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Splenic “stump”

Sonopath Forum

Splenic “stump”

14 year old F/S Westie

History:March 2011 – splenectomy – had large mass on spleen. Owner declined to send away 🙁

July 2013 – pancreatitis

Oct 2014 – golf-ball sized mammary mass removed. Owner declined to send away 🙁 Pre-an bloodwork WNLs.

14 year old F/S Westie

History:March 2011 – splenectomy – had large mass on spleen. Owner declined to send away 🙁

July 2013 – pancreatitis

Oct 2014 – golf-ball sized mammary mass removed. Owner declined to send away 🙁 Pre-an bloodwork WNLs.

Dec 3, 2014 – presented for excessive panting. Had been through a lot recently – owner passed away, rehomed, then moved into a senior living complex. NAF on exam other than nervous dog. NAF on cbc/chem other than mild stress leukogram. Full abdominal ultrasound performed. Several small renal cortical cysts seen (incidental). There was also an anechoic area between stomach and LK, sitting directly above the L adrenal gland that I have attached. I called it the “splenic stump” because I thought it might be the remnant as there were several small “tubes” branching outwards…now I am wondering whether it is the pancreas… I have never ultrasounded a dog without a spleen – do you normally see much if the entire thing is removed?

I also thought I could see a little bit of retroperitoneal fluid around the LK – am I imagining it?

Thanks!

Jennifer

 

Comments

EL

This looks like a bad

This looks like a bad pancreatitis at the caudal aspect of the left pancreatic limb but very iundiofferentiated in structure so depending on the splenic pathology(sarcoma) seeding fromt he spleen can do this. 22 g fna should define this then if spleen/sarcoma needs aggressive resection if panc then tx medically. Right limb and base of panc look a little hetero but not a primary issue. Nice post

EL

This looks like a bad

This looks like a bad pancreatitis at the caudal aspect of the left pancreatic limb but very iundiofferentiated in structure so depending on the splenic pathology(sarcoma) seeding fromt he spleen can do this. 22 g fna should define this then if spleen/sarcoma needs aggressive resection if panc then tx medically. Right limb and base of panc look a little hetero but not a primary issue. Nice post