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Another big splenic thrombus

Sonopath Forum

Another big splenic thrombus

  • Retriever, female, neutralized, 6 years, the same one who is suspected of hypoadrenocorticism (another topic) 
  • progressive slimming (-5 kg in one month), low platelets count, hypoadrenocorticism not yet confirmed
  • large thrombus in splenic hilum extending to splenic vein
  • a nodule in the spleen and a hypoechogenic area
  • in these cases of flow obstruction do you recommend splenectomy? clinically she’s fine but the thrombus is increased
  • would you rule out a neoplastic process?

  • Retriever, female, neutralized, 6 years, the same one who is suspected of hypoadrenocorticism (another topic) 
  • progressive slimming (-5 kg in one month), low platelets count, hypoadrenocorticism not yet confirmed
  • large thrombus in splenic hilum extending to splenic vein
  • a nodule in the spleen and a hypoechogenic area
  • in these cases of flow obstruction do you recommend splenectomy? clinically she’s fine but the thrombus is increased
  • would you rule out a neoplastic process?

 

Regards,

Adams.

Comments

rlobetti

The developing

The developing thrombocytopenia can be related to splenic pathology. Would recommend splenectomy with histopath of the spleen.

EL

ITP and round cell neoplasia

ITP and round cell neoplasia are my top 2 hyperthrombotic states and could make an argument for both potentially being present. Watch for extention the pv and then ascites from prehepatic portal hypertention. I agree wiht remo stabiliuze th esplatelkets and remove the spleen if nothing says lsa eslewhere. That splenic thrombus looks pretty packed in there I doubt plavix or other will help through i have had luck with plasma/plavix combo on portal thrombosis and splenic thrombosis but tough when they are well organized like this one.

Here are some similar thrombosis cases from the basic search key word  “thrombus.”

https://sonopath.com/members/case-studies/search?text=portal+thrombus&species=All