- 11 year old FS Shihtzu with an elevated ALKP=800’s found on routine annual bloodwork
- The patient is asymptomatic
- Abdominal US shows a 1.14cm x 0.65cm anechoic cyst in the pancreas but also in close association with the duodenal wall. Minor bilateral renal mineralization is present. The liver and gallbladder both appear normal.
- In some views, the cyst appers pancreatic in origin, but in other views it appears to be coming off of the duodenal wall (pancreatic duct abnormality?).
- 11 year old FS Shihtzu with an elevated ALKP=800’s found on routine annual bloodwork
- The patient is asymptomatic
- Abdominal US shows a 1.14cm x 0.65cm anechoic cyst in the pancreas but also in close association with the duodenal wall. Minor bilateral renal mineralization is present. The liver and gallbladder both appear normal.
- In some views, the cyst appers pancreatic in origin, but in other views it appears to be coming off of the duodenal wall (pancreatic duct abnormality?).
- My primary differential diagnoses for the cyst include benign pancreatic cyst, emerging neopalsia, and less likely abscess.
- Any other thoughts?
