Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Can Vet J. 2024 Oct;65(10):1071-1075.
A 9-year-old castrated male German shepherd dog was presented because of a 2-day history of lethargy and anorexia. Abdominal distention and free peritoneal fluid were noted on physical examination, which prompted radiographs revealing a large, soft tissue and stippled gas opaque structure in the right cranial abdomen. Computed tomography was used to further describe the structure and assess for comorbidities in the dog. Both CT and abdominal radiographs supported a diagnosis of emphysematous splenic torsion. The enlarged spleen was surgically extracted, along with sections of necrotic omentum. Four days after the procedure, the dog developed a portal vein thrombus and secondary abdominal effusion, which ultimately led to the decision for humane euthanasia. Veterinarians should know the different imaging modalities used to diagnose splenic torsion and the possible postoperative complications following treatment.
一只 9 岁去势雄性德国牧羊犬出现了 2 天的嗜睡和食欲不振,前来就诊。体格检查发现腹部膨胀和游离腹腔积液,提示放射影像学检查显示右颅腹部有一个大的软组织和点状气体不透明结构。计算机断层扫描用于进一步描述该结构,并评估该犬的合并症。CT 和腹部放射影像学检查均支持气肿性脾扭转的诊断。增大的脾脏和部分坏死的大网膜被手术切除。手术后 4 天,该犬出现门静脉血栓和继发性腹腔积液,最终决定进行安乐死。兽医应该了解用于诊断脾扭转的不同成像方式,以及治疗后可能出现的术后并发症。