Peer-reviewed veterinary case report
First canine case of nontraumatic hemoperitoneum secondary to pancreatic acinar cell carcinoma: Successful surgical management.
- Journal:
- Open veterinary journal
- Year:
- 2025
- Authors:
- Shin, Donghwi & Park, Kang-Hyo
- Affiliation:
- Bundang Leaders Animal Medical Center 45 Seongnam-daero · South Korea
- Species:
- dog
Plain-English summary
An 11-year-old male Siberian Husky was brought in because he was in shock and very weak. Tests showed he had high levels of certain enzymes in his blood, and an ultrasound revealed a large mass near his stomach along with a lot of fluid in his abdomen, which was confirmed to be blood. The dog underwent surgery to remove the mass and some affected blood vessels, and afterward, he showed no unusual signs and recovered well. A biopsy confirmed that the mass was a type of pancreatic cancer, and he remained stable without any signs of the disease returning for over 11 months after the surgery. Overall, the treatment was successful.
Abstract
BACKGROUND: An 11-year-old male Siberian Husky presented with acute hypovolemic shock on initial physical examination. Serum biochemistry revealed hyperamylasemia and hyperlipasemia. Abdominal ultrasonography identified a well-defined, round, lobulated 10.0 cm mass caudal to the stomach. A large volume of hyperechoic peritoneal fluid was detected in the abdominal cavity. The peritoneal fluid packed cell volume (PCV) was similar to the peripheral PCV, confirming hemoperitoneum. CASE DESCRIPTION: Surgical resection of the mass and damaged pancreatic vessels was performed. Adherent mesenteric blood vessels and a segment of the jejunum were also removed due to their association with the mass, followed by jejunal anastomosis. No abnormal clinical signs were observed postoperatively. A definitive diagnosis of pancreatic acinar cell tumor was made based on histopathological findings. The patient remained clinically stable without evidence of recurrence for over 11 months after surgery. CONCLUSION: This report is the first documented case describing successful surgical management of nontraumatic hemoperitoneum secondary to pancreatic acinar cell carcinoma in a dog. Histopathological evaluation confirmed a moderately well-differentiated pancreatic acinar cell carcinoma. This case suggests that timely diagnosis and intervention may improve outcomes in patients with hemorrhagic presentations of pancreatic neoplasia.
Find similar cases for your pet
PetCaseFinder finds other peer-reviewed reports of pets with the same symptoms, plus a plain-English summary of what was tried across them.
Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/41036020/