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Peer-reviewed veterinary case report

Chronic primary splenic torsion with peritoneal adhesions in a dog: case report and literature review.

Journal:
Journal of the American Animal Hospital Association
Year:
2000
Authors:
Weber, N A
Affiliation:
Bloomington Veterinary Hospital · United States
Species:
dog

Plain-English summary

A dog with a history of surgery for a diaphragmatic hernia two years earlier showed up at the vet with ongoing, unclear symptoms and an abdominal mass. An ultrasound revealed that the mass was the spleen, which was twisted about 180 degrees and stuck in that position due to old scar tissue. The veterinarians performed surgery to remove the spleen, and the dog recovered well, with all previous symptoms disappearing. Overall, dogs with this type of spleen issue tend to do well after treatment, even though some complications can happen.

Abstract

Primary splenic torsion in dogs is uncommon and can occur in acute or chronic form. The chronic form is difficult to diagnose because the clinical signs are vague and sometimes intermittent. A dog with a history of diaphragmatic hernia repair two years previously presented with chronic, vague clinical signs and an abdominal mass. The mass was revealed to be spleen on ultrasonography. On exploratory laparotomy, the dog was found to have a splenic torsion of approximately 180 degrees with mature, fibrous adhesions retaining the spleen in a torsed position. A splenectomy was performed, and the dog recovered uneventfully with complete resolution of prior clinical signs. Prognosis for dogs with splenic torsion is good, although complications are relatively common.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/10997513/