- Two year old cat Savannah, not sterilized
-
progressive slimming, apathy, episodes of hyporexia
-
no abdominal pain, no vomiting or diarrhea
- Inflamed bowel loops, pancreatitis, chronic kidney disease, GB with large amount of sludge, no signs of obstruction, hypoechoic liver
- What do you think of this left pancreatic lobe? The body of the pancreas was the same. How do you differentiate pancreatic edema from pancreatitis and pseudo-abscess from abscess?
- Two year old cat Savannah, not sterilized
-
progressive slimming, apathy, episodes of hyporexia
-
no abdominal pain, no vomiting or diarrhea
- Inflamed bowel loops, pancreatitis, chronic kidney disease, GB with large amount of sludge, no signs of obstruction, hypoechoic liver
- What do you think of this left pancreatic lobe? The body of the pancreas was the same. How do you differentiate pancreatic edema from pancreatitis and pseudo-abscess from abscess?
Comments
Well thats an ugly one and
Well thats an ugly one and the short answer is fna 25 gauge needle. There is considerable loss of curvilinear detail therefore necrosis and nneoplasia are the top players here. I would 25g fna for cytology and 22 gauge aspirating with saline in the syringe for culture. Let us know what you get back this presentation is very undifferentiated. LN do this as well when severely infiltrated with lsa and similar but more likely its pancreas.
Thanks EL, I will make this
Thanks EL, I will make this recommendation to the clinician responsible for the case. This linear structure with hyperechogenic double wall catches my attention in the last video, will it be the pancreatic duct? Any chance of being a pancreatic parasite?
Editing: the result of the biochemical exams: nothing, everything within normalcy! Only a slight anemia in the blood count, the case becomes more and more interesting.
Regards,
Adams.
Pancreatic duct is likely
Pancreatic duct is likely here