Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지
DOI QR코드

DOI QR Code

Unusual Ultrasonographic Features of Chronic Hypertrophic Pyloric Gastropathy in Two Dogs

  • Rhim, Haerin (College of Veterinary Medicine.BK 21 Plus Project Team, Chonnam National University) ;
  • Moon, Sohyeon (College of Veterinary Medicine.BK 21 Plus Project Team, Chonnam National University) ;
  • Lee, Gahyun (College of Veterinary Medicine.BK 21 Plus Project Team, Chonnam National University) ;
  • Park, Seungjo (College of Veterinary Medicine.BK 21 Plus Project Team, Chonnam National University) ;
  • Cho, Kyoung-Oh (College of Veterinary Medicine.BK 21 Plus Project Team, Chonnam National University) ;
  • Choi, Jihye (College of Veterinary Medicine.BK 21 Plus Project Team, Chonnam National University)
  • Received : 2017.08.09
  • Accepted : 2018.11.26
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This report describes the unusual ultrasonography features of chronic hypertrophic pyloric gastropathy in two dogs - a 12-year-old neutered male Pekingese (case 1) and an 11-year-old spayed female Shih Tzu (case 2) - with chronic vomiting and weight loss. Chronic hypertrophic pyloric gastropathy can be observed as the focal thickening of the pyloric wall with normal layers on ultrasonography images. However, in case 1, gastric neoplasia could not be ruled out because of the presence of regional lymph node enlargement; in case 2, an intussusception was tentatively diagnosed because of a mass within the pylorus, which appeared to be connected to the descending duodenum on the longitudinal image. In both cases, focally thickened pyloric walls were demonstrated through exploratory laparotomy, and the histopathological diagnosis of chronic hypertrophic pyloric gastropathy was made. Ultrasonography is useful for imaging the gastrointestinal tract, and the typical ultrasonographic features of chronic hypertrophic pyloric gastropathy have been reported. However, the possibility, that chronic hypertrophic pyloric gastropathy can present unusual ultrasonographic findings similar to those of tumors or intussusception, should also be considered.

Keywords

References

  1. Applewhite AA, Cornell KK, Selcer BA. Pylorogastric intussusception in the dog: A case report and literature review. J Am Anim Hosp Assoc 2001; 37: 238. https://doi.org/10.5326/15473317-37-3-238
  2. Biller DS, Partington BP, Miyabayashi T, Leveille R. Ultrasonographic appearance of chronic hypertrophic pyloric gastropathy in the dog. Vet Radiol Ultrasound 1994; 35: 30-33. https://doi.org/10.1111/j.1740-8261.1994.tb00174.x
  3. Choi J, Keh S, Kim T, Jang J, Kim H, Yoon J. Ultrasonographic findings of pylorogastric intussusceptions in two dogs. J Vet Sci 2012; 13: 215-217. https://doi.org/10.4142/jvs.2012.13.2.215
  4. Diana A, Penninck DG, Keating JH. Ultrasonographic appearance of canine gastric polyps. Vet Radiol Ultrasound 2009; 50: 201-204. https://doi.org/10.1111/j.1740-8261.2009.01517.x
  5. Franco LM, Dryden NJ. Images in clinical medicine. Gastricoutlet obstruction. N Engl J Med 2007; 356: 942. https://doi.org/10.1056/NEJMicm055086
  6. Frank PM. The stomach. In: Thrall DE (ed): Textbook of veterinary diagnosic radiology. 6th ed. pp. 169-188, St. Louis, MO: Saunders Elsevier, 2013.
  7. Seiler G, Mai W. The stomach. In: BSAVA Manual of canine and feline abdominal imaging, pp. 87-109, Gloucester: British Small Animal Veterinary Association, 2009.
  8. Happe RP, van der Gaag I, Wolvekamp WT. Pyloric stenosis caused by hypertrophic gastritis in three dogs. J Small Anim Pract 1981; 22: 7-17. https://doi.org/10.1111/j.1748-5827.1981.tb01386.x
  9. Horton KM, Fishman EK. Current role of CT in imaging of the stomach. RadioGraphics 2003; 23: 75-87. https://doi.org/10.1148/rg.231025071
  10. Kaser-Hotz B, Hauser B, Arnold P. Ultrasonographic findings in canine neoplasia in 13 patients. Vet Radiol Ultrasound 1996; 37: 51-56. https://doi.org/10.1111/j.1740-8261.1996.tb00812.x
  11. Lamb CR, Grierson J. Ultrasonographic appearance of primary gastric neoplasia in 21 dogs. J Small Anim Pract 1999; 4:, 211-215.
  12. Lee H, Yeon S, Lee H, Chang D, Eom K, Yoon J, Choi H, Lee Y. Ultrasonographic diagnosis-pylorogastric intussusception in a dog. Vet Radiol Ultrasound 2005; 46: 317-318. https://doi.org/10.1111/j.1740-8261.2005.00059.x
  13. Nyland TG, Neelis DA, Mattoon JS. Gastrointestinal tract. In: Small Animal Diagnostic Ultrasound. pp. 468-500, St. Louis, MO: Elsevier Health Sciences, 2014.
  14. Patnaik AK, Hurvitz AI, Johnson GF. Canine gastrointestinal neoplasms. Vet Pathol 1977; 14: 547-555. https://doi.org/10.1177/030098587701400602
  15. Pazzi P, Hartman MJ, Schoeman JP. Congenital pyloric mucosal fold resulting in an antral valve outflow obstruction in a Bull Terrier. J Small Anim Pract 2013; 54: 160-163. https://doi.org/10.1111/jsap.12002
  16. Pearson H. The Differential diagnosis of persistent vomiting in the young dog. J Small Anim Pract 1970; 11: 403-415. https://doi.org/10.1111/j.1748-5827.1970.tb05438.x
  17. Penninck DG. Gastrointestinal tract. In: Atlas of small animal ultrasonography, 1st ed. pp. 281-318, Iowa: Blackwell, 2008.
  18. Sautter JH, Hanlon GF. Gastric neoplasms in the dog: A report of 20 cases. J Am Vet Med Assoc 1975; 166: 691-696.
  19. Simpson KW. Diseases of the stomach. In: Textbook of veterinary internal medicine, 7th ed. pp. 1504-1526, St. Louis, MO: Saunders Elsevier, 2010.
  20. Terragni R, Vignoli M, Rossi F, Laganga P, Leone VF, Graham JP, Russo M, Saunders JH. Stomach wall evaluation using helical hydro-computed tomography. Vet Radiol Ultrasound 2012; 53: 402-405. https://doi.org/10.1111/j.1740-8261.2012.01928.x
  21. Washabau RJ. Gastrointestinal motility disorders and gastrointestinal prokinetic therapy. Vet Clin North Am Small Anim Pract 2003; 33: 1007-1028. https://doi.org/10.1016/S0195-5616(03)00076-7

Cited by

  1. Hypertrophic pyloric gastropathy with Helicobacter spp. in a dog vol.61, pp.1, 2018, https://doi.org/10.14405/kjvr.2021.61.e3