkshire<br />

Terrier had been vomiting <strong>and</strong> had<br />

an abdominal mass. A longitudinal<br />

sonogram reveals a large, eccentric,<br />

hypoechoic mass arising from the<br />

mucosa-submucosa-muscularis<br />

layer (black arrows). The mucosal<br />

lumen is identified as the white linear<br />

structure (white arrow).<br />

Diagnosis: Leiomyosarcoma.

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