Duodenal necrosis

Re: Duodenal necrosis

Ashley Rubens — Wed, 24 Dec 2014 15:07:16 GMT

Quite right Michael, but there's no serum left anyway, would have been useful only if low, or to make me feel better as a possible answer! Yes unfortunately no Histo possible either, just one of those horrible unexplained cases, ashes scattered on dartmoor so will remain a mystery.

Re: Duodenal necrosis

Martin Atkinson — Wed, 24 Dec 2014 12:59:44 GMT

[quote user="Michael Woodhouse"]I don't doubt that your dog will have a high CPL, but that doesn't mean it has pancreatitis.[/quote]I forgot to mention that in my case I also did pancreatic biopsy and it came back as acute pancreatitis as well as having a high CPL.

Re: Duodenal necrosis

Michael Woodhouse — Wed, 24 Dec 2014 12:27:47 GMT

[quote user="Ashley Rubens"]Dog would be an ideal candidate for pancreatitis, in house bloods were normal bar mature neutrophilia but I might see if there's any serum left...[/quote]

I don't doubt that your dog will have a high CPL, but that doesn't mean it has pancreatitis. it's not that specific - generalised abdominal inflammation will cause it to rise - quite significantly.

Re: Duodenal necrosis

Martin Atkinson — Wed, 24 Dec 2014 08:49:50 GMT

[quote user="Ashley Rubens"]Mesenteric blood vessels looked normal, pylorus on for about 40 cm totally dead and leathery. Pancreatitis did cross my mind, but after discussion with owner and St referral about the possibility of removing that much tissue and what to do with the pancreas and pancreatic duct the dog was PTS under GA,[/quote]My case wasn't that bad, there was about 10 cm very nasty looking duodenum approximating to the pancreas that looked compromised. It was obviously not a candidate for enterectomy for the reasons you stated so I incised into it to take a biopsy in case it was something that may respond to chemo and realised the major process was inflammatory although I was far from confident it would heal and was survivable. Histopath confirmed an inflammatory response and a said dog recovered and never looked back.

I presume from what you say you didn't take a PM sample of anything.

Re: Duodenal necrosis

Ashley Rubens — Tue, 23 Dec 2014 20:15:52 GMT

Mesenteric blood vessels looked normal, pylorus on for about 40cm totally dead and leathery. Pancreatitis did cross my mind, but after discussion with owner and St referral about the possibility of removing that much tissue and what to do with the pancreas and pancreatic duct the dog was PTS under GA, so can't test. Dog would be an ideal candidate for pancreatitis, in house bloods were normal bar mature neutrophilia but I might see if there's any serum left...

Re: Duodenal necrosis

Nicola Lawlor — Tue, 23 Dec 2014 19:51:58 GMT

I have seen a large bulk of intestine like this after a mesenteric torsion - dog survived surgery but clearly had some viable gut left.

Re: Duodenal necrosis

Martin Atkinson — Tue, 23 Dec 2014 19:19:39 GMT

I had a dog with a necrotic looking section of duodenum on ex.lap, which from X-ray and abdominal palpation I thought would be a tumour. It turned out to be autolysis from acute pancreatitis and yet its pancreas also looked relatively normal. Did a specCPL and it was off the scale. It survived, healed itself and many years later the dog is still living happily without recurrence, so long as it doesn't raid the bin, on RCW Gastro-intestinal Low Fat diet.

Re: Duodenal necrosis

mariette asselbergs — Tue, 23 Dec 2014 19:01:16 GMT

Thrombo-embolus? What did the mesenteric bloodvessels look like?

Mariette