A 13 year-old NM Toy poodle was presented for evaluation of vomiting, lethargy, and anorexia for a few days. On physical examination, cranial abdominal discomfort was present.
Case Study
05_00253 Bailey R Pancreatic abscess, potential concurrent neoplasia
DX
Pancreatic abscess
Sonographic Differential Diagnosis
Pancreatic abscess, potential concurrent neoplasia.
Hepatic vein dilation, consistent with passive congestion.
Assessment for right heart disease is recommended. This will play a significant role in eventual fluid therapy in this patient. Aggressive treatment for pancreatitis recommended. Guarded prognosis.
Image Interpretation
The left cranial abdomen revealed a mixed echogenic abscess that occupied the left pancreatic limb. Abscessing portion of pancreas was noted with concurrent tissue thickening. The right limb of the pancreas was hypoechoic and enlarged. Pericapsular inflammatory pattern was noted and measured 1.5 cm. Regional and fatty inflammation was noted.
Outcome
None
Clinical Differential Diagnosis
Pancreas – pancreatitis, neoplasia, abscessation
Gall bladder – cholecystitis, mucocele, neoplasia
GIT – foreign body, ulceration, neoplasia
Peritonitis
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Lethargy
- Vomiting
Exam Finding
- Abdominal Distension
Images
Clinical Signs
- Anorexia
- Lethargy
- Vomiting