A 7-year-old NM American Eskimo dog was presented for evaluation of vomiting, diarrhea, inappetence, and abdominal pain. Pancreatitis was suspected on blood work due to elevated lipase and amylase. The dog had improved with medical intervention (anti-emetics, H2 blockers, pain meds, SQ fluids, and Flagyl) but colitis signs were still present.
A 7-year-old NM American Eskimo dog was presented for evaluation of vomiting, diarrhea, inappetence, and abdominal pain. Pancreatitis was suspected on blood work due to elevated lipase and amylase. The dog had improved with medical intervention (anti-emetics, H2 blockers, pain meds, SQ fluids, and Flagyl) but colitis signs were still present.
Case Study
Pancreatitis with regional lymphadenopathy in a 7 year old MN American Eskimo dog
Sonographic Differential Diagnosis
This is likely pancreatitis, with a potential for pancreatic carcinoma. The regional lymphadenopathy is likely reactive lymphadenitis with a potential for lymphoma, pancreatic carcinoma or metastatic disease.
Image Interpretation
The pancreas was prominent, irregular, and hypoechoic, primarily in the right pancreatic limb. Regional, midabdominal lymphadenopathy with surrounding reactive mesentery was also noted.
DX
Likely pancreatitis with the potential for pancreatic carcinoma.
Outcome
The patient is doing fine and is currently treated with Prednisone.
Comments
FNA sampling of the irregular areas of the pancreas as well as the lymph nodes would be recommended in order to rule out neoplasia.
Clinical Differential Diagnosis
Pancreatic disease (pancreatitis, neoplasia, abscessation), GI disease (IBD, partial obstruction or intussusception, neoplasia)
Sampling
None
Video
Patient Information
Patient Name :
Snowball D
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
05_00091
Clinical Signs
- Abdominal Pain
- Anorexia
- Diarrhea
- Vomiting
Images
Blood Chemistry
- Amylase, High
- Lipase, High
Clinical Signs
- Abdominal Pain
- Anorexia
- Diarrhea
- Vomiting