Year: 2026
Type: article
Study design: Case Report
Abstract: A 12-year-old, neutered, male cat was presented for a 4day history of acute vomiting, lethargy and abdominal pain.The cat was diagnosed with suspected triaditis 8 months earlier.Abdominal ultrasonography (US) showed a mildly enlarged and hypoechoic pancreas surrounded by a small amount of free fluid and markedly hyperechoic fat.The pancreatic duct was mildly dilated, and a hyperechoic shadowing structure within the lumen was visualised (Figure 1A).The gall bladder, cystic duct and common bile duct were dilated.Computed tomography (CT) findings confirmed the presence of a 5 mm linear mineralised structure within the lumen of the pancreatic duct (Figure 1B).No other lithiasis were detected.An exploratory laparotomy with a ventral median celiotomy approach was scheduled.Duodenal enterotomy was performed near the papilla, and a sample of the bile was collected through cannulation of the cystic duct for bacteriological examination (bacteriological culture was negative).A choledochotomy was performed, and the pancreatic duct was visualised.The pancreatic duct was cannulated, and intraoperative ultrasonography was used to precisely locate and remove the pancreatolith (Figure 2).The cat recovered uneventfully, and US exam 1 year later showed persistence of mild pancreatic duct enlargement without pancreatolith and peripancreatic steatites.Feline pancreatolithiasis formation is rare, and the underlying pathophysiological mechanisms are unclear.1-3 In people, pancreatolithiasis is associated with chronic pancreatitis.This report highlights the usefulness of a multimodal imaging approach (preoperative US and CT, intraoperative US) for the
Source: Veterinary Record Case Reports
DOI: 10.1002/vrc2.70342
Institution: University of Perugia
Language: English
Subfield: Small Animals
Field: Veterinary
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $1,480
OpenAlex ID: W7124154919