Case Index - May 2005 - Case of the Month.
Scroll down to the bottom for the final answer.
Signalment: 6 year old female spayed DSH
History: Intermittent vomiting
Abdominal radiographs revealed a soft tissue mass caudal to the stomach, and a 1 cm round mineralized structure in the midabdomen.
Abdominal ultrasound:
What are your findings?
What is your diagnosis?
Answer:
Ultrasonographic findings:
1. A curvilinear hyperechoic structure measuring 1 cm with distal shadowing was identified in the midabdomen.
2. A large cystic structure with anechoic fluid is present caudal to the stomach in the region of the pancreas.
Ultrasonographic diagnosis:
1. Pancreatic pseudocyst.
2. Incidental mineralized lipoma (Bates body)
The cyst was drained, which alleviated the patients vomiting. The signs of vomiting were related to the pressure the cyst was placing on the stomach
