Eintrag weiter verarbeiten
Laparoscopic omentalization of a pancreatic cyst in a cat
Gespeichert in:
Personen und Körperschaften: | |
---|---|
Titel: |
Laparoscopic omentalization of a pancreatic cyst in a cat |
In: | Journal of the American Veterinary Medical Association, 255, 2019, 2, S. 213-218 |
veröffentlicht: |
American Veterinary Medical Association (AVMA)
|
Umfang: | 213-218 |
ISSN: |
0003-1488 |
DOI: | 10.2460/javma.255.2.213 |
Zusammenfassung: | <jats:title>Abstract</jats:title> <jats:p><jats:bold>CASE DESCRIPTION</jats:bold> A 15-year-old spayed female domestic shorthair cat was examined because of a 1-year history of daily vomiting, which was not associated with food intake.</jats:p> <jats:p><jats:bold>CLINICAL FINDINGS</jats:bold> Initial physical examination findings and serial hematologic and serum biochemical results were unremarkable except for the presence of a grade 2/6 left-sided heart murmur and persistent mild azotemia. A well-defined multilobulated cystic structure located between the spleen and left kidney was identified by abdominal ultrasonography.</jats:p> <jats:p><jats:bold>TREATMENT AND OUTCOME</jats:bold> Laparoscopic exploration revealed that the cystic structure originated from the left pancreatic limb. With laparoscopic guidance, the structure was percutaneously drained and underwent omentalization. Then, a partial cystectomy was performed to obtain a tissue specimen for histologic evaluation. The vomiting resolved for a short period immediately after surgery and then gradually resumed over 6 months, albeit with less frequency than prior to surgery. The histologic diagnosis was pancreatic cyst. Abdominal ultrasonography performed 6 months after surgery revealed that the original cyst had completely resolved but multiple smaller cysts had developed. The serum feline pancreas-specific lipase activity was not measured before surgery but remained increased from the reference limit following surgery, and chronic pancreatitis was considered the most likely cause of pancreatic cyst formation.</jats:p> <jats:p><jats:bold>CLINICAL RELEVANCE</jats:bold> Laparoscopic-guided drainage and omentalization of a large pancreatic cyst resulted in a satisfactory outcome for the cat of this report and can be considered an alternative to percutaneous ultrasound-guided cyst drainage and the more invasive laparotomy approach for pancreatic cystectomy with or without omentalization.</jats:p> |
Format: | E-Article |
Quelle: | American Veterinary Medical Association (AVMA) (CrossRef) |
Sprache: | Unbestimmt |