Feline pancreatic cysts are uncommon, and there have been four relevant cases reported previously, including two cases of true cysts and two cases of pseudocysts. The present case involved an 11-year-old cat, which was diagnosed with a pancreatic cyst at the referring animal hospital, underwent paracentesis, and received medications. Although the cat showed temporal improvement, several clinical symptoms such as vomiting, anorexia, and jaundice then developed. The cat was referred to our hospital for surgical treatment. On surgical exploration, the cyst was found to harbor severe adhesions with surrounding tissues, and the common bile duct and pancreatic duct were obstructed or constricted by the cyst. A cyst-to-duodenum anastomosis was established because the positions of the cyst and duodenum were suitable for this procedure. After the surgery, the cat’s condition and hyperbilirubinemia improved greatly. Moreover, the size of the cyst gradually decreased during the postoperative course. Pathological evaluation revealed that the cyst was a consequence of no neoplastic changes and chronic, proliferative, pleocellular inflammation. The lack of epithelial lining indicated that this pancreatic cyst was a pancreatic pseudocyst secondary to inflammation. This is the first report of a pancreatic pseudocyst that was treated via a cyst-to-duodenum anastomosis, resulting in an improvement in the clinical symptoms and alleviation of hyperbilirubinemia.
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