Raisin Ingestion and Pancreatitis in a 10-Year-Old Cocker Spaniel
A ten-year-old female spayed cocker spaniel presented to Cornell Emergency Service on April 1, 2017 for acute ingestion of a 20 oz container of raisins. On presentation, physical examination was unremarkable, aside from the fact that the dog was nervous and panting. Initial point of care blood work and urinalysis were within normal limits. Treatment included induction of emesis with apomorphine, and administration of activated charcoal. She was admitted to the intensive care unit for further monitoring, and fluid therapy to promote diuresis and prevent acute renal failure caused by raisins. The following day, the patient had two episodes of vomiting, and a concern for aspiration was raised; however, thoracic radiographs showed no evidence of aspira-tion at the time. Two days post-ingestion, vomiting subsided, but she was painful upon abdomi-nal palpation, and inappetent. After notification from the owner of the possible ingestion of a foreign body, an abdominal ultrasound was performed, which showed no signs of a foreign body, but revealed pancreatitis. The patient improved with supportive care and was discharged with no evidence of acute renal failure, and continued medical management of the pancreatitis.
The objective of this case report is to present the management of raisin ingestion toxicity, and the diagnosis and treatment of acute pancreatitis in dogs.