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Chronic active pancreatitis; potential carcinoma in an 18 year old FS DSH cat

Case Study

Chronic active pancreatitis; potential carcinoma in an 18 year old FS DSH cat

An 18-year-old FS DSH was presented for evaluation of weight loss and vomiting, Eosinophilia was present on CBC. The only abnormality on urinalysis was glycosuria.

An 18-year-old FS DSH was presented for evaluation of weight loss and vomiting, Eosinophilia was present on CBC. The only abnormality on urinalysis was glycosuria.

Sonographic Differential Diagnosis

Chronic active pancreatitis, potential carcinoma. FNA of the pancreas would be recommended. Guarded prognosis.

Image Interpretation

The pancreas revealed mixed, hypoechoic changes with swollen contour in the left limb. FNA would be warranted. The pancreatic duct was visualized and measures within normal limits at 0.17cm. There is minor reactive appearing, coarse fat around the capsule. This is consistent with chronic active disease. Pancreatitis is likely; however, carcinoma cannot be entirely ruled out. FNA of the pancreas would be recommended as it appears to be adjacent to the body wall and clear sampling avenue should be feasible. This region measured 3.2 x 1.1 cm.

DX

Chronic active pancreatitis, potential carcinoma.

Outcome

Per the owner, the patient was doing well and on steroid therapy.

Comments

No video is available on this patient.

Clinical Differential Diagnosis

Metabolic – diabetes mellitus, hyperthyroidism. GI tract – neoplasia, foreign body, IBD, parasitic.
Pancreas – pancreatitis, neoplasia.

Sampling

None.

Patient Information

Patient Name : Captain J
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Book : yes
Status : Complete
Liz Wuz Here : Yes
Code : 05_00092

Clinical Signs

  • Vomiting
  • Weight loss

History

  • Vomiting
  • Weight Loss

Images

LePanc_02242012084215LePanc2_02242012084302PancDuct_02242012084322

CBC

  • Eosinophils, High

Clinical Signs

  • Vomiting
  • Weight loss

Urinalysi

  • Glucose Present