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.

Video

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

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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