{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:53:13Z","timestamp":1787025193044,"version":"build-2736575974"},"reference-count":12,"publisher":"American Veterinary Medical Association (AVMA)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2019,7,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>CASE DESCRIPTION<\/jats:bold>\n                    A 15-year-old spayed female domestic shorthair cat was examined because of a 1-year history of daily vomiting, which was not associated with food intake.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CLINICAL FINDINGS<\/jats:bold>\n                    Initial physical examination findings and serial hematologic and serum biochemical results were unremarkable except for the presence of a grade 2\/6 left-sided heart murmur and persistent mild azotemia. A well-defined multilobulated cystic structure located between the spleen and left kidney was identified by abdominal ultrasonography.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>TREATMENT AND OUTCOME<\/jats:bold>\n                    Laparoscopic exploration revealed that the cystic structure originated from the left pancreatic limb. With laparoscopic guidance, the structure was percutaneously drained and underwent omentalization. Then, a partial cystectomy was performed to obtain a tissue specimen for histologic evaluation. The vomiting resolved for a short period immediately after surgery and then gradually resumed over 6 months, albeit with less frequency than prior to surgery. The histologic diagnosis was pancreatic cyst. Abdominal ultrasonography performed 6 months after surgery revealed that the original cyst had completely resolved but multiple smaller cysts had developed. The serum feline pancreas-specific lipase activity was not measured before surgery but remained increased from the reference limit following surgery, and chronic pancreatitis was considered the most likely cause of pancreatic cyst formation.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CLINICAL RELEVANCE<\/jats:bold>\n                    Laparoscopic-guided drainage and omentalization of a large pancreatic cyst resulted in a satisfactory outcome for the cat of this report and can be considered an alternative to percutaneous ultrasound-guided cyst drainage and the more invasive laparotomy approach for pancreatic cystectomy with or without omentalization.\n                  <\/jats:p>","DOI":"10.2460\/javma.255.2.213","type":"journal-article","created":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T12:20:02Z","timestamp":1561983602000},"page":"213-218","source":"Crossref","is-referenced-by-count":12,"title":["Laparoscopic omentalization of a pancreatic cyst in a cat"],"prefix":"10.2460","volume":"255","author":[{"given":"Michael","family":"Br\u00fcckner","sequence":"first","affiliation":[{"name":"1 Bl\u00e5 Stj\u00e4rnans Djursjukhus G\u00f6teborg AB, Gjutj\u00e4rnsgatan 4, 417 07 G\u00f6teborg, Sweden."},{"name":"1 Bl\u00e5 Stj\u00e4rnans Djursjukhus G\u00f6teborg AB, Gjutj\u00e4rnsgatan 4, 417 07 G\u00f6teborg, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1016\/j.jfms.2010.06.005","article-title":"Multiple recurrent pancreatic cysts with associated pancreatic inflammation and atrophy in a cat","volume":"12","author":"Branter","year":"2010"},{"key":"ref2","series-title":"N Z Vet J","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1080\/00480169.2005.36495","article-title":"Pancreatic cyst in a cat","volume":"53","author":"Coleman","year":"2005"},{"key":"ref3","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"147","DOI":"10.5326\/15473317-32-2-147","article-title":"Pancreatic pseudocyst associated with chronic-active necrotizing pancreatitis in a cat","volume":"32","author":"Hines","year":"1996"},{"key":"ref4","series-title":"J Vet Intern Med","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1111\/j.1939-1676.1999.tb02186.x","article-title":"Pancreatic pseudocysts in 4 dogs and 2 cats: ultrasonographic and clinicopathologic findings","volume":"13","author":"VanEnkevort","year":"1999"},{"key":"ref5","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"180","DOI":"10.5326\/JAAHA-MS-6122","article-title":"Pancreatic abscess in a cat with diabetes mellitus","volume":"51","author":"Lee","year":"2015"},{"key":"ref6","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"171","DOI":"10.5326\/0440171","article-title":"Pancreatic abscess in 36 dogs: a retrospective analysis of prognostic indicators","volume":"44","author":"Anderson","year":"2008"},{"key":"ref7","series-title":"Aust Vet J","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1111\/j.1751-0813.2000.tb10534.x","article-title":"Pancreatic pseudocyst causing extrahepatic biliary obstruction in a dog","volume":"78","author":"Marchevsky","year":"2000"},{"key":"ref8","series-title":"Can Vet J","first-page":"1169","article-title":"Attempted ultrasound-guided ethanol ablation of a suspected pancreatic pseudocyst in a dog","volume":"57","author":"Sadler","year":"2016"},{"key":"ref9","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"515","DOI":"10.5326\/15473317-34-6-515","article-title":"Resolution of a pancreatic pseudocyst in a dog following percutaneous ultrasonographic-guided drainage","volume":"34","author":"Smith","year":"1998"},{"key":"ref10","series-title":"J Clin Ultrasound","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1002\/jcu.1870200304","article-title":"Assessment of value of pancreatic pseudocyst amylase concentration in the treatment of pancreatic pseudocysts by percutaneous evacuation","volume":"20","author":"Duvnjak","year":"1992"},{"key":"ref11","series-title":"Gastroenterology","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1016\/0016-5085(95)90224-4","article-title":"Preoperative cyst fluid analysis is useful for the differential diagnosis of cystic lesions of the pancreas","volume":"108","author":"Hammel","year":"1995"},{"key":"ref12","series-title":"N Z Vet J","first-page":"197","article-title":"Successful treatment of a pancreatic pseudocyst by omentalisation in a dog (Erratum published in N Z Vet J 2004;52:299)","volume":"52","author":"Jerram","year":"2004"}],"container-title":["Journal of the American 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