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June 1, 2026Veterinary Radiology & Ultrasound0 citationsOpen Access

Ultrasonographic and Endoscopic Findings of Pancreatic Adenocarcinoma With Duodenal Invasion in a Brown Bear ( Ursus arctos )

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MSMariana Giendruczak de SouzaAAArthur Carlos da Trindade AlvesBMBernardo de Paula de Miranda

Key Points

  • This report aims to describe the ultrasonographic and endoscopic findings of pancreatic adenocarcinoma in a brown bear with duodenal invasion.
  • Case report of a 25-year-old male brown bear exhibiting clinical signs such as weight loss and diarrhea.
  • Ultrasonography and upper gastrointestinal endoscopy were performed to assess the gastrointestinal masses.
  • Histopathology confirmed the diagnosis of well-differentiated exocrine pancreatic adenocarcinoma.
  • Ultrasound revealed a large, heterogeneous, vascularized mass in the descending duodenum and a cyst in the pancreas.
  • Endoscopy showed a partially obstructive duodenal mass with active bleeding, ultimately leading to the bear's death.
  • Histopathology confirmed the diagnosis of infiltrative pancreatic adenocarcinoma, an uncommon finding in this species.

Abstract

ABSTRACT This report describes a 25‐year‐old, intact male brown bear ( Ursus arctos ) presenting with weight loss, diarrhea, melena, apathy, and a 12% hematocrit. Ultrasound showed proximal duodenal wall thickening with submucosal cysts and a large, heterogeneous, highly vascularized mass in the descending duodenum, containing small gas pockets and compressing the lumen. The pancreas was visualized at the beginning of the descending duodenum, with normal echogenicity and slightly heterogeneous echotexture, containing a large cyst. Upper gastrointestinal endoscopy revealed bleeding and a partially obstructive duodenal mass with abundant fresh blood. A few days later, the animal died from hemorrhage as there were no possibilities for transfusion and consequently surgery. Histopathology revealed well‐differentiated exocrine pancreatic adenocarcinoma infiltrating the duodenum. According to the scarce literature found, the ultrasonographic and endoscopic appearance of pancreatic adenocarcinoma in a brown bear has never been described.

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Cite This Study

Souza et al. (2026) studied this question.

synapsesocial.com/papers/6a1d234302fbce9130638d45https://doi.org/10.1111/vru.70200
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