A 4-year-old SF Brussels Griffon was presented for evaluation of vomiting and lethargy.
A 4-year-old SF Brussels Griffon was presented for evaluation of vomiting and lethargy.
Case Study
05-00148 Sophie L Pancreatic mass—NEED SL—
Sonographic Differential Diagnosis
Pancreatitis necrosis/abscess in the left caudal limb, possible carcinoma. This appears resectable.
Recommend 72 hour IV fluid protocol and treatment for pancreatitis. Broad spectrum antibiotics, pain management and reassessment of the pancreas sonographically in 72 hours for potential staging for left pancreatic lobectomy should that be necessary (if it is not resolving clinically).
Image Interpretation
The left pancreatic limb revealed a 3 x 4 cm, mixed, hypoechoic and necrotic type lesion with hyperechoic surrounding fat. This is consistent with pancreatic abscess and necrosis. There is a potential for carcinoma. FNAs were performed without complication. The right base of the pancreas revealed mixed, hypoechoic changes as well, yet minor.
DX
Panc mass NEED CYTOL
Outcome
Patient is doing well, had a small issue with some vomiting about a week ago, not as serious as before, and has recovered.
Clinical Differential Diagnosis
GIT – non-specific gastritis (viral, bacterial, helminths, toxins, diet), foreign body, IBD, neoplasia
Pancreatitis
Hepatitis
Renal disease
Peritonitis
Video
Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Clinical Signs
- Lethargy
- Vomiting
Images
Clinical Signs
- Lethargy
- Vomiting