Sonopath Forum

Pancreatic/duodenal wall cyst in an 11 year old FS Shihtzu

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?

Comments

Pankatz

February 20, 2016 at 8:18 pm -

Pancreatic pseudocyst?

Pancreatic pseudocyst?

February 21, 2016 at 4:00 am -

This actually looks like a

This actually looks like a foocal dilation of the panc duct as it enters the duodenum… no inflammatory reaction and the fluid is anechoic so I like to put needles in things but this one in an asymptomatic dog I would likely just let the sleeping bear lie:)

Electrocute

February 22, 2016 at 1:11 am -

Any idea what would cause

Any idea what would cause this? And seeing that this is most likely a benign lesion, I assume that this has nothing to do with the elevated ALKP? I am recommending a recheck in 4 weeks as extra insurance.