An 11-year-old MN Yorkshire Terrier was presented for intermittent vomiting. Blood work revealed elevated WBC, elevated amylase, elevated lipase, and increased SAP. The patient is anorexic and dehydrated.
An 11-year-old MN Yorkshire Terrier was presented for intermittent vomiting. Blood work revealed elevated WBC, elevated amylase, elevated lipase, and increased SAP. The patient is anorexic and dehydrated.
Case Study
Pancreatic necrosis in an 11 year old MN Yorkshire Terrier dog
Sonographic Differential Diagnosis
Pancreatic necrosis/abscessation. Potential concurrent pancreatic neoplasia/carcinoma.
Image Interpretation
Extensive mixed hypoechoic pancreatic parenchyma is noted much of which lacks blood flow on power Doppler assessment. Gastroduodenal thickening is noted with duodenal spasm. Cavitations are noted in the pancreas with echogenic fluid. Extensive hyperechoic fat is noted.
DX
Pancreatic necrosis.
Outcome
The abscesses were drained. The patient was treated in hospital for 1 week with plasma expanders, pain management, GI protectants, and parenteral antibiotics followed by six weeks of outpatient antibiotics and one additional abscess drainage procedure.
Comments
The patient was lost to follow up.
Clinical Differential Diagnosis
G.I. clinical signs- pancreatitis, gastritis, foreign body, neoplasia.
Sampling
FNA revealed necrosis.
Video
Patient Information
Patient Name :
Shawney I
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
05_00105
Clinical Signs
- Anorexia
- Vomiting
Exam Finding
- Dehydration
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- Amylase, High
- Lipase, High
CBC
- WBC, High
Clinical Signs
- Anorexia
- Vomiting