05_00264 Boognish W Pancreatic abscess

Case Study

05_00264 Boognish W Pancreatic abscess

A12-year-old NM Cornish Rex was presented for evaluation of acute onset vomiting and anorexia. 

 

Sonographic Differential Diagnosis

Pancreatic cyst or abscess. This appears resectable with left pancreatic lobectomy.
Enlarged spleen. Potential neoplasia or reactive spleen/splenitis. Ultrasound-guided FNA is recommended.

Image Interpretation

The pancreas in this patient was irregular in contour, with mild enlargement at 1.03 cm with a dilated duct that measured 0.32 cm. The caudal aspect of the left pancreatic limb revealed a 2.0 x 1.0 cm cyst or possible abscess. This appears resectable with left lobectomy. Ultrasound-guided drainage could also be considered. Minor inflammatory pattern was noted around the pancreatic cyst. Therefore, this may be suppurative. Minor suspended echoes were noted.
The spleen was slightly enlarged, potentially reactive and measured 1.5 cm. Ultrasound-guided FNA is warranted.

DX

Pancreatic cyst or abscess

Outcome

None

Clinical Differential Diagnosis

GIT – non-specific gastritis (viral, bacterial, dietary indiscretion, helminths), Helicobacter gastritis, neoplasia, ulceration, foreign body
Pancreas – pancreatitis, neoplasia
Renal/liver disease

Sampling

None

Patient Information

Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Anorexia
  • Vomiting

Images

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Clinical Signs

  • Anorexia
  • Vomiting