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Large pancreatic mass?

Sonopath Forum

Large pancreatic mass?

– 15 yr old DSH presented for weight loss despite a very good appetite

– bloodwork including T4 unremarkable; rDVM could palpate a tubular mass in the caudal abdomen

– US showed EHBDO, thickended and dilated D-pap and severely enlarged inhomogeneous pancreas

– there was an IBD/lymphoma pattern in the SI with no obstruction; small non-obstructive renoliths

– a large, irregualar mass filld much of the caudal abdomen all the way to the UB; well vascularized on colour Doppler

– 15 yr old DSH presented for weight loss despite a very good appetite

– bloodwork including T4 unremarkable; rDVM could palpate a tubular mass in the caudal abdomen

– US showed EHBDO, thickended and dilated D-pap and severely enlarged inhomogeneous pancreas

– there was an IBD/lymphoma pattern in the SI with no obstruction; small non-obstructive renoliths

– a large, irregualar mass filld much of the caudal abdomen all the way to the UB; well vascularized on colour Doppler

I could not connect this definitively to the pancreas but looked very much like the abnormal pancreas. Any thoughts on the origin of this?  pancreas? ommental?

Due to the unliklihood of resecting this out, sampling was declined

 

 

Comments

Pankatz

Sorry, the last video didn’t

Sorry, the last video didn’t work

rlobetti

Would go for pancreatic

Would go for pancreatic neoplasia that is invoving the surrouding mesentery.

EL

sure is stricturing the cbd

sure is stricturing the cbd needs fna for sure… ive seen chronic panc do this so needs fna for sure. I would go 25g