A 10-year-old NM mixed dog breed was presented for evaluation of acute onset vomiting, anorexia, and hemorrhagic diarrhea. Additional history was that the signs had started shortly after a camping trip.
A 10-year-old NM mixed dog breed was presented for evaluation of acute onset vomiting, anorexia, and hemorrhagic diarrhea. Additional history was that the signs had started shortly after a camping trip.
Extensive pancreatic necrosis pattern with upper duodenal envelopment and peritonitis. Possible pancreatic carcinoma. FNA is strongly recommended. Post hepatic obstruction is present. Bilirubin should be monitored carefully in this patient.
The right limb of the pancreas extended around the common bile duct causing dilation of the common bile duct at approximately 0.8 cm. Post hepatic obstruction is present.
The pancreas revealed mixed, hypoechoic and hyperechoic changes with regional lymphadenopathy. Ultrasound-guided FNA is strongly recommended to rule out pancreatic carcinoma versus necrosis and pancreatitis. See image below with targets to sample. The pancreatic pathology extended caudally towards the colon with regional adhesions. This is consistent with pancreatic necrosis. Culture of the fluid and tissue obtained from this region is recommended. The right limb of the pancreas extended around the common bile duct causing dilation of the common bile duct at approximately 0.8 cm. The regional lymph node was enlarged and measured 0.5 cm.
Regional free fluid was noted.
Eventual surgical debridement may be necessary as long as carcinoma is not in play in this case. Evaluation of chemistry panel is recommended especially bilirubin values. Suggested protocol include the following. Recheck sonogram in 72 hours. This patient is at high risk for thromboembolic disease.
Hemorrhagic enteritis syndrome
GIT – foreign body, infectious (viral, bacterial, protozoal, helminths), dietary indiscretion, toxins
Pancreas – pancreatitis, neoplasia, abscess
