Trikoupi G. DVM, MSc, PhD Student, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece | Tzenetidou Z. DVM, MSc, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece | Vomva A. DVM, Private Practitioner, Konstantinos Neofitos Veterinary Clinic, Thessaloniki, Greece | Oikonomou A. DVM, MSc, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece | Foka X. DVM, Private Practitioner, Konstantinos Neofitos Veterinary Clinic, Thessaloniki, Greece | Neofitos K. DVM, Private Practitioner, Konstantinos Neofitos Veterinary Clinic, Thessaloniki, Greece | Papadopoulou P. DVM, PhD, Associate Professor, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Introduction
The aim of this case report was to present the diagnostic utility of CEUS in a dog presented critical ill due to a pancreatic abscess.
Clinical case
A 9-years-old, 30 kg, spays female, Canadian shepherd dog was presented with a history of depression and vomiting.
Results
On physical examination abdominal pain, icterus and elevated body temperature were revealed. Complete blood count and biochemical analysis, urinalysis, urine culture, plain radiographs, and ultrasonography were performed, and severe pancreatitis was suspected. CEUS was performed, using intravenously a second-generation ultrasound contrast agent, consisting of echogenic microbubbles. Pancreatic perfusion changes during CEUS detect severe pancreatitis and the presence of a pancreatic abscess. Diagnosis confirmed by FNA and cytology. Surgical treatment was decided and omentalization of the pancreatic abscess was performed. The dog was fully recovered after 10 days hospitalization.
Conclusions
Accurate clinical diagnosis of pancreatic abscess remains challenging and new diagnostic methods are needed because no single noninvasive diagnostic method is completely reliable for the diagnosis in dogs.
