Message Number: FHL11269 | New FHL Archives Search
From: Sukie Crandall
Date: 2010-04-06 19:18:23 UTC
Subject: [ferrethealth] I wonder if his mediastinum has been like that as a complication of pancreatitis?
To: fhl <>

It hit me that with the way he was vascillating maybe he had developed=20
pancreatitis, so I wondered about possible thoracic complications.

Having one possible explanation rather than several is usually a good=20
thing and luckily is more often correct, though we HAVE had elderly=20
ferrets with multiple health issues, certainly, and seeing Hilbert's=20
heart by ultrasound makes extra sense since he has neural crest=20
genetic variation fur splotches.

Human (but I don't see any veterinary work on thoracic complications=20
of pancreatitis):


April 1989 - Volume 4 - Issue 2 > Thoracic Complications of Pancreatitis

Article: PDF Only
Thoracic Complications of PancreatitisIacono, Calogero; Procacci,=20
Carlo; Frigo, Flavio; Andreis, Ivo Andrea Bergamo; Cesaro, Giulio;=20
Caia, Sirnone; Bassi, Claudio; Pederzoli, Paolo; Serio, Giovanni;=20
Dagradi, Adamo

> Summary: Pancreatitis may be associated with thoracic complications,=20
> notably chronic massive pleural effusion (CMPE) and, rarely,=20
> pseudocysts with mediastinal extension (PME) and enzymatic=20
> mediastinitis (EM). Our personal experience with 14 cases of=20
> thoracic complications (nine CMPE, two PME associated with pleural=20
> effusion, and three EM of 670 patients who underwent surgery; of=20
> these, 191 had acute and 479 had chronic pancreatitis) during 16=20
> years (1970-1986) is reported. In the patients with CMPE, the=20
> initial symptoms were progressive dyspnea eventually associated with=20
> cough and chest pain. In the PME cases, there was dysphagia=20
> associated with left subscapular pain and left chest pain. The=20
> initial signs in the patients with EM were sudden dyspnea, cyanosis,=20
> retrosternal pain, tachycardia, and acute heart failure. A fistula=20
> between the pancreatic ductal system and the pleural cavity in seven=20
> of the nine patients with CMPE was demonstrated by intraoperative=20
> pancreatography and/ or cystography. On the contrary, preoperative=20
> endoscopic pancreatography demonstrated the sinus tract in only=20
> three of the seven. In both cases of PME, computed tomography (CT)=20
> provided a correct diagnosis that was confirmed at surgery. In the=20
> patients with EM, the diagnosis was suggested by the clinical=20
> appearance and was confirmed by the chest roentgenogram and by CT.=20
> All patients had operations after varying periods of unsuccessful=20
> 2-4-week-long conservative treatment. One patient with infected=20
> ascites died postoperatively. There were no thoracic recurrences of=20
> pancreatic disease among the other patients at a 10-month-10-year=20
> follow-up observation after surgery.
> (C) Lippincott-Raven Publishers.

> American Journal of Roentgenology, Vol 134, Issue 6, 1121-1132
> Copyright =A9 1980 by American Roentgen Ray Society
> Articles
> CT of fluid collections associated with pancreatitisSS Siegelman, BE=20
> Copeland, GP Saba, JL Cameron, RC Sanders, and EA Zerhouni
> Fluid collections are an important component of severe pancreatitis=20
> because they may produce a detectable mass and may be responsible=20
> for prolongation of fever and pain. Among 59 cases of clinically=20
> verified pancreatitis, 32 were shown by CT to be complicated by=20
> pancreatic and/or extrapancreatic fluid collections. Pancreatic=20
> fluid collections, diagnosed in 16 patients, were typically on the=20
> anterior or anterolateral surface of the gland and were covered only=20
> by a thin layer of fibrous connective tissue. Extrapancreatic fluid=20
> collections were detected in the lesser sac (19 cases), anterior=20
> pararenal space (15), posterior pararenal space (six), in or around=20
> the left lobe of the liver (five), in the spleen (three), and in the=20
> mediastinum (one). The potential undesirable consequences of escape=20
> of pancreatic juice are necrosis, abscess formation, or prolonged=20
> inflammation of the peripancreatic tissues. Relative preservation of=20
> pancreatic integrity as observed by CT was regularly found in=20
> patients with large extrapancreatic fluid collections, suggesting=20
> that escape of pancreatic juice produces a beneficial decompression=20
> of the pancreatic duct system.

Sukie (not a vet)

Recommended ferret health links:
all ferret topics:

"All hail the procrastinators for they shall rule the world tomorrow."
(2010, Steve Crandall)

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