Page 407 - Feline diagnostic imaging

416 24 Pancreas

(a) (b)

(c)

Figure 24.14 A 10-year-old Russian Blue presented for anorexia and icterus. Lateral (a) and ventrodorsal (b) radiographic images
show caudal displacement of the gastric axis due to hepatic enlargement. (c) On abdominal ultrasound, the pancreas is enlarged and
contains multiple varible sized anechoic noudles. After this patient died, chronic multifocal mild to moderate pancreatic fibrosis along
with chronic cholecystitis was found on the histopathologic examination.

24.6.4 Pancreatic Cyst/Pseudocyst/Abscess
Pancreatic pseudocysts (Figures 24.34–24.37) are infrequently
observed as sequelae to acute pancreatitis. Ultrasound find-
ings in two feline patients showed an anechoic to slightly
hypoechoic cystic structure in the region of the pancreas.
Multiple pseudocysts were present in one cat. Aspiration of
the pseudocysts with ultrasound guidance found elevated
lipase levels in the fluid [19].
One report of recurrent pancreatic cysts in a cat that
later developed diabetes mellitus was followed over time
with ultrasound and CT. Radiographically, a cranial
abdominal mass was identified. On ultrasound, a septated
Figure 24.15 Ultrasound image of the pancreas of a 9-year-old anechoic mass was noted associated with the pancreas
DSH with a five-year history of chronic renal failure. The [20]. Pancreatic abscesses are rarely reported in cats; the
pancreas is mildly hypoechoic with cyst formation. Chronic renal echogenicity of the fluid may mimic a mass associated with
disease was seen in other images. Chronic renal disease and
chronic multifocal pancreatitis with marked fibrosis were found the pancreas, making differentiation by ultrasound alone
at necropsy. not possible [21].