• Title, Summary, Keyword: splenic torsion

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Acute and Chronic Isolated Splenic Torsion in Two Dogs (개에서 단독으로 발생한 급성 비장 염전과 만성 비장 염전의 비교)

  • Jung, Joo-Hyun;Chae, Woong-Joo;Chang, Jin-Hwa;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.25 no.1
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    • pp.52-57
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    • 2008
  • An intact male, 3-year old, Sapsari, weighing 29 kg with a history of respiratory distress, anorexia, abdominal distension, and depression for 1 day was referred. Radiographic findings included a C-shaped soft tissue mass in the mid-abdominal cavity and loss of serosal detail. Ultrasonographs showed splenomegaly with hypoechoic coarse parenchyma, loss of venous flow in the dilated splenic veins, and thrombi. Based on image findings, acute isolated splenic torsion was diagnosed. Splenectomy and prophylactic gastropexy was performed. Another case was a spayed female, 8-year old, Shih-tzu, weighing 3.7 kg with a history of intermittent abdominal pain and a palpable abdominal mass for 1 year. Radiographic findings showed splenomegaly characterized by a soft tissue round mass. Ultrasonographs revealed displaced splenic hilum and absence of venous flow in the dilated splenic vein. Chronic isolated splenic torsion was diagnosed and also splenectomy and gastropexy was performed. Two dogs were recovered normally after surgery without any complications. Acute form of isolated splenic torsion showed acute systemic clinical signs, severe C-shaped splenomegaly on radiographs, and loss of all of splenic venous flow, perivenous hyperechoic triangle sign, and thrombi on ultrasonographs. Chronic form of isolated splenic torsion showed chronic obscure clinical signs, moderate splenomegaly on radiographs, and partial loss of splenic venous flow on ultrasonographs.

Diagnostic imaging of isolated splenic torsion in two dogs (개 비장염전의 진단영상 2례)

  • Choi, Jihye;Kim, Hyunwook;Kim, Jinkyung;Jang, Jaeyoung;Kim, Junyoung;Yoon, Junghee
    • Korean Journal of Veterinary Research
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    • v.47 no.3
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    • pp.349-356
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    • 2007
  • Isolated splenic torsion is a rare disease, which is usually produced in deep-chest large breed dogs. A five-year old Pitbull terrier and a four-year old Yorkshire terrier were diagnosed as isolated splenic torsion with chronic form. Leukocytosis, anemia and elevated hepatic enzyme level were found in blood test and a large amount of ascites was observed. Abdominal radiography revealed splenomegaly and ascites and ultrasonography showed diffuse hypoechoic change of spleen in case 1 and hyperechoic change of spleen with focal hypoechoic regions in case 2, thromboembolism of splenic vein and abnormal direction of spleen. To identify the underlying disease of isolated splenic torsion, the histopathologic examination of excised spleen is essential and splenic neoplasia was found in case 2. Chronic isolated splenic torsion shows nonspecific clinical signs and laboratory results. Through diagnostic procedure, particularly ultrasonography, prompt diagnosis may be achieved and improve the prognosis of the patient.

Diagnostic Imaging of Isolated Splenic Torsion in a German Shepherd Dog (독일셰퍼드 견에서 단독으로 발생한 비장 염전의 영상진단)

  • Lee, Ki-Ja;Jeong, Seong-Mok;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.28 no.6
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    • pp.613-616
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    • 2011
  • A 5-year-old male German shepherd dog was presented with a 4 day-history of anorexia and depression. Abdominal radiographs showed a large soft tissue mass and loss of serosal detail. Ultrasonographs revealed splenomegaly with the lacy pattern parenchyma, perivenous hyperechoic region at the splenic hilum, and loss of splenic venous flow. Computed tomographic findings included the enlarged non-enhanced spleen except perivenous region at the splenic hilum and a whirled soft tissue mass at the splenic hilum. Exploratory laparotomy confirmed the diagnosis of splenic torsion. Ultrasonographic findings including lacy appearance, hyperechoic perivenous echogenicity and absence of splenic blood flow and CT findings including no or minimal enhancement of the spleen and a whirled appearance of splenic pedicle could be useful for diagnosing isolated splenic torsion in the dog.

Splenic Infarction due to Torsion of Wandering Spleen - A Case Report - (유주 비장의 염전에 의한 비장 경색 - 1예 보고 -)

  • Kim, Hye-Jin;Choe, Byung-Ho;Park, Jin-Young
    • Advances in pediatric surgery
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    • v.14 no.2
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    • pp.183-188
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    • 2008
  • Wandering spleen is very rare condition in children characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. We experienced a case of splenic infarction due to torsion of a wandering spleen in a 6-year-old boy who presented with fever, vomiting, and abdominal pain of 2 day's duration. On physical examination, there was severe tenderness in the left upper quadrant of the abdomen. The plain abdominal radiograph showed marked colonic gaseous distension. Contrast-enhanced abdominal computed tomography scan showed decreased density of spleen in the normal position, consistent with infarction. At emergency laparotomy, a wandering spleen twisted $360^{\circ}$ on its pedicle was found. Despite splenic detorsion, blood flow could not be restored. Splenectomy was therefore performed. The child was discharged 7 days after surgery without any complications.

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Liver Lobe Torsion with Hemangiosarcoma in a Dog

  • Park, Jiyoung;Lee, Hae-Beom;Jeong, Seong Mok
    • Journal of Veterinary Clinics
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    • v.33 no.6
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    • pp.376-380
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    • 2016
  • A 12-year-old spayed, female Siberian Husky dog weighing 40 kg was referred for sudden collapse without a traumatic history. A splenic mass and hemoperitoneum were identified by ultrasonography and abdominocentesis at a local animal hospital. Emergency exploratory laparotomy was performed once the patient was stabilized. A splenic mass and engorged hepatic mass in the torsed left liver lobe were identified. Partial hepatic lobectomy of the left lateral lobe was performed using a laparoscopic linear self-cutting stapler and the spleen was also removed using an ultrasonic scalpel. Histopathologic examination revealed a diagnosis of splenic hemangiosarcoma with metastasis to the liver. Chemotherapy was not performed because the client did not give consent. The patient was checked regularly until death on POD 324. The metastatic nodules had spread to the lungs and other liver lobes and had gradually increased in size. Liver lobe torsion is a rare condition in dogs, especially accompanying neoplasia. This case supports a potential relationship between liver lobe torsion and neoplastic liver mass in dogs.

Splenopexy for Wandering Spleen with Torsion in a Child (소아에서 유주비장에 대한 비장고정술)

  • Lee, Dong-Wook;Kim, Sang-Youn
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.73-78
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    • 1995
  • Torsion of the wandering spleen is a rare condition especially in children. Unfortunately, splenectomy was the advocated treatment of choice for wandering spleen in many children up to 1985 in spite of the well-known possibility of overwhelming postsplenectomy sepsis. Because of the conclusive evidence of the vital function of the spleen in infection, indication of splenectomy have been revised and more attention has been paid to preserving the spleen where possible. We are presented a girl with splenic torsion, seen as a migratory abdominal mass and intermittent vague abdominal pain. Splenopexy by fixation of the spleen to the diaphragm and posterolateral peritoneum and the use of Avitene in the splenic bed was successfully performed. Complete fixation of the spleen was confirmed by ultrasound a year after this procedure was carried out. The clinical presentation, etiology, diagnostic procedures and management are discussed also.

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MR Images of Infarction of Wandering Spleen Associated with Intestinal Non-rotation (장 회전 이상과 함께 발생한 부유비장 경색의 자기공명영상에서의 소견: 증례 보고)

  • Kim, Eugene;Kim, Mi Young;Kim, Yeo Ju;Kim, Youn Jeong;Kim, Woo Chul;Suh, Chang Hae;Choi, Suk Jin;Cho, Jae Sung
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.3
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    • pp.253-257
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    • 2014
  • Wandering spleen is a rare clinical condition caused by lax splenic suspensory ligaments. The laxity of ligaments causes torsion of splenic vascular pedicle. CT scan of a 7-year-old girl with abdominal pain showed a non-enhancing lobular mass in lower abdomen. Small bowel loops were located at the right-sided abdomen and colonic loops at the left-sided abdomen. MRI scan showed non-enhancing heterogeneous mass with twisted vascular pedicle. To our knowledge, only a few cases have been reported about wandering spleen diagnosed on MRI.