DIETARY FAT-INDUCED ACUTE PANCREATITIS IN A DOG: DIAGNOSTIC APPROACH AND MANAGEMENT

Puli Vishnu Vardhan Reddy; Ankit Negi; Akhter Rasool; Rajat Sagare

doi:10.56093/ijvasr.v54i5.172419

Authors

Puli Vishnu Vardhan Reddy Ph D Scholar, Department of Veterinary Surgery and Radiology, Madras Veterinary College, TANUVAS, Chennai - 600 007
Ankit Negi PG Scholar, Department of Veterinary Surgery and Radiology, DUVASU, Mathura
Akhter Rasool PG Scholar, Department of Veterinary Gynaecology and Obstetrics, Madras Veterinary College, TANUVAS, Chennai - 600 007
Rajat Sagare Ph D Scholar, Department of Veterinary Medicine, Madras Veterinary College, TANUVAS, Chennai - 600 007

https://doi.org/10.56093/ijvasr.v54i5.172419

Keywords:

abdominal pain, high fat diet, pancreatitis and canine specific - pancreatic lipase

Abstract

Acute pancreatitis in dogs, characterized by sudden pancreatic inflammation and autodigestion, most commonly affects middle-aged to older patients. It typically results in abdominal pain, inappetence, and vomiting. While the underlying cause is often idiopathic, consumption of high-fat diets is a well-recognized trigger. A one- year-old male Shih Tzu was presented with acute abdominal signs, including anorexia, vomiting, and cranial abdominal pain, following four months on a high-fat paneer-based diet. While abdominal radiography was unremarkable, ultrasonography revealed a thickened, hypoechoic right pancreatic lobe with surrounding hyperechoic mesenteric fat, suggestive of acute pancreatitis. Routine haematological and biochemical parameters, including serum amylase and lipase, were within normal limits; however, the serum canine-specific pancreatic lipase (Spec cPL) concentration was significantly elevated at 410 µg/L, confirming the diagnosis. Supportive management and dietary correction to a low-fat prescription diet resulted in complete clinical resolution by the seventh day. Follow-up Spec cPL concentration normalized to 55.9 µg/L within twenty days, and no recurrence was observed over a one-year period. This case highlights dietary fat as a key trigger and underscores the importance of prompt diagnosis using Spec cPL and ultrasonography, alongside targeted nutritional management for successful recovery.

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References

Cridge, H., MacLeod, A.G., Pachtinger, G.E., Mackin, A.J., Sullivant, A.M., Thomason, J.M., and Steiner, J.M. (2021). Spec cPL for the diagnosis of pancreatitis in dogs: a systematic review. Journal of Veterinary Internal Medicine, 35(3): 1337–1351.

Ferreri, J.A., Hardam, E., Kimmel, S.E., Saunders, H.M., Van Winkle, T.J., Drobatz, K.J., and Washabau, R.J. (2003). Clinical differentiation of acute necrotizing from chronic nonsuppurative pancreatitis in cats: 63 cases (1996-2001). Journal of the American Veterinary Medical Association, 223(4): 469–474.

French, J.M., Twedt, D.C., Rao, S., and Marolf, A.J. (2019). Computed tomographic angiography and ultrasonography in the diagnosis and evaluation of acute pancreatitis in dogs. Journal of veterinary internal medicine, 33(1): 79–88.

Hecht, S. and Henry, G. (2007). Sonographic evaluation of the normal and abnormal pancreas. Clinical Techniques in Small Animal Practice, 22: 115-121

Leppaniemi, A., Tolonen, M., Tarasconi, A., Segovia-Lohse, H., Gamberini, E., Kirkpatrick, A.W., Ball, C.G., Parry, N., Sartelli, M., Wolbrink, D., van Goor, H., Baiocchi, G., Ansaloni, L., Biffl, W., Coccolini, F., Di Saverio, S., Kluger, Y., Moore, E. E., and Catena, F. (2020). Executive summary: WSES Guidelines for the management of severe acute pancreatitis. The Journal of Trauma and Acute Care Surgery, 88(6): 888– 890.

Lim, S.Y., Cridge, H., Twedt, D.C., Ohta, H., Nuruki, T., and Steiner, J.M. (2024). Management of acute-onset pancreatitis in dogs: a narrative Review. Journal of the American Veterinary Medical Association, 262(9): 1231–1240.

Simpson, K.W. (2015). Pancreatitis and other disorders of the exocrine pancreas. In E. Cote (Ed.), Clinical Veterinary Advisor: Dogs and Cats (pp. 748–755). Saunders Elsevier.

Watson, P.J. (2015). Pancreatitis in dogs and cats: definitions and pathophysiology. Journal of Small Animal Practice, 56(1): 3–12.

Williams,T.L.,Mealey,K.L.,andMilovancev, M. (2016). Canine pancreatitis. Compendium: Continuing Education for Veterinarians, 38(2): E1–E10.

Wingert, A.M., Murray, O.A., Lulich, J.P., Hoelmer, A.M., Merkel, L.K., and Furrow, E. (2021). Efficacy of medical dissolution for suspected struvite cystoliths in dogs. Journal of Veterinary Internal Medicine, 35(5):2287–2295.

Xenoulis, P.G. (2015). Diagnosis of pancreatitis in dogs and cats. Journal of Small Animal Practice, 56(1), 13–26.

Xenoulis, P.G., and Steiner, J.M. (2008). Canine pancreatitis. Journal of Veterinary Internal Medicine, 22(5):1159–1170.

Xenoulis, P.G., and Steiner, J.M. (2012). Diagnostic approach to pancreatitis in dogs and cats. Journal of Veterinary Emergency and Critical Care, 22(2), 77–86.