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KMID : 1094020170340050359
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Journal of Veterinary Clinics
2017 Volume.34 No. 5 p.359 ~ p.365
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Partial Pancreatectomy Using an Ultrasonic-Activated Scalpel in Two Spaniel Dogs with Canine Insulinoma
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Park Ji-Young
Lee Hae-Beom
Jeong Seong-Mok
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Abstract
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Two spaniel dogs were presented with a history of lethargy, weakness, refractory hypoglycemia, and episodic seizure. A pancreatic mass on the distal end of the left limb was identified through screening tests including dualphase CT angiography in each patient. Canine insulinoma was suspected with low blood glucose, low fructosamine, and normal to high serum insulin levels. Exploratory laparotomies were performed, and partial pancreatectomy using an ultrasonic-activated scalpel was achieved without enzyme leakage or fistula formation after surgery. The lesions were definitively diagnosed as insulinoma via histopathologic examination. One dog has been doing well until POD 870 with medication; in the other dog, diffuse hepatic nodules noted during surgery were confirmed as a liver metastasis. This dog died at POD 45. This case report addresses the utility of the ultrasonic scalpel in partial pancreatectomy for the treatment of canine insulinoma and differences in prognosis according to disease stage.
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KEYWORD
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insulinoma, dual-phase CT angiography, partial pancreatectomy, ultrasonic scalpel, dog
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