A 15-year-old NM DSH was presented for weight loss. Abnormalities on serum biochemistry were azotemia and elevated amylase.
A 15-year-old NM DSH was presented for weight loss. Abnormalities on serum biochemistry were azotemia and elevated amylase.
Pancreatitis in a 15 year old MN DSH cat
History
Comments
No video is available on this patient.
Clinical Differential Diagnosis
Renal clinical signs- chronic kidney disease, pyelonephritis, renoliths. GI clinical signs – IBD, neoplasia, partial obstruction. Pancreas – pancreatitis, neoplasia.
DX
Pancreatitis
Sampling
None.
Sonographic Differential Diagnosis
Largely aggressive pancreatitis. Broad spectrum antibiotics, pain management, and IV fluid therapy over the next 72 hours would be warranted with potential force feeding protocol if necessary. Clinical profile is more likely owing to the pancreatitis presentation and renal changes. Further images of the pancreatic duct and common bile duct would be ideal as it enters into the duodenal papilla if the patient is not responding to clinical therapy to rule out an obstruction at the level of the duodenal papilla. A recheck sonogram in 5 days would be recommended to assess resolution or progression of the right pancreatic limb. There is a minor potential for neoplasia, yet this is not suspected.
Image Interpretation
The pancreas was significantly enlarged primarily at the right limb with dilated pancreatic duct at 0.45 cm. The right pancreatic limb was hypoechoic and measured 1.44 cm at the right base with irregular contour. Minor pericapsular reactive appearing fat. This is most consistent with pancreatitis.
Outcome
The patient is doing well.
Patient Information
Patient Name : Oliver K
Age : 15 Years
Gender : Male, Neutered
Species : Feline
Liz Wuz Here : Yes
Status : Complete
Code : 05_00090
Blood Chemistry
- Amylase, High
- Azotemia
Clinical Signs
- Weight loss
Images
