Chronic Suppurative Steatitis Secondary to Pancreatitis in a Dog

개의 췌장염에 의한 만성 화농성 지방조직염증

  • Choi, Ji-Hye (Haemaru Referral Animal Hospital) ;
  • Kim, Hyun-Wook (Haemaru Referral Animal Hospital) ;
  • Jang, Jae-Young (Haemaru Referral Animal Hospital) ;
  • Seo, Ji-Min (Haemaru Referral Animal Hospital) ;
  • Lee, Min-Jung (Haemaru Referral Animal Hospital) ;
  • Choi, Ul-Soo (Haemaru Referral Animal Hospital) ;
  • Kim, Mi-Eun (College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Yoon, Jung-Hee (College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University)
  • 최지혜 (해마루 이차진료동물병원) ;
  • 김현욱 (해마루 이차진료동물병원) ;
  • 장재영 (해마루 이차진료동물병원) ;
  • 서지민 (해마루 이차진료동물병원) ;
  • 이민정 (해마루 이차진료동물병원) ;
  • 최을수 (해마루 이차진료동물병원) ;
  • 김미은 (서울대학교 수의과대학 BK21수의과학(연구인력양성)사업단) ;
  • 윤정희 (서울대학교 수의과대학 BK21수의과학(연구인력양성)사업단)
  • Published : 2009.02.27

Abstract

A Maltese was presented with a subcutaneous mass at right flank, depression and hyperthermia. Ultrasonography revealed a hypoechoic mass with hyperechoic foci, a defect of abdominal wall and peritonitis. In cytology, fat necrosis was found. This dog was diagnosed as chronic suppurative steatitis secondary to pancreatitis and pancreatic herniation through surgery and histopathologic examination. Steatitis is recurrent inflammation and necrosis of adipose tissue. Also steatitis associated with pancreatic diseases such as pancreatitis and pancreatic tumor was reported and direct fat necrosis by pancreatic enzyme was supposed as the etiology. Steatitis secondary to pancreatitis was rarely reported in dogs and there was difficulty in diagnosis and treatment. This case has a limitation that pancreatitis was not diagnosed as underlying cause to steatitis before surgery. However, a defect of abdominal wall and peritonitis were observed on ultrasonography. Good prognosis could be achieved through prompt surgery and medical treatment.

Keywords

References

  1. Berman B, Conteas C, Smith B, Leong S, Hombeck L III. Fatal pancreatitis presenting with subcutaneous fat necrosis. J Am Acad Dermatol 1987; 17: 359-364 https://doi.org/10.1016/S0190-9622(87)70213-8
  2. Brown PJ, Mason KV, Merrett DJ. Multifocal necrotizing steatitis associated with pancreatic carcinoma in three dogs. J Small Anim Pract 1994; 35: 129-132 https://doi.org/10.1111/j.1748-5827.1994.tb03913.x
  3. Cribb AE, Burgener DC, Reimann KA. Bile duct obstruction secondary to chronic pancreatitis seven dogs. Can Vet J 1998; 29: 654-657
  4. Fabbrini F, Anfray P, Viacava P, Gregori M, Abramo F. Feline cutaneous and visceral necrotizing panniculitis and steatitis associated with a pancreatic tumor. Vet Dermatol 2005; 16: 413-419 https://doi.org/10.1111/j.1365-3164.2005.00481.x
  5. German AJ, Foster AP, Holden D, Hotstone MA, Day MJ, Hall EJ. Sterile nodular panniculitis and pansteatitis in three Weimaraners. J Small Anim Pract 2003; 44: 449-455 https://doi.org/10.1111/j.1748-5827.2003.tb00104.x
  6. Hughes D, Goldschmidt MH, Washabau RJ, Kueppers F. Serum a1 antitrypsin concentration in dogs with panniculitis. J Am Vet Med Assoc 1996; 209: 1582-1584
  7. Johnson MA, Kannan DG, Balachandar TG, Jeswanth S, Rajendran S, Surendran R. Acute septal panniculitis. A cutaneous marker of a very early stage of pancreatic panniculitis including acute pancreatitis. J Panc 2005; 6: 334- 338
  8. Lee WS, Kim MY, Kim SW, Paik CN, Kim HO, Park YM. Fatal pancreatic panniculitis associated with acute pancreatitis: a case report. J Kor Med Sci 2007; 22: 914-917 https://doi.org/10.3346/jkms.2007.22.5.914
  9. Mellanby RJ, Stell A, Baines E, Chanrey JC, Herrtage ME. Panniculitis associated with pancreatitis in a cocker spaniel. J Small Anim Pract 2003; 44: 24-28 https://doi.org/10.1111/j.1748-5827.2003.tb00100.x
  10. Moreau PM, Fiske RA, Less GE, Corrier DE. Disseminated necrotizing panniculitis and pancreatic nodular hyperplasia in a dog. J Am Vet Med Assoc 1982; 180: 422-425
  11. Niza MMRE, Vilela CL, Ferreira LMA. Feline pansteatitis revisited: hazard of unbalanced homemade diets. J Feline Med Surg 2003; 5: 271-277 https://doi.org/10.1016/S1098-612X(03)00051-2
  12. Paterson S. Panniculitis associated with pancreatic necrosis in a dog. J Small Anim Pract 1994; 35: 116-118 https://doi.org/10.1111/j.1748-5827.1994.tb02553.x
  13. Quigkey KA, Jackson ML, Haines DM. Hyperlipasemia in six dogs with pancreatic or hepatic neoplasia: evidence for tumor lipase production. Vet Clin Pathol 2001; 30: 114-120 https://doi.org/10.1111/j.1939-165X.2001.tb00418.x
  14. Ryan CP, Howard EB. Weber-Christian syndrome. Systemic lipodystrophy associated with pancreatitis in a cat. Feline Pract 1981; 11: 31-34
  15. Scott DW, Anderson WI. Panniculitis in dogs and cats: a retrospective analysis of 78 cases. J Am Anim Hosp Assoc 1988; 24: 551-559
  16. Scott DW, Miller WH, Griffin CE, Miscellaneous skin disease. Eds Scott DW, Miller WH, Griffin CE. In: Muller and Kirk's Small Animal Dermatology, $6^{th}$ ed. Philadelphia: WBSaunders, 2001: 1156-1162
  17. Summers BA, Sykes G, Martin ML. Pansteatitis mimicking infectious peritonitis in a cat. J Am Vet Med Assoc 1982; 180: 546-549
  18. Torres SMF. Sterile nodular dermatitis in dogs. Vet Clin North Am Small Anim Pract 1999; 29: 1311-1323
  19. Williams DA. Exocrine pancreatic disease. Eds Ettiger SJ, Feldman EC. In: Textbook of veterinary internal medicine, $5^{th}$ ed. Philadelphia: WB Saunders, 2000: 1345-1367
  20. Wilson HA, Askari AD, Neuderhiser DH, Johnson AM, Andrews BS, Hoskins LC. Pancreatitis with arthropathy and subcutaneous fat necrosis: evidence for the pathogenicity of lipolytic enzymes. Arthritis Rheum 1983; 26: 121-126 https://doi.org/10.1002/art.1780260201