A 1-year-old neutered male DMH cat was presented for evaluation of pyrexia, vomiting, and anorexia. Serum biochemistry revealed elevated cholesterol (284) and hyperglycemia (246).
A 1-year-old neutered male DMH cat was presented for evaluation of pyrexia, vomiting, and anorexia. Serum biochemistry revealed elevated cholesterol (284) and hyperglycemia (246).
Aggressive pancreatitis or potential pancreatic carcinoma are both possible in this case. Lipidotic appearing liver, with potential underlying neoplasia, is also noted.
The pancreas was enlarged with undulating contour and hypoechoic parenchyma with pericapsular inflammatory pattern of surrounding omentum. There is a small amount of anechoic free fluid in the gallbladder fossa. The liver is hyperechoic to the falciform fat.
Unknown
Toxoplasmosis and Bartonella titers are indicated. Plasma expanders, aggressive pain management and broad spectrum antibiotics are warranted. This has a guarded prognosis.
Pancreatic disease: pancreatitis; GI disease: obstruction with focal perforation, neoplasia, IBD; Infectious disease: FIP, pyothorax, FIV/FeLV, bacterial peritonitis, abscessation.
25-gauge FNA of the pancreas and liver are strongly recommended in this case to rule out neoplasia and define any inflammatory elements for precise therapeutic intervention. No sampling was completed.
