Berm is a 2 year-old French Bulldog with a leucocytosis (WBC around 30,000). The dog seems to be fine. He can walk and eat normally. My associate scan him and found
Berm is a 2 year-old French Bulldog with a leucocytosis (WBC around 30,000). The dog seems to be fine. He can walk and eat normally. My associate scan him and found
what looked like splenic torsion, he thinks it’s more likely splenitis since the dog seems to be okay which I agree. In my opinion, splenic torsion should be presented with more serious clinical signs (I’ve never met one myself though). So, your opinion is needed here to help us clarigy things. Thanks.
P.S. the client feeds him with raw chicken, do you think this is related with this lesion?
Comments
It may be splenitis, I would
It may be splenitis, I would FNA spleen since it is so abnormal.
Put the color flow Doppler on the splenic vein, look for blood flow , r/o thrombosis of splenic vein,
Torsion will have no color flow
Aspirate the left lateral liver, capsule appears to be bulging, liver parenchyma appears course with areas of hypoechogenicity. Rule out systemic disease
Even though your Frenchie seems fine, the ultrasound findings and severe leukosis concerns me, I would cover with antibiotic cocktail like Baytril/Clavamox or equivalent multiquadrant therapy
Good Luck, keep us posted
Doug
It may be splenitis, I would
It may be splenitis, I would FNA spleen since it is so abnormal.
Put the color flow Doppler on the splenic vein, look for blood flow , r/o thrombosis of splenic vein,
Torsion will have no color flow
Aspirate the left lateral liver, capsule appears to be bulging, liver parenchyma appears course with areas of hypoechogenicity. Rule out systemic disease
Even though your Frenchie seems fine, the ultrasound findings and severe leukosis concerns me, I would cover with antibiotic cocktail like Baytril/Clavamox or equivalent multiquadrant therapy
Good Luck, keep us posted
Doug
I agree with Doug. Splenitis
I agree with Doug. Splenitis possible but I would prefer torsion since it looks necrotic to me. These patients typically have initial clinical signs followed by a short time period where they do quite well and then come up with anemia, leukocytosis and do worse. The hyperechoic fat around the spleen makes me worry. If it was my case I would take it out and send to histopath. But a few days trial with antibiotics under clinical supervision can of course be tried as well…
I agree with Doug. Splenitis
I agree with Doug. Splenitis possible but I would prefer torsion since it looks necrotic to me. These patients typically have initial clinical signs followed by a short time period where they do quite well and then come up with anemia, leukocytosis and do worse. The hyperechoic fat around the spleen makes me worry. If it was my case I would take it out and send to histopath. But a few days trial with antibiotics under clinical supervision can of course be tried as well…
looking again at the
looking again at the pictures, I would remove it…
looking again at the
looking again at the pictures, I would remove it…
The spleen has the typical
The spleen has the typical reticular pattern described with torsion, so I would go for torsion rather than splenitis. Leukocytosis secondary to necrotic reaction within spleen. Do not be fooled by the apparent normal appearance of the patient. Do you have the red cell count and platelet count, as often these are low.
Agree with Doug – use colour flow doppler.
Splenectomy would be way to go for this patient.
The spleen has the typical
The spleen has the typical reticular pattern described with torsion, so I would go for torsion rather than splenitis. Leukocytosis secondary to necrotic reaction within spleen. Do not be fooled by the apparent normal appearance of the patient. Do you have the red cell count and platelet count, as often these are low.
Agree with Doug – use colour flow doppler.
Splenectomy would be way to go for this patient.
Dear all,
I asked RDVM
Dear all,
I asked RDVM about the details of the case, hereby are the blood results:
On 28/10/2013
– WBC = 39500 cells/uL
– Neutrophils = 25,155 cells/uL
– Lymphocytes = 2,765 cells/uL
– Monocytes = 1,580 cells/uL
– Hct = 21%
– SNAP cPL: normal
– SNAP 4DX: negative all
– ALT = 76
– ALP = 147
On 30/10/2013:
– Total protein = 8 g/DL
– HCt = 24%
– Urinalysis: Protein 3+, Bilirubin 3+, Hemoglobin 4+, Urine specific gravity = 1.020
Thanks.
Dear all,
I asked RDVM
Dear all,
I asked RDVM about the details of the case, hereby are the blood results:
On 28/10/2013
– WBC = 39500 cells/uL
– Neutrophils = 25,155 cells/uL
– Lymphocytes = 2,765 cells/uL
– Monocytes = 1,580 cells/uL
– Hct = 21%
– SNAP cPL: normal
– SNAP 4DX: negative all
– ALT = 76
– ALP = 147
On 30/10/2013:
– Total protein = 8 g/DL
– HCt = 24%
– Urinalysis: Protein 3+, Bilirubin 3+, Hemoglobin 4+, Urine specific gravity = 1.020
Thanks.
I would go for splenectomy,
I would go for splenectomy, cbc is typical for torsion
I would go for splenectomy,
I would go for splenectomy, cbc is typical for torsion
Thanks for all comment, I’ll
Thanks for all comment, I’ll inform RDVM right away!
Thanks for all comment, I’ll
Thanks for all comment, I’ll inform RDVM right away!
splenectomy for sure has all
splenectomy for sure has all criteria for torsion
splenectomy for sure has all
splenectomy for sure has all criteria for torsion