Today's Veterinary Practice

MAY-JUN 2018

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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PEER REVIEWED 58 IMAGING ESSENTIALS REVIEWED PEER LOCALIZATION AND SCANNING TECHNIQUE The pancreas is a lobulated, thin, elongated organ that is divided into three parts: the right lobe, the left lobe, and the body. It is one of the most difficult structures to identify in the normal patient due to the similar echogenicity and echostructure of the pancreas and the adjacent mesentery and fat. Recognition of normal anatomic landmarks is key to finding the normal pancreas and should allow, at minimum, visualization of the region of where the pancreas should be located if one cannot directly visualize the pancreas itself. There are anatomic differences between the dog and the cat. 1 Patients with pancreatitis often have significant cranial abdominal pain and resist the pressure of the transducer that is necessary to image the region. Therefore, appropriate sedation and analgesics should be considered to improve image quality and diagnostic accuracy. Right Lobe The right lobe is the largest lobe in the dog and extends caudally and parallel to the descending duodenum. Small Animal Abdominal Ultrasonography: The Pancreas Elizabeth Huynh, DVM Clifford R. Berry, DVM, DACVR University of Florida IMAGING ESSENTIALS FIGURE 1. Long axis parasagittal image of the right lobe of the pancreas ( + symbols ) from an 8-year-old dog. The pancreas is slightly hyperechoic (typically is iso- to hypoechoic) relative to the surrounding mesentery. Welcome to our series of articles on small animal abdominal ultrasonography. The initial articles provided an overview of basic ultrasonography principles and a discussion about how to perform a systematic scan of the abdomen. The rest of the series discusses ultrasound evaluation of specific abdominal organs/systems. Read the other small animal abdominal ultrasonography articles published in Today's Veterinary Practice at tvpjournal.com .

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