A 12-year-old SF Lhasa Apso was presented for evaluation of diarrhea. Abnormalities on CBC were mild anemia, neutrophilia, and monocytosis. cPL was severely elevated ( >2000)
Case Study
Acute on chronic pancreatitis in a 12 year old FS Lhasa Apso confirmed with FNA/cytology
Sonographic Differential Diagnosis
Acute on chronic pancreatitis presentation. Minor potential for carcinoma.
Recommend treatment for pancreatitis based on cytology results and type of inflammatory elements assuming that carcinoma is not present.
Image Interpretation
The right limb of the pancreas revealed mixed, hypoechoic, irregular parenchyma with a focal region that measured 2 x 3 cm with extension of hyperechoic surrounding fat enveloping the pyloric outflow and portions of the greater curvature of the stomach. This is most consistent with acute on chronic pancreatitis that extended over to the left base as well. FNAs were performed without complication.
DX
Neutrophilic inflammation (pancreatitis).
Outcome
None
Clinical Differential Diagnosis
Pancreas – acute pancreatitis, chronic pancreatitis, neoplasia, abscessation, cyst
Duodenal obstruction – foreign body, neoplasia, focal peritonitis
Sampling
FNA of the pancreas revealed marked neutrophilic inflammation (pancreatitis).
Video
Patient Information
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Diarrhea
Images
CBC
- Monocytes, High
Clinical Signs
- Diarrhea
Special Testing
- cPLI Positive