Severe pancreatitis in a geriatric cat with abdominal pain, fever, mildly elevated bilirubin and a degenerative left shift. The pancreatic duct can be seen traversing the center of the left limb of the pancreas dorsal to the duodenum. The common bile duct was traced from the cystic duct to the major duodenal papilla and was normal for a geriatric feline. Choleliths were also found within the gall bladder but were not noted in the CBD. This patient had an equivocal pancreatic PSL test (Antech, 80% sensitivity) but ultrasound allowed a diagnosis to be attained.
