Veterinary Medical Teaching Hospital, Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, CA 95616, USA.
J Vet Intern Med. 2010 Nov-Dec;24(6):1298-304. doi: 10.1111/j.1939-1676.2010.0593.x. Epub 2010 Sep 14.
Splenic venous thrombosis (SVT) is usually considered an incidental finding on abdominal ultrasound examination but can indicate the presence of underlying disease. Concurrent disease processes and conditions in dogs with SVT have not been identified previously.
To identify concurrent diseases and conditions in dogs with SVT.
Eighty dogs with SVT.
Retrospective review. Medical records from 1994 through 2008 were searched for dogs with SVT identified by ultrasound examination. These records were then reviewed for signalment, medical history, clinicopathologic testing, diagnostic imaging, and clinical diagnosis.
The most common concurrent conditions were neoplasia (54%), exogenous corticosteroid administration (43%), systemic inflammatory response syndrome (26%), disseminated intravascular coagulation (20%), pancreatitis (18%), and immune-mediated disease (16%). The most common neoplastic disease was lymphoma, and the most common immune-mediated disease was immune-mediated hemolytic anemia. Protein-losing nephropathy and naturally occurring hyperadrenocorticism were identified in <10% of the dogs. Concurrent splenic infarcts were identified in 33% of dogs, and concurrent portal vein thrombi were found in 18% of dogs.
SVT is a sonographic finding of clinical importance, and dogs with SVT can have 1 or more coexisting diseases.
脾静脉血栓(SVT)通常被认为是腹部超声检查的偶然发现,但可以表明存在潜在疾病。以前尚未确定患有 SVT 的犬同时存在的疾病过程和情况。
确定患有 SVT 的犬同时存在的疾病和情况。
80 只患有 SVT 的犬。
回顾性研究。通过超声检查确定了 1994 年至 2008 年期间患有 SVT 的犬,对这些记录进行了检查,以确定其品种、病史、临床病理检查、诊断影像学和临床诊断。
最常见的同时存在的情况是肿瘤(54%)、外源性皮质类固醇治疗(43%)、全身炎症反应综合征(26%)、弥散性血管内凝血(20%)、胰腺炎(18%)和免疫介导的疾病(16%)。最常见的肿瘤疾病是淋巴瘤,最常见的免疫介导的疾病是免疫介导的溶血性贫血。<10%的犬被诊断为蛋白质丢失性肾病和自发性肾上腺皮质功能亢进症。33%的犬存在脾梗死,18%的犬存在门静脉血栓。
SVT 是一种具有临床重要意义的超声发现,患有 SVT 的犬可能存在 1 种或多种共存疾病。