Probable heating pad burn; pancreatitis?

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Probable heating pad burn; pancreatitis?

This cat had a benign dermal cyst removed from her neck 1 week ago.  Last night she returned with a history of not eating for 3 days, and she also has what looks like thermal burns on her ventrum (we are suspicious of a heating pad). Her skin and subcutaneous tissues are inflamed and painful, which is making imaging difficult, but I think I am seeing pancreatitis. I was also concerned about lipidosis (fat cat that has lost a pound in a week) so I’ve included a liver clip, which I thought looked hypoechoic and coarse. Am I right? Thanks

Pam 

This cat had a benign dermal cyst removed from her neck 1 week ago.  Last night she returned with a history of not eating for 3 days, and she also has what looks like thermal burns on her ventrum (we are suspicious of a heating pad). Her skin and subcutaneous tissues are inflamed and painful, which is making imaging difficult, but I think I am seeing pancreatitis. I was also concerned about lipidosis (fat cat that has lost a pound in a week) so I’ve included a liver clip, which I thought looked hypoechoic and coarse. Am I right? Thanks

Pam 

Comments

EL

Actually your first 2 videos

Actually your first 2 videos show the ileocecal valve and echogenic fat remodeling thats not clinical and likley form past episode of inflammation in the area. The Third video shows a clean pancreas.

See screen shots attached

pamdvm

thanks. seems obvious once

thanks. seems obvious once you’ve pointed it out….any comment on the liver? Cat is still not eating, may be putting in esophagostomy tube (this is a rescue cat). 

EL

Liver doesn’t look abnormal

Liver doesn’t look abnormal to me in the 3rd video view

randyhermandvm

I believe fatty livers in

I believe fatty livers in cats are usually hyperechoic and not hypoechoic.

randyhermandvm

Just a note- we stopped using

Just a note- we stopped using heating pads a long time ago. They cause severe burns. The only pads that are safe are the water type pad. 

pamdvm

Thanks for your help
 

Thanks for your help

 

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