Presentation
Presented with 5-day history of vomiting. The referring veterinarian found a non-resectable fatty mass at surgery.
Patient Data
There are staples in the ventral abdominal wall secondary to surgery, and the abdominal musculature and subcutaneous tissues are thickened. There is mild abdominal distension and poor peritoneal detail. There is a small amount of free peritoneal gas secondary to previous surgery. A round, ill-defined mass is visible caudal to the liver. The intestine is displaced peripherally. The liver is mildly enlarged and rounded. The urinary bladder appears full. The small intestine is gas filled and normal in diameter. In the portion of the thorax included, there is a catheter in the cranial and caudal vena cava.
Abdominal mass may be affecting the spleen, liver and/or lymph nodes. Inflammatory and neoplastic etiologies are possible.
Case Discussion
At surgery, the necrotic omentum encompassing multiple intestinal loops and the splenic vasculature was resected. Several intestinal resection and anastamoses were necessary, and the spleen was removed. The stomach was also affected and a partial resection was performed. The inflammatory mass was caused by Pythium insidiosum.
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