Splenic abscess diagnosed by FNA in a 7 year old MI pit bull terrier

Case Study

Splenic abscess diagnosed by FNA in a 7 year old MI pit bull terrier

A 7 year old intact male pit bull terrier was presented for an abdominal tumor. Abnormalities on CBC and serum biochemistry were severe anemia and hypoalbuminemia.

A 7 year old intact male pit bull terrier was presented for an abdominal tumor. Abnormalities on CBC and serum biochemistry were severe anemia and hypoalbuminemia.

Sonographic Differential Diagnosis

Multiple splenic masses.
Either benign (asbcessesation/splenitis, degenerative hyperplasia, fungal) or malignant (hemangiosarcoma, round cell neoplasia) masses are possible.

Image Interpretation

The abdomen in this patient presented significant infiltrative splenic pattern with multiple masses that continued into what appeared to be swollen hepatic contour. This is suggestive of an early infiltrative pattern. The splenic masses measured variably between 6.4 -7.0 cm. However, these lesions were ill-defined, and multiple masses were present.

DX

Splenic abscess

Outcome

The patient was lost to follow-up.

Clinical Differential Diagnosis

Ruptured splenic/hepatic neoplasia, granuloma, abscess, splenic torsion.

Sampling

A splenectomy is likely going to be necessary in this patient. However, fine-needle aspirates of the liver and potentially kidneys would be recommended to ensure that no concurrent infiltrative process is present in these organs. Fine-needle aspirates of the spleen were obtained. The cytologic appearance was very consistent with abscessation.
Splenectomy confirmed splenic abscesses.

Patient Information

Patient Name : Pusher P
Gender : Male, Intact
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 08_00043

Clinical Signs

  • Palpable Mass

Images

Splenicmass_11102012032728splenicmass2_11102012032751SplenicFNA_11102012032807

Blood Chemistry

  • Albumin, Low

CBC

  • RBC, Low

Clinical Signs

  • Palpable Mass
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