A 13-year-old NM Dachshund was presented for evaluation of acute vomiting, lethargy, and anorexia. Abnormalities on CBC and serum biochemistry were leukocytosis, neutrophilia, elevated ALP activity, and abnormal cPL.
Case Study
05_00252 Zeus P Pancreatic necrosis, possible carcinoma
Sonographic Differential Diagnosis
Right limb pancreatic necrosis pattern. Possible underlying carcinoma. Ultrasound-guided FNA is recommended. The position of this pancreatic pathology renders the potential for post hepatic obstruction; therefore, hepatic enzymes should be monitored carefully especially that of bilirubin.
Image Interpretation
The right pancreatic base revealed a mixed, hypoechoic area with pericapsular, hyperechoic inflammatory pattern. The area appeared to be localized in a region of approximately 3 x 2 cm at the right pancreatic base. The pancreatic pathology impinges upon portions of the pyloric outflow.
DX
Pancreatic necrosis with possible carcinoma
Outcome
None
Clinical Differential Diagnosis
Pancreas – pancreatitis, neoplasia, abscessation
GIT – IBD, neoplasia, foreign body, intussusception, ulceration with focal peritonitis
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Lethargy
- Vomiting
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
CBC
- Neutrophils, High
- WBC, High
Clinical Signs
- Anorexia
- Lethargy
- Vomiting
Special Testing
- cPLI Positive