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KMID : 1094020180350040146
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Journal of Veterinary Clinics
2018 Volume.35 No. 4 p.146 ~ p.149
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Walled-off Pancreatic necrosis in a Dog
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Hwang Tae-Sung
Park Su-Jin
Lee Jae-Hoon
Jung Dong-In
Lee Hee-Chun
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Abstract
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A 7-year-old, castrated, male Maltese dog presented with hyporexia and depression for 3 days. Elevatedserum amylase, lipase activities, and liver enzyme values were found upon blood examination. An abdominal masswas seen on radiographs caudal to the gastric body in the left middle abdomen. In the left middle abdomen, abdominalultrasonography also revealed a massive, irregularly marginated, heterogeneous mass of unknown origin, and in theright cranial abdomen, heterogeneously hypoechoic pancreatic tissue and hyperechoic change of adjacent mesentericfat were observed. Contrast-enhanced computed tomography showed an irregular contour of the left pancreatic limbas well as heterogeneously enhanced parenchyma. A low-attenuating peripancreatic fluid collection with a thin andirregular wall was also seen. Based on these findings, an atypical pancreatic abscess with necrotizing pancreatitis whichmanifested as walled-off necrosis was suspected. The mass was excised, and the pancreatic abscess was confirmedby histopathologic examination. No complications were found in the patient after two months of follow-up examination.
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KEYWORD
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pancreatic abscesses, walled-off pancreatic necrosis, ultrasonography, computed tomography, dog
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