Reinhart Jennifer M, Sherwood J Matthew, KuKanich Katherine S, Klocke Emily, Biller David S
From the Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS.
J Am Anim Hosp Assoc. 2015 May-Jun;51(3):185-90. doi: 10.5326/JAAHA-MS-6129.
A 5 yr old spayed female poodle (case 1) was presented with a 4 mo history of lethargy, inappetence, and nonregenerative anemia. A 5 yr old castrated male French bulldog (case 2) was presented with a 2 wk history of mild abdominal pain, dyschezia, and intermittent anorexia. Both dogs were diagnosed with chronic splenic torsion based on changes in splenic position, echogenicity, and/or echotexture identified on B-mode abdominal ultrasonography, as well as either decreased or absent splenic blood flow on color-flow Doppler ultrasonography. Both dogs underwent splenectomy and had full resolution of clinical signs. Presentation of chronic splenic torsion is variable, and clinical signs can be nonspecific. Abdominal ultrasound with Doppler evaluation is an important diagnostic step that can lead to appropriate surgical intervention and good long-term prognosis.
一只5岁已绝育的雌性贵宾犬(病例1)因出现4个月的嗜睡、食欲不振和非再生性贫血病史前来就诊。一只5岁已去势的雄性法国斗牛犬(病例2)因出现2周的轻度腹痛、排便困难和间歇性厌食病史前来就诊。根据B超腹部超声检查发现的脾脏位置、回声性和/或回声纹理变化,以及彩色多普勒超声检查发现的脾脏血流减少或消失,这两只狗均被诊断为慢性脾扭转。两只狗均接受了脾切除术,临床症状完全缓解。慢性脾扭转的表现多种多样,临床症状可能不具有特异性。腹部超声检查及多普勒评估是重要的诊断步骤,可促使进行适当的手术干预并获得良好的长期预后。