A 13-year-old MN Yorkshire terrier with a history of pancreatitis was presented for evaluation following a bout of GI indiscretion. Abnormalities on CBC and serum biochemistry were thrombocytosis, severely elevated lipase activity, elevated liver enzyme activity and amylase, and azotemia. Hepatomegaly was present on survey thoracic radiographs.
Pancreas – acute pancreatitis, chronic pancreatitis, neoplasia
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Extensive pancreatic necrosis. Pancreatitis and envelopment of the upper gastrointestinal tract.
The pancreas in this patient presented diffuse hypoechoic avascular parenchyma throughout the pancreatic base extending to the right limb along the pyloric outflow. The reactive mesentery enveloped the pyloric outflow and extended throughout the pancreatic region and cranial abdomen. Areas of pancreatic necrosis were also noted in the right base with an area that measured 2.0 cm revealed a further hypoechoic region. This is strongly suggestive for abscessation and necrosis. Ultrasound-guided FNA and drainage of any fluid would be recommended as well as potential antibiotic infiltration.
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