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5-year-old Female Spayed Domestic shorthair

2.7 kg

UltrasoundRadiographAbdomenThoraxLevel: Radiologist

Presenting complaint and brief history

A 5-year-old spayed female Domestic Shorthair presented with chronic intermittent vomiting progressing to dark brown vomitus and acute hematemesis with blood clots. The patient experienced weight loss despite normal appetite and energy. A history of suspected IBD was noted.

Diagnosis

Hides the diagnosis, imaging findings, outcome, take-home points and correlation photos so you can read the images blind.

Gastric lymphoma, large cell

Confirmed

Imaging findings

  • The gastric wall is markedly thickened (>1 cm) and irregular with loss of normal wall layering, most pronounced in the antrum and near the pylorus.
  • The gastric wall was sampled via ultrasound-guided fine needle aspiration.

Key take-home points

Marked gastric wall thickening with loss of layering. While neoplasia is prioritized, consider pythiosis as a differential for this kind of gastric mass in endemic areas.

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Cite this case

Winter L. Gastric lymphoma, large cell. Radabase case 09ed4c88. Retrieved 2026-11-08 from https://www.radabase.vet/case/09ed4c88-e1a8-41e6-a405-779c46568c18

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