In case you’ve never seen a splenic torsion, this is what they look like. This one was interesting in that it was a partial torsion. The head of the spleen was completely dead and avascular and the tail still had relatively normal flow and the middle had very weak flow with thrombi in the splenic veins.
Surgeon removed the spleen this morning and it was necrotic and creating lots of regional inflammation.
Because the torsion was partial, the dog was not deathly ill but he was still a very sick dog.
In case you’ve never seen a splenic torsion, this is what they look like. This one was interesting in that it was a partial torsion. The head of the spleen was completely dead and avascular and the tail still had relatively normal flow and the middle had very weak flow with thrombi in the splenic veins.
Surgeon removed the spleen this morning and it was necrotic and creating lots of regional inflammation.
Because the torsion was partial, the dog was not deathly ill but he was still a very sick dog.
Comments
Very cool… is that a
Very cool… is that a thrombus forming in the splenic vein in video 3? Love the pericapsular ill defined fat attached to the splenic capsule at 2 O’clock position in video 1 that tells me “get me out of here!”… any + murphy sign there?
You know it was really odd
You know it was really odd that this dog really didn’t have any +Murphy sign. They did give him some Ace (only, no Torb) before I got there so he was pretty mellow. On top of that he had no significant CBC changes. Owner is the owner of the vet clinic and very experienced DVM. They thought he got kicked by a cow. Happened acutely, as all torsions do. Really amazing.
I have seen a number of these and the dog is usually extremely painful. This dog was just depressed.
Yes, I think that’s a thrombus forming in the splenic vein in that clip.
Like you said about the fat inflammation, I told them regardless of whether this is trauma from a cow kick or a torsion, he needs that spleen out ASAP! Torsion it was (as I suspected).
Very cool… is that a
Very cool… is that a thrombus forming in the splenic vein in video 3? Love the pericapsular ill defined fat attached to the splenic capsule at 2 O’clock position in video 1 that tells me “get me out of here!”… any + murphy sign there?
You know it was really odd
You know it was really odd that this dog really didn’t have any +Murphy sign. They did give him some Ace (only, no Torb) before I got there so he was pretty mellow. On top of that he had no significant CBC changes. Owner is the owner of the vet clinic and very experienced DVM. They thought he got kicked by a cow. Happened acutely, as all torsions do. Really amazing.
I have seen a number of these and the dog is usually extremely painful. This dog was just depressed.
Yes, I think that’s a thrombus forming in the splenic vein in that clip.
Like you said about the fat inflammation, I told them regardless of whether this is trauma from a cow kick or a torsion, he needs that spleen out ASAP! Torsion it was (as I suspected).
I always love the client
I always love the client creativity regarding the history of things that come from within… like lymphoma….”My neighbor must have poisoned him!”…. dx lymphoma…
Kicked by a cow… splenic torsion… I guess it could happen:)
I always love the client
I always love the client creativity regarding the history of things that come from within… like lymphoma….”My neighbor must have poisoned him!”…. dx lymphoma…
Kicked by a cow… splenic torsion… I guess it could happen:)
One could argue that the dog
One could argue that the dog had been kicked by a cow causing severe splenic trauma that resulted in embolus formation within the blood vessels !!
One could argue that the dog
One could argue that the dog had been kicked by a cow causing severe splenic trauma that resulted in embolus formation within the blood vessels !!
sure… marty any bruise on
sure… marty any bruise on the dog around the spleen? Moral of the day: stay away from the cattle they are viscious:)
sure… marty any bruise on
sure… marty any bruise on the dog around the spleen? Moral of the day: stay away from the cattle they are viscious:)
No bruises and none noted
No bruises and none noted abdominally at the time of surgery. He was with cows when it happened, but likely just jumped/ran weird and…flip!
No bruises and none noted
No bruises and none noted abdominally at the time of surgery. He was with cows when it happened, but likely just jumped/ran weird and…flip!
Great pictures Marty! You
Great pictures Marty! You should enter them in Eric’s contest :).
Great pictures Marty! You
Great pictures Marty! You should enter them in Eric’s contest :).