Ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis: 20 Cases (1994-2001)

H. Mark Saunders, Thomas J. VanWinkle, Kenneth Drobatz, Susan E. Kimmel, Robert J. Washabau

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

Objective - To determine ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis. Design - Retrospective study. Animals - 20 cats. Procedure - Ultrasound reports and permanent ultrasonographic images were reviewed, and ultrasonographic findings were recorded. Thoracic and abdominal radiographs were also reviewed, when available. Anatomic localization of pancreatic necrosis was determined from the gross pathology report; duration and severity of pancreatic necrosis were determined by reviewing histologic specimens. The presence of concurrent disease was recorded from the final pathology report. Results - The pancreas was considered ultrasonographically normal in 10 cats and was not observed in 3. Ultrasonographic findings were considered compatible with pancreatitis in the remaining 7 cats. Gross pathologic findings indicated that pancreatitis was multifocal in all 7 of these cats; histologically, pancreatitis was acute or subacute in 5 and associated with severe or moderate necrosis in 6. In the remaining 13 cats, gross pathologic findings indicated that pancreatitis was multifocal (n = 8) or focal (2), or gross pathologic findings were normal (3). Histologically, pancreatitis was peracute or acute in 11 of these 13 cats and associated with severe or moderate necrosis in 8. Thoracic and abdominal radiographic findings were nonspecific. Conclusions and Clinical Relevance - Results of ultrasonography were consistent with a diagnosis of pancreatitis in only 7 of 20 cats with acute pancreatic necrosis in the present study. This suggests that new diagnostic criteria must be established if abdominal ultrasonography is to be an effective tool in the diagnosis of pancreatitis in cats.

Original languageEnglish (US)
Pages (from-to)1724-1730
Number of pages7
JournalJournal of the American Veterinary Medical Association
Volume221
Issue number12
DOIs
StatePublished - Dec 15 2002

Fingerprint

pancreatitis
necrosis
Cats
Necrosis
Pancreatitis
cats
chest
ultrasonography
Ultrasonography
Thorax
Pathology
retrospective studies
pancreas
Pancreas
Retrospective Studies
duration
animals

Cite this

Ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis : 20 Cases (1994-2001). / Saunders, H. Mark; VanWinkle, Thomas J.; Drobatz, Kenneth; Kimmel, Susan E.; Washabau, Robert J.

In: Journal of the American Veterinary Medical Association, Vol. 221, No. 12, 15.12.2002, p. 1724-1730.

Research output: Contribution to journalArticle

@article{c7cc53b082414c439c2349afb285471f,
title = "Ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis: 20 Cases (1994-2001)",
abstract = "Objective - To determine ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis. Design - Retrospective study. Animals - 20 cats. Procedure - Ultrasound reports and permanent ultrasonographic images were reviewed, and ultrasonographic findings were recorded. Thoracic and abdominal radiographs were also reviewed, when available. Anatomic localization of pancreatic necrosis was determined from the gross pathology report; duration and severity of pancreatic necrosis were determined by reviewing histologic specimens. The presence of concurrent disease was recorded from the final pathology report. Results - The pancreas was considered ultrasonographically normal in 10 cats and was not observed in 3. Ultrasonographic findings were considered compatible with pancreatitis in the remaining 7 cats. Gross pathologic findings indicated that pancreatitis was multifocal in all 7 of these cats; histologically, pancreatitis was acute or subacute in 5 and associated with severe or moderate necrosis in 6. In the remaining 13 cats, gross pathologic findings indicated that pancreatitis was multifocal (n = 8) or focal (2), or gross pathologic findings were normal (3). Histologically, pancreatitis was peracute or acute in 11 of these 13 cats and associated with severe or moderate necrosis in 8. Thoracic and abdominal radiographic findings were nonspecific. Conclusions and Clinical Relevance - Results of ultrasonography were consistent with a diagnosis of pancreatitis in only 7 of 20 cats with acute pancreatic necrosis in the present study. This suggests that new diagnostic criteria must be established if abdominal ultrasonography is to be an effective tool in the diagnosis of pancreatitis in cats.",
author = "Saunders, {H. Mark} and VanWinkle, {Thomas J.} and Kenneth Drobatz and Kimmel, {Susan E.} and Washabau, {Robert J.}",
year = "2002",
month = "12",
day = "15",
doi = "10.2460/javma.2002.221.1724",
language = "English (US)",
volume = "221",
pages = "1724--1730",
journal = "Journal of the American Veterinary Medical Association",
issn = "0003-1488",
publisher = "American Veterinary Medical Association",
number = "12",

}

TY - JOUR

T1 - Ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis

T2 - 20 Cases (1994-2001)

AU - Saunders, H. Mark

AU - VanWinkle, Thomas J.

AU - Drobatz, Kenneth

AU - Kimmel, Susan E.

AU - Washabau, Robert J.

PY - 2002/12/15

Y1 - 2002/12/15

N2 - Objective - To determine ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis. Design - Retrospective study. Animals - 20 cats. Procedure - Ultrasound reports and permanent ultrasonographic images were reviewed, and ultrasonographic findings were recorded. Thoracic and abdominal radiographs were also reviewed, when available. Anatomic localization of pancreatic necrosis was determined from the gross pathology report; duration and severity of pancreatic necrosis were determined by reviewing histologic specimens. The presence of concurrent disease was recorded from the final pathology report. Results - The pancreas was considered ultrasonographically normal in 10 cats and was not observed in 3. Ultrasonographic findings were considered compatible with pancreatitis in the remaining 7 cats. Gross pathologic findings indicated that pancreatitis was multifocal in all 7 of these cats; histologically, pancreatitis was acute or subacute in 5 and associated with severe or moderate necrosis in 6. In the remaining 13 cats, gross pathologic findings indicated that pancreatitis was multifocal (n = 8) or focal (2), or gross pathologic findings were normal (3). Histologically, pancreatitis was peracute or acute in 11 of these 13 cats and associated with severe or moderate necrosis in 8. Thoracic and abdominal radiographic findings were nonspecific. Conclusions and Clinical Relevance - Results of ultrasonography were consistent with a diagnosis of pancreatitis in only 7 of 20 cats with acute pancreatic necrosis in the present study. This suggests that new diagnostic criteria must be established if abdominal ultrasonography is to be an effective tool in the diagnosis of pancreatitis in cats.

AB - Objective - To determine ultrasonographic findings in cats with clinical, gross pathologic, and histologic evidence of acute pancreatic necrosis. Design - Retrospective study. Animals - 20 cats. Procedure - Ultrasound reports and permanent ultrasonographic images were reviewed, and ultrasonographic findings were recorded. Thoracic and abdominal radiographs were also reviewed, when available. Anatomic localization of pancreatic necrosis was determined from the gross pathology report; duration and severity of pancreatic necrosis were determined by reviewing histologic specimens. The presence of concurrent disease was recorded from the final pathology report. Results - The pancreas was considered ultrasonographically normal in 10 cats and was not observed in 3. Ultrasonographic findings were considered compatible with pancreatitis in the remaining 7 cats. Gross pathologic findings indicated that pancreatitis was multifocal in all 7 of these cats; histologically, pancreatitis was acute or subacute in 5 and associated with severe or moderate necrosis in 6. In the remaining 13 cats, gross pathologic findings indicated that pancreatitis was multifocal (n = 8) or focal (2), or gross pathologic findings were normal (3). Histologically, pancreatitis was peracute or acute in 11 of these 13 cats and associated with severe or moderate necrosis in 8. Thoracic and abdominal radiographic findings were nonspecific. Conclusions and Clinical Relevance - Results of ultrasonography were consistent with a diagnosis of pancreatitis in only 7 of 20 cats with acute pancreatic necrosis in the present study. This suggests that new diagnostic criteria must be established if abdominal ultrasonography is to be an effective tool in the diagnosis of pancreatitis in cats.

UR - http://www.scopus.com/inward/record.url?scp=18744376563&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=18744376563&partnerID=8YFLogxK

U2 - 10.2460/javma.2002.221.1724

DO - 10.2460/javma.2002.221.1724

M3 - Article

C2 - 12494970

AN - SCOPUS:18744376563

VL - 221

SP - 1724

EP - 1730

JO - Journal of the American Veterinary Medical Association

JF - Journal of the American Veterinary Medical Association

SN - 0003-1488

IS - 12

ER -