Ultrasonographic appearance of lymphomatous infiltration of the abomasum in cows with lymphoma.

Abstract

CASE DESCRIPTION: 4 adult Holstein dairy cows were examined for anorexia and decreased milk production. CLINICAL FINDINGS: Clinical signs included abdominal distension, normal to decreased ruminal motility, and decreased fecal output. Hypochloremia and high BUN concentration were also noted on serum biochemical analysis. Transabdominal ultrasonography revealed abnormal thickening of the abomasum with pyloric thickening and loss of the typical layered appearance of the pyloric wall. Results of cytologic examination of fine-needle aspirates of the abnormal portion of the abomasum were compatible with a diagnosis of lymphoma in 3 cows. OUTCOME: The diagnosis of lymphoma involving the abomasum was confirmed by exploratory laparotomy, necropsy, or slaughterhouse reports. Two cows were euthanatized, 1 died 5 days after the diagnosis, and 1 was sent to the slaughterhouse, but the carcass was discarded because of generalized lymphoma. CLINICAL RELEVANCE: Transabdominal ultrasonography is a noninvasive portable test that can be useful for the diagnosis of lymphomatous infiltration of the pyloric portion of the abomasum, which may result in obstruction. This can be especially useful to avoid unnecessary treatments when no typical signs of enzootic lymphoma are present. Percutaneous fine-needle aspiration of the abnormally thickened abomasal wall should be performed. These procedures can enable diagnosis of this neoplasm, which has a relatively poor prognosis, thus avoiding the unnecessary costs incurred by exploratory laparotomy.