– 9 year old FS small breed canine mixed presented for suspected pancreatitis last week
– rDVM treated symptomatically and now patient is very much improved but wanted an ultrasound
– abdominal ultrasound consistent with an enlarged pancreas, local steatitis and small pockets of effusion
– in the left limb there is a large fluid-filled cavity with echogenic debris
– could this be an abscess, pancreatic pseudocyst?
– leave alone and monitor as patient is doing clinically well, or drain?
– 9 year old FS small breed canine mixed presented for suspected pancreatitis last week
– rDVM treated symptomatically and now patient is very much improved but wanted an ultrasound
– abdominal ultrasound consistent with an enlarged pancreas, local steatitis and small pockets of effusion
– in the left limb there is a large fluid-filled cavity with echogenic debris
– could this be an abscess, pancreatic pseudocyst?
– leave alone and monitor as patient is doing clinically well, or drain?
Comments
Yuck!! get a needle! Walled
Yuck!! get a needle! Walled off pancreatic abscess in the panc body. Drain and baytril injection into it after drainage works well but needs lots of in hospital tx, plasma, hetstarch and such. They start to get better as the body walls off the pathology and owners wnat to take home but thats a bomb ready to go off and likely low grade clinical until reacutization occurs:) If it leaks you have a diffuse septic abdomen instead of localized one.
Pseudocysts have walls to them this one has ill defined fuzzy fat or +/- a granulation bed thats newly formed to wall off the pathology… an inflammatory wall in this case as opposed to a structural wall of the organ itself where a pseudocyst would be the case.
Heres the link in resources for us-guided drianage procedures if need be:
https://sonopath.com/educationevents/ultrasound-resources/ultrasound-guided-procedures
Thanks EL!
Thanks EL!