한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제41권1호
  • /
  • Pages.30-36
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  • 2024
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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Concurrent Torsion of the Caudate Liver Lobe and Spleen in a German Shepherd Dog

  • Seong-won An (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Seung-Min Hwang (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Il-Gwon Jung (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Sang-Kwon Lee (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Kyungpook National University) ;
  • Young-Sam Kwon (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University)
  • 투고 : 2023.12.05
  • 심사 : 2024.01.19
  • 발행 : 2024.02.28
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초록

A 3-year-old, 20.6 kg, neutered male German Shepherd dog was referred to Kyungpook National University Veterinary Medicine Teaching Hospital. Clinical examination revealed chronic diarrhea for 6 weeks and a non-tender, distended abdomen without lethargy, anorexia, and vomiting. Diarrhea was watery and had a waxing and waning course despite symptomatic treatment. A complete blood count identified mild leukocytosis and mild anemia. Serum biochemistry analysis showed elevated alanine aminotransferase and aspartate aminotransferase levels, and mild hypoalbuminemia. Abdominal ultrasound examination revealed mixed echogenicity with absent blood flow at the caudate process of the caudate liver lobe and a small amount of ascites. Computed tomography revealed torsion of the caudate process of the caudate liver lobe and spleen and gas dilatation of the intestine. After establishing a diagnosis of organ torsion on imaging, we deemed the condition an emergency and immediately performed surgery. Given that laparotomy confirmed organ torsion, liver lobectomy, total splenectomy, and prophylactic gastropexy were conducted. The patient was discharged 11 days after surgery without complications. In general, liver lobe torsion and splenic torsion are uncommon in dogs and present with nonspecific clinical signs, such as abdominal pain, lethargy, anorexia, and vomiting. In the current case, torsion of the caudate liver lobe and spleen occurred without other clinical signs except for a distended abdomen. Moreover, no reports in dogs have demonstrated the simultaneous occurrence of both diseases.

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참고문헌

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