Extensive Fatty Replacement of the Pancreas (Pancreatic Lipomatosis) in a Dog

Mureșan, Cosmin; Beteg, F.; Lelescu, Cristina; Amorim, Irina; Rêma, Alexandra; Taulescu, Marian

doi:10.1016/j.jcpa.2019.09.010

Cited by 4 publications

(6 citation statements)

References 17 publications

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“…[45][46][47] The terminology fatty pancreas, pancreatic lipomatosis or steatosis is used, and has also been described in a single case report in a dog. [48][49][50] A hyperechoic pancreas also correlated with dogs having hyperadrenocorticism. 51 In clinically healthy cats, there was no increase in echogenicity with age; 52 however, no studies have investigated the relationship of body fat and echogenicity of the feline pancreas.…”

Section: Discussionmentioning

confidence: 99%

Comparison of ultrasonographic echogenicity and outcome in cats with suspected pancreatitis

Lederer

Hittmair

Tichy

et al. 2022

Journal of Feline Medicine and Surgery

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Objectives The aim of this study was to determine whether ultrasonographic pancreatic echogenicity, especially hypoechogenicity, has an impact on the prognosis of cats with suspected pancreatitis. We hypothesised that cats with a hypoechoic pancreas have a longer duration of hospitalisation, higher treatment costs and a higher mortality rate. Methods This was a retrospective study, which included cats with clinical signs of pancreatitis, a SNAP fPL test result above the reference interval and ultrasonographic abnormalities consistent with pancreatitis. Medical records and follow-up information were retrieved from the local electronic database. Cases were assigned to one of three groups based on pancreatic echogenicity: hypoechoic, hyperechoic or mixed echogenicity. Statistical analysis aimed to assess differences in outcome, ultrasonographic abnormalities, historical features, physical examination findings, laboratory results, concurrent diseases or treatment costs. Results Thirty-six (64%) cats with a hypoechoic, seven (13%) with a hyperechoic and 13 (23%) cats with a mixed echoic pancreas were included. Cats with a hypoechoic pancreas had a significantly lower median body weight ( P = 0.010) and lower median body condition score ( P = 0.004) compared with the other cats. Furthermore, they were presented as being lethargic significantly more often ( P = 0.014), were more likely to have a homogeneously enlarged pancreas ( P <0.001) and were less likely to have concurrent abnormalities or diseases, such as ultrasonographic enteric abnormalities ( P = 0.020), triaditis ( P = 0.013) and diabetes mellitus ( P = 0.041). However, there was no difference in treatment costs ( P = 0.961), duration of hospitalisation ( P = 0.898), survival of hospitalisation ( P = 0.419) or survival time ( P = 0.256) between groups. Conclusions and relevance In this study, echogenicity was of no prognostic value in cats with suspected pancreatitis. Cats with a hypoechoic pancreas were not associated with a poorer outcome than cats with a hyperechoic or mixed echoic pancreas.

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Section: Discussionmentioning

confidence: 99%

Comparison of ultrasonographic echogenicity and outcome in cats with suspected pancreatitis

Lederer

Hittmair

Tichy

et al. 2022

Journal of Feline Medicine and Surgery

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“…In small animal medicine, differential diagnoses of focal pancreatic lesions include nodular hyperplasia, 13–15 adenoma, 12,16,17 lipomatosis, 18 ectopic splenic tissue, 19 abscesses, 20 pseudocysts 21 and malignant neoplasia 1,9,11–13 …”

Section: Differential Diagnosismentioning

confidence: 99%

“…In small animal medicine, differential diagnoses of focal pancreatic lesions include nodular hyperplasia, [13][14][15] adenoma, 12,16,17 lipomatosis, 18 ectopic splenic tissue, 19 abscesses, 20 pseudocysts 21 and malignant neoplasia. 1,9,[11][12][13] TREATMENT At re-admission 10 days later prior to surgery, the owners reported complete resolution of the patient's previously reported cranial abdominal pain.…”

Section: Differential Diagnosismentioning

confidence: 99%

“…5 Pancreatic neoplasia and other mass-lesions affecting the pancreas are considered to be rare in veterinary medicine. 1,[9][10][11][12][13] In small animal medicine, differential diagnoses of focal pancreatic lesions include nodular hyperplasia, [13][14][15] adenoma, 12,16,17 lipomatosis, 18 ectopic splenic tissue, 19 abscesses, 20 pseudocysts 21 and malignant neoplasia. 1,9,[11][12][13] In human medicine, the list of potential differential diagnoses is broader and also includes rare descriptions of benign tumours, [22][23][24] cholesterol granuloma, 25 haematoma, 26 hydatid cyst, 27 actinomycosis, 28 tuberculosis 29 or polyarteritis nodosa.…”

Section: Introductionmentioning

confidence: 99%

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Idiopathic pancreatic haematoma in a lurcher dog

Henry¹,

Loane²,

Peschard³

et al. 2022

Vet Record Case Reports

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A 5-year-old, male, neutered lurcher dog was presented for investigation of a cranial abdominal mass and suspected acute pancreatitis. Advanced diagnostic imaging revealed the presence of a cavitated mass, multiple splenic nodules and coeliac lymphadenopathy. Fluid analysis from ultrasound-guided mass-lesion aspiration was suggestive of a pancreatic origin. After medical stabilisation, the dog underwent celiotomy where partial left limb pancreatectomy, splenectomy and coeliac lymphadenectomy were performed. Histopathological examination was consistent with a chronic pancreatic haematoma, splenic nodular hyperplasia with sinus histiocytosis and sinus erythrocytosis of the coeliac lymph node. Post-operatively, the dog recovered rapidly with supportive care. Re-examination 3 months later showed that it remained clinically normal with no symptoms of pancreatitis, and no evidence of recurrence of the haematoma or metastatic disease. This report describes the presentation of a large pancreatic lesion, compatible with a haematoma, and its successful surgical treatment in a dog.

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“…Trauma, chronic inflammation and short bowel syndrome were described as comorbidities of synovial lipomatosis in human cases (Malkoc & Korkmaz, 2018). In dogs, this condition has been anecdotally reported to affect the parotid salivary glands (Madarame et al., 2015; Pellegrino et al., 2019), pancreas (Muresan et al., 2019), subcutaneous tissues (Sechi et al., 2016), synovium (Orekhova & Schwarz, 2021) and epidural lumbosacral space (Meij et al., 1996). This report describes the first case of synovial and thoraco‐lumbar epidural lipomatosis in a young adult Eurasian dog.…”

Section: Introductionmentioning

confidence: 99%

Spinal epidural and synovial lipomatosis in a 3‐year‐old Eurasian dog receiving sustained steroid therapy

Signoret

Gros

Dumont

et al. 2022

Veterinary Medicine & Sci

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This report describes a spinal cord epidural and synovial lipomatosis in a 3‐year‐old neutered male Eurasian dog. This dog presented for ambulatory paraparesis and was previously treated with immunosuppressive dosages of prednisolone for 2 years. Computed tomography (CT) myelography and magnetic resonnance imaging (MRI) images identified dorsal compression of the thoraco‐lumbar spinal cord by hypertrophic epidural fat. Histological examination identified extensive well‐differentiated mature adipose tissue in the subepithelial area of the tarsal synovium. Prednisolone is a reported predisposing factor in humans with lipomatosis.

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Extensive Fatty Replacement of the Pancreas (Pancreatic Lipomatosis) in a Dog

Cited by 4 publications

References 17 publications

Comparison of ultrasonographic echogenicity and outcome in cats with suspected pancreatitis

Comparison of ultrasonographic echogenicity and outcome in cats with suspected pancreatitis

Idiopathic pancreatic haematoma in a lurcher dog

Spinal epidural and synovial lipomatosis in a 3‐year‐old Eurasian dog receiving sustained steroid therapy

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