The source(s) of pancreatic pathogens is uncertain, although the colon
is usually implicated. We studied whether pathogens may spread from d
ifferent sites in a feline model of the disease. Acute pancreatitis wa
s induced using a standard technique and a distinctive clinical strain
of Escherichia coli as the marker bacterium. E. coli were placed in t
he colon, gall bladder, main pancreatic duct, or obstructed renal pelv
is of control cats (no pancreatitis) and acute pancreatitis cats. Panc
reases were colonized from each source, whether or not pancreatitis wa
s present. The pancreatic colonization rate was greater in acute pancr
eatitis only when E. coli had been placed in the colon. In conclusion,
E. coli may spread to the pancreas from different sources. The high r
ate of pancreatic colonization in both control and inflamed glands sug
gested that, clinically, bacteria may spread to the pancreas more freq
uently than is currently thought.