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Peer-reviewed veterinary case report

Low chance of bleeding return after dog spleen tumor removal

By Fourthman, Brooke T et al.·Published in Frontiers in veterinary science·2025·Las Vegas Veterinary Specialty Center, United States·View original on PubMed

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Original publication title: Low prevalence of hemoperitoneum recurrence in dogs following splenectomy for benign splenic tumors.

Species:
dog
Canine hemangiosarcomaStomach & digestionDogs

Plain-English summary

A group of dogs with bleeding in their abdomen due to benign tumors on their spleens underwent surgery to remove the spleen. After the surgery, most of the dogs were healthy, with only a small number experiencing a return of bleeding. In fact, only three dogs had new bleeding episodes related to other issues, such as liver lesions, after the surgery. Overall, the study found that recurrence of bleeding was rare, and most dogs did well after their splenectomy.

People also search for: dog spleen surgery recovery · hemoperitoneum in dogs · benign splenic tumor treatment · dog abdominal bleeding causes

Abstract

INTRODUCTION: The purpose of this study is to describe the outcomes and prevalence of hemoperitoneum recurrence in dogs presumptively cured following splenectomy for spontaneously ruptured benign splenic lesions. METHODS: A retrospective analysis of a cohort of 83 client-owned dogs with spontaneous hemoperitoneum due to a histologically benign, bleeding splenic lesion was performed. Medical records of dogs with ruptured benign splenic tumors presenting with hemoperitoneum were reviewed, in addition to owner follow-up, to determine if subsequent hemoperitoneum events occurred. Data were analyzed using statistical software(GraphPad Prism 10.1.2). RESULTS: A total of 59 patients (71%) were alive at the end of the follow-up period (median follow-up duration of 375 days; range: 128-1,062),with no new concerns related to previous splenectomy or hemoperitoneum. Of the 59 dogs, 6 died and 18 dogs (28.9%) were euthanized during the follow up period. Recurrent hemoperitoneum was identified in three dogs at 40, 68,and 385 days postoperatively, associated with a new liver lesion, an abdominal lesion of unclear origin, or hepatic nodules as the reason for the rebleeding events. Additional sectioning of the initial lesions was not performed. DISCUSSION: Second hemoperitoneum events occurred, but were uncommon, accounting for 3.6%of cases in this study. Reasons for recurrent spontaneous hemoperitoneum may include the development of a new lesion, the presence of a secondary non-splenic lesion that was unidentified during preoperative staging or abdominal exploratory, or histopathologic misdiagnosis of the original lesion.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/40927171/