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Splenic torsion? Thrombosis?

Sonopath Forum

Splenic torsion? Thrombosis?

– 8 yr old MN Bull dog in a wheel chair due hind paralysis (diagnosis unknown) 

– presented with acute vomiting and pale mm; did not appear painful in the abdomen

– trace abdominal effusion seen between the liver and spleen

– the spleen is enlarged and “meaty”looking (normal for breed vs abnormal); no colour flow at the splenic hilus (repeatable); hyperechoic surrounding fat

– the paranchyma does not show the typical hypoechoic lacey appearance described for splenic torsion but I am wondering if this could be an acute presentation?

– 8 yr old MN Bull dog in a wheel chair due hind paralysis (diagnosis unknown) 

– presented with acute vomiting and pale mm; did not appear painful in the abdomen

– trace abdominal effusion seen between the liver and spleen

– the spleen is enlarged and “meaty”looking (normal for breed vs abnormal); no colour flow at the splenic hilus (repeatable); hyperechoic surrounding fat

– the paranchyma does not show the typical hypoechoic lacey appearance described for splenic torsion but I am wondering if this could be an acute presentation?

– also there appears to be a “perivenous hyperechoic triangle” at the level of the portal hilus decscribed in d’Anjou’s textbook

– no murphy sign during scanning but the dog is partially paralyzed and in diapers?

(echo normal, bloodwork and clotting profile pending)