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Pancreas pathology

Sonopath Forum

Sonopath Forum

Pancreas pathology

Hello

This is Roxy a 3 year old Boston that has been in the hospital with aggressive treatments for 2-3 days. Being treated for elevated liver and kidney enzymes and high spec lipase. We have Lepto PCR pending. Owners consented to an abdominal US today. The kidneys are hyperechoic relative to the liver and spleen and in the area of the pancreas I found what appears to be fluid within the pancreas or within the mesentery. I was hoping for confirmation that there is fluid within a portion of the pancreas. The pocket of fluid is most obvious on the trans image.Thanks. Brent

Hello

This is Roxy a 3 year old Boston that has been in the hospital with aggressive treatments for 2-3 days. Being treated for elevated liver and kidney enzymes and high spec lipase. We have Lepto PCR pending. Owners consented to an abdominal US today. The kidneys are hyperechoic relative to the liver and spleen and in the area of the pancreas I found what appears to be fluid within the pancreas or within the mesentery. I was hoping for confirmation that there is fluid within a portion of the pancreas. The pocket of fluid is most obvious on the trans image.Thanks. Brent

Comments

EL
July 18, 2017 at 9:40 pm -

Yes there are trace fluid

Yes there are trace fluid pockets and you get these with mesenteric inflammation like this. Too young for carcinomatosis but in older animals it can look like this. If the meds are working then these pockets resorb and the mesentery organizes and becomes less ill-defined.

tosullivan
July 18, 2017 at 10:23 pm -

Thanks. Confirmed Lepto on

Thanks. Confirmed Lepto on PCR. Slowly improving. Many thanks. Brent

EL
July 18, 2017 at 10:46 pm -

Makes sense thx for the

Makes sense thx for the further info

rlobetti
July 19, 2017 at 4:14 pm -

Lepto causing pancreatitis or

Lepto causing pancreatitis or a consequence of the renal/liver disease ?

EL
July 19, 2017 at 4:31 pm -

The liver and renal makes

The liver and renal makes sense for lepto but not sure on pancreatitis and lepto. Something is causing mesenteric inflammatory pattern though. I’ve seen lepto cases with pancreatitis but not sure of the correlation. In NJ we see mostly the hepatic form, occasionally the renal form, and periodcially both based on my travels with the probe. Gryppo and Bratyslava are the most prevalent + we get.

rlobetti
July 19, 2017 at 5:26 pm -

There is vasculitis with
There is vasculitis with Lepto which may result in pancreatic pathology as a consequence

rlobetti
July 19, 2017 at 5:26 pm -

There is vasculitis with
There is vasculitis with Lepto which may result in pancreatic pathology as a consequence

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