05_00133 Boo Z Pancreatic mass

Case Study

05_00133 Boo Z Pancreatic mass

An 8-year-old SF DLH was presented for evaluation of  weight loss and anemia. Blood work showed anemia and survey radiographs loss of serosal detail throughout abdomen.

An 8-year-old SF DLH was presented for evaluation of  weight loss and anemia. Blood work showed anemia and survey radiographs loss of serosal detail throughout abdomen.

Sonographic Differential Diagnosis

Pancreatic mass with reactive omentum.
Free fluid, strongly suggestive for pancreatic carcinoma, carcinomatosis, possible pancreatic necrosis and secondary free fluid owing to inflammation. FNA of the mass would be recommended as well as abdominocentesis and cytospin with culture. Guarded to poor prognosis.

Image Interpretation

The cranial abdomen presented a cystic mass that measured 4.0 cm. This appears to be deriving from the pancreas. The pancreatic duct was dilated. Coarse architecture was noted. Coalesced fluid was noted within the pancreatic mass itself. Free fluid was noted in the mid caudal abdomen. Reactive omentum was noted throughout the abdomen.

DX

Pancreatic mass with reactive omentum.

Outcome

None

Clinical Differential Diagnosis

Septic peritonitis, intestinal perforation, intra-abdominal neoplasia, FIP

Sampling

None

Patient Information

Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Anemia
  • Weight loss

Images

ductmassdopplerfreefluid

CBC

  • RBC, Low

Clinical Signs

  • Anemia
  • Weight loss