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Non-septic pancreatitis in a 13 year old FS Jack Russell Terrier

Case Study

Case Study

Non-septic pancreatitis in a 13 year old FS Jack Russell Terrier

A 13-year-old SF Jack Russell Terrier dog was presented for evaluation of icterus and anorexia. Abnormalities on CBC and serum biochemistry included leukocytosis, elevated ALP (984), ALT (192), GGT (27), and bilirubin. The cPL was severely elevated (>1000).

A 13-year-old SF Jack Russell Terrier dog was presented for evaluation of icterus and anorexia. Abnormalities on CBC and serum biochemistry included leukocytosis, elevated ALP (984), ALT (192), GGT (27), and bilirubin. The cPL was severely elevated (>1000).

Sonographic Differential Diagnosis

Post hepatic obstruction due to right pancreatic base pathology is evident. This is most consistent with pancreatic necrosis or potential carcinoma.

Image Interpretation

The right pancreatic limb was hypoechoic and enlarged with loss of detail and hyperechoic surrounding fat. The right pancreatic limb measured 2.07 cm and enveloped the common bile duct and duodenum.

DX

Non-septic pancreatitis

Outcome

None

Clinical Differential Diagnosis

Pancreatic disease – acute pancreatitis, neoplasia, cyst, abscess. Bile obstruction secondary to pancreatic disease.

Sampling

FNA were performed without complication. Cytology of the pancreas revealed non septic, mixed inflammation.

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Patient Information

Patient Name : Tippy S
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 05_00161

Clinical Signs

  • Anorexia
  • Icterus

Images

steiner_tippy_pancreatitis_post_heoatic_obstruction_possible_carcinoma_steiner_tippy_pancreatitis_post_heoatic_obstruction_possible_carcinoma_12_lsteiner_tippy_pancreatitis_post_heoatic_obstruction_possible_carcinoma_cbd

Blood Chemistry

  • Alkaline Phosphatase (SAP), High
  • ALT (SGPT), High
  • GGT High
  • Total Bilirubin, High

CBC

  • WBC, High

Clinical Signs

  • Anorexia
  • Icterus

Special Testing

  • cPLI Positive