Funding: No funding was provided for this case report.
IMAGING DIAGNOSIS—HYPOGLYCEMIA ASSOCIATED WITH CHOLANGIOCARCINOMA AND PERITONEAL CARCINOMATOSIS IN A HORSE
Version of Record online: 17 SEP 2013
© 2013 American College of Veterinary Radiology
Veterinary Radiology & Ultrasound
Volume 56, Issue 1, pages E9–E12, January/February 2015
How to Cite
Wong, D., Hepworth, K., Yaeger, M., Miles, K. and Wilgenbusch, C. (2015), IMAGING DIAGNOSIS—HYPOGLYCEMIA ASSOCIATED WITH CHOLANGIOCARCINOMA AND PERITONEAL CARCINOMATOSIS IN A HORSE. Veterinary Radiology & Ultrasound, 56: E9–E12. doi: 10.1111/vru.12107
Previous Publication: No portion of this report has been previously reported.
- Issue online: 15 JAN 2015
- Version of Record online: 17 SEP 2013
- Manuscript Accepted: 13 JUL 2013
- Manuscript Received: 28 MAY 2013
An 8-year-old Thoroughbred mare presented for decreased appetite, ataxia, and weakness. Abdominal ultrasound revealed a large volume of anechoic fluid along with multiple masses involving the spleen, liver, and diaphragm. Pleural fluid was identified via ultrasonography and thoracic radiography. Thoracic radiographs also identified pulmonary interstitial nodules, an undulant dorsal diaphragmatic margin and enlargement of tracheobronchial lymph nodes. Clinical signs of weakness and mild seizures were concurrent with hypoglycemic episodes. The final diagnosis was cholangiocarcinoma with extensive metastasis. Clinical signs of weakness, ataxia, and seizures were attributed to a paraneoplastic syndrome of tumor-associated hypoglycemia that has been infrequently reported in horses.