Equis ISSN 2398-2977

Pancreas: acute pancreatitis

Contributor(s): David Moll, Graham Munroe, Janice Sojka

Introduction

  • Cause: unknown, ?autodigestion of pancreas.
  • Signs: non-specific but may include acute abdominal pain, shock, collapse, sudden death.
  • Diagnosis: history, clinical signs, haematology, biochemistry, abdominocentesis, laparoscopy.
  • Treatment: IV fluid therapy, analgesia, antibiotics.
  • Prognosis: grave, most affected animals die within 24 h. However, there are no pre-mortem diagnostic tests that are specific for pancreatitis, so it is possible that horses with non-fatal pancreatitis are not identified.

Pathogenesis

Etiology

Specific

Pathophysiology

  • Unknown: ?autodigestion of the pancreas by activated enzymes.

Timecourse

  • Can be extremely rapid onset    →   shock, collapse and death within 24 h.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Johnson P J, Wiedmyeyer C E & Messer N T (2009) Conditions of the equine pancreas. Equine Vet Educ 21 (1), 26-29 VetMedResource.
  • Bakos Z, Krajcsovics L & Toth J (2008) Successful medical treatment of acute pancreatitis in a horse. Vet Rec 162 (3), 95-96 PubMed.
  • Taintor J, Sartin E A, Waldridge B M & Schumacher J (2006) Acute pancreatitis in a 2-day-old foal. J Vet Intern Med 20 (1), 210-212 PubMed.
  • Buote M (2003) Cholangiohepatitis and pancreatitis secondary to severe gastroduodenal ulceration in a foal. Can Vet J 44 (9), 746-748 PubMed.

Other sources of information

  • Reed S M, Bayly W M & Sellon D C (2004) Equine Internal Medicine. 2nd edn. Saunders. ISBN: 0721697771. 
  • Brown C M & Bertone J J (2002) The 5-Minute Veterinary Consult Equine. Lippincott, Williams & Wilkins. ISBN: 0683306057.
  • Mair T, Divers T & Ducharme N (2002) Manual of Equine Gastroenterology. W B Saunders. ISBN: 0702024864.


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