Cisto pancreático felino

Resumo

Background: Pancreas cysts are liquid accumulations, rich in enzymes or blood, made by epithelial tissue of the affected organ, which are grown for different causes, including injuries, neoplasms or congenital diseases. In most cases, the diagnosis is accidental, once patients can present nonspecific symptoms or no evidence. Applying complementary exams, such as abdominal ultrasound and computed tomography, is possible to visualize a structure located along the pancreas topography, then promote the patient's therapeutic planning. Treatments depend on the lesion cause and proportion, basically consisting of surgical removal, drainage, monitoring and/or symptom control. The objective of this study was to report a case of pancreatic cyst in a nine-month-old feline, showing the diagnosis types and success in surgical therapeutic planning, based on clinical evaluation and complementary exams.

Case: A nine-month-old feline, mixed breed, with sporadic emesis episodes, was treated at the Harmonia Veterinary Hospital, located in the city of Recife. During anamnesis, it was reported that for four months the patient had emesis crisis and abdominal discomfort, however, with normal behavior and appetite. During clinical evaluation, discomfort was confirmed on abdominal palpation, associated with a firm and mobile structure in the cavity. The ultrasound examination showed the presence of a structure in the right lobe of the pancreas, characterizing a pancreatic cyst, which was confirmed on computed tomography. Based on the results, an exploratory laparotomy was programmed with the aim of evaluating the adjacent tissues and excising the cyst for histopathological analysis. After the surgical procedure, the patient was assisted for 120 days without any clinical changes.

Discussion: Regarded the possible cyst cause as obstruction promoted by anomalous formation of the pancreatic ducts, after clinical evaluation and complementary exams, especially computed tomography and abdominal ultrasound, which provided defined cyst characteristics, was possible to carry out the therapeutic planning, based on laparotomy for drainage and resection of the cyst with margin, histopathological evaluation without evidence of malignancy. That case was continuous assisted during 120 days, in which the patient did not show any further clinical alterations, affirming the success of the treatment applied.