Peer-reviewed veterinary case report
Dog with pericolonic chyle-filled mass after chronic pancreatitis
By Barnhart, M D & Smeak, D·Published in Journal of the American Veterinary Medical Association·1998·Department of Veterinary Clinical Sciences, United States·View original on PubMed →
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Original publication title: Pericolonic mass containing chyle as a presumed sequela to chronic pancreatitis in a dog.
- Species:
- dog
Plain-English summary
A 9-year-old dog was brought to the vet due to ongoing issues with chronic pancreatitis, which is inflammation of the pancreas. An ultrasound showed a fluid-filled mass near the stomach, and tests revealed it contained chyle, a fluid that can leak from lymphatic vessels. The dog underwent surgery to remove the mass, which was found to be an abscess attached to the colon. After the surgery, the dog was treated for the abscess, and the outcome was positive, as the dog recovered from the procedure.
People also search for: dog chronic pancreatitis symptoms · dog abdominal mass treatment · dog surgery for abscess
Abstract
A 9-year-old dog was admitted because of recurrent episodes of chronic pancreatitis. Ultrasonography revealed a multiloculated, fluid-filled cystic mass at the caudal portion of the stomach. Guided fine-needle aspirates yielded a fluid consistent with chyle. The dog underwent surgery during which a 6- to 8-cm mass was found adhered to the mesocolon and serosa of the transverse colon. Intraoperative lymphangiography revealed lymphangiectasia, but contrast medium did not accumulate within the mass. The mass and a portion of transverse colon were removed en bloc. Results of histologic examination were consistent with an abscess. Pancreatic enzymatic digestion may allow abscesses to extend beyond pancreatic parenchyma, cause severe local inflammation, and encapsulate and incorporate adjacent abdominal lymphatics. Subsequent lymphatic leakage can result in chyle within the abscess. Inflammatory masses of the pancreas are a rare, but serious, complication of pancreatitis in dogs. Familiarity with these types of lesions can aid in selection of appropriate treatments.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/9426781/