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Splenic Torsion

Case Of the Month

Case Of the Month

Splenic Torsion

Splenic Torsion & The Sonogram.

Middle aged Great Dane, vomiting, lethargy, recent onset “ADR”….. put on the probe & ask yourself the clinical sonographer’s favorite and most useful question, “What does this?.” It’s another looks-like-neoplasia-but-isn’t pathology imaged & cut by Drs. Cerf & Stancel @ Ridgewood V.H., Ridgewood, NJ, USA & interpretation by Dr. Lindquist of SonoPath.com.

Sonogram (Spleen): Angel Solazo

Splenic Torsion & The Sonogram.

Middle aged Great Dane, vomiting, lethargy, recent onset “ADR”….. put on the probe & ask yourself the clinical sonographer’s favorite and most useful question, “What does this?.” It’s another looks-like-neoplasia-but-isn’t pathology imaged & cut by Drs. Cerf & Stancel @ Ridgewood V.H., Ridgewood, NJ, USA & interpretation by Dr. Lindquist of SonoPath.com.

Sonogram (Spleen): Angel Solazo

History(Kohmescer): An intact 7-year-old female Great Dane dog presented for a history of vomiting and lethargic over a couple days. At the previous assessment anemia (32.5%), leukocytosis, and ascites was present. On follow up assessment the anemia had worsened ( 27.5%) and the leukocytosis was similar. ECG revealed VPCs. On cursory abdominal ultrasonography ascites and hyperechoic hepatic nodules were evident. The ascitic fluid was quantified as hemabdomen.

Outcome

The patient recovered uneventfully. ECG results were normal on follow-up.

Comments

Special Thanks to Drs. Cerf & Stancel at Ridgewood Veterinary Hospital, Ridgewood NJ, USA for their excellent management of this case. www.ridgewoodvet.com

Clinical Differential Diagnosis

(Remo Lobetti PhD, DECVIM):

Spleen – neoplasia, torsion, trauma
Liver – neoplasia (primary or metastatic), nodular regeneration, hematomas, granulomas
Hemorrhagic diathesis
Intra-abdominal neoplasia

Sampling

(Cerf DVM, Stancel DVM, www.ridgewoodvet.com):

Sonographic Differential Diagnosis

(Lindquist DMV, DABVP): This is strongly suspicious of a splenic torsion with the potential for underlying, concurrent neoplasia.

Video

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Patient Information

Gender : Female, Intact
Species : Canine

Images

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