An 11 year old, MN, Rhodesian Ridgeback dog was presented for nonspecific symptoms (ADR). Abdominal mass was palpated. The dog had a subnormal temp (98.8) and pale mucus membranes. Altered CBC/Chem/UA values included leukocytosis, mild azotemia, and mild hypoglobulinemia. Radiographs demonstrated a mass effect in the right abdomen.
An 11 year old, MN, Rhodesian Ridgeback dog was presented for nonspecific symptoms (ADR). Abdominal mass was palpated. The dog had a subnormal temp (98.8) and pale mucus membranes. Altered CBC/Chem/UA values included leukocytosis, mild azotemia, and mild hypoglobulinemia. Radiographs demonstrated a mass effect in the right abdomen.
Case Study
Splenic hematoma in a 11 year old MN Rhodesian Ridgeback dog
Sonographic Differential Diagnosis
Splenic mass with separate nodule. Sarcoma (round cell neoplasia), hematoma, hemangiosarcoma suspected.
Image Interpretation
The spleen presented a 6+ cm, mixed, hypoechoic mass with a separate target type nodule that measured 2.15 cm with capsular expansion. There was no evidence of rupture noted.
Rapid view of the right atrium and pericardium revealed no evidence of metastatic disease.
DX
Splenic hematoma
Outcome
No further outcome at this time.
Comments
After ultrasound, exploratory surgery was recommended, with splenectomy and inspection of the liver (even though no evidence of metastatic disease was noted). Three view chest radiographs would be warranted prior to surgery.
Clinical Differential Diagnosis
Abdominal mass – neoplasia, cyst, granuloma or abscess of any of the following organs: liver, spleen, kidney, lymph node, mesentery, or pancreas. Splenic torsion. Hydronephrosis.
Sampling
At splenectomy, no metastasis to the liver was found. Histopathology results suggested the mass was a hematoma.
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Patient Information
Patient Name :
Sherman G
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Book :
yes
Status :
Complete
Liz Wuz Here :
Yes
Code :
08_00076
Clinical Signs
- "Not Doing Right"
Exam Finding
- Hypothermia
- Pale Mucous Membranes
- Palpable mass
Images
Blood Chemistry
- Azotemia
- Globulin, Low
CBC
- WBC, High
Clinical Signs
- "Not Doing Right"