Assessment of the incidence of GDV following splenectomy in dogs

Goldhammer, M. A.; Haining, H.; Milne, Elspeth; Shaw, Darren; Yool, D. A.

doi:10.1111/j.1748-5827.2009.00844.x

Cited by 23 publications

(26 citation statements)

References 19 publications

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“…This is most likely related to a semi‐occlusive torsion of the cystic duct, which allowed partial passage of bile. The incidence of gastric dilatation and volvulus following splenectomy or hepatic lobectomy is unclear, 23,24 but in the present case, on the basis of the historical and surgical findings, the surgeon's choice was to proceed with gastropexy as a precautionary measure. In fact, because of the concurrent lack of spleen and two liver lobes in the cranial abdomen, more space was created, allowing greater movement of the remaining organs with a subsequently higher risk of new torsions.…”

Section: Discussionmentioning

confidence: 87%

Torsion of quadrate and right middle liver lobes and gallbladder in a German Shepherd dog

et al. 2012

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Section: Discussionmentioning

confidence: 87%

Torsion of quadrate and right middle liver lobes and gallbladder in a German Shepherd dog

et al. 2012

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“…However, Goldhammer and others (2010) reported no association between a splenectomy and an increased subsequent risk of GDV and gastropexy is not routinely performed by the authors.…”

Section: Splenectomymentioning

confidence: 84%

“…A splenectomy could theoretically increase the risk of gastric rotation, so prophylactic gastropexy could be considered at the time of a splenectomy in high‐risk large and giant breeds. However, Goldhammer and others (2010) reported no association between a splenectomy and an increased subsequent risk of GDV and gastropexy is not routinely performed by the authors.…”

Section: Splenectomymentioning

confidence: 92%

Investigation and management of splenic disease in dogs

Hayes¹,

Ladlow²

2012

In Practice

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Splenic disorders are a significant cause of morbidity and mortality in middle‐aged and older dogs, and a spectrum of presentations is possible, from chronic non‐specific clinical signs to a rapidly fatal haemoabdomen. Splenomegaly is commonly recognised during clinical examination or imaging in practice, but it can be difficult to decide whether the primary problem is within the spleen itself (eg, a focal mass, in which case a splenectomy is generally the treatment of choice) or whether the splenomegaly represents systemic disease (eg, a lymphoma or immune‐mediated haemolytic anaemia, in which case a biopsy may be useful but a splenectomy may be contraindicated). Splenic surgery requires an appreciation of the vascular anatomy, and adequate monitoring as well as supportive treatment may be critical to the outcome of surgery. This article discusses the anatomy of the spleen and how to investigate splenomegaly, as well as how to perform a (partial) splenectomy and the possible complications involved.

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“…A gastropexia é uma alternativa opcional, pois já houve relatos de dilatação vôlvulo gástrica após esplenectomia pela frouxidão dos ligamentos gastroesplênico, hepatoduodenais e hepatogástricos [8] e também devido ao espaço que fica no abdome cranial [15,23]. Em estudo realizado com 37 cães, não houve maior incidência de dilatação vôlvulo gástrica devido a esplenectomia prévia [10]. Sendo assim, se optou em não realizar a gastropexia.…”

Section: Discussionunclassified

Primary Splenic Torsion Associated with Accessory Spleen in a Dog

Santos

Gomes

Camargo

et al. 2019

Acta Scientiae. Vet.

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Background: Primary splenic torsion occurs when there is a splenic vascular pedicle rotation without association of other diseases, as the Gastric Dilatation Volvulus (GDV). Accessory spleen consists in a splenic tissue fraction independent from main organ, caused by a spleen defect in the embryonic development, most remaining asymptomatic and discovered incidentally. They have their own blood supply, which is usually from a branch of the splenic artery. Present report represents a primary splenic torsion with the accessory spleen finding in a dog. Case: A 7-year-old female mongrel was referred to Veterinary Hospital of Universidade Federal do Rio Grande do Sul, showing pain and firm consistency in the left abdominal region, prostration and inappetence four days before the medical appointment. At the clinical examination, the patient was alert, 7% dehydration, hypocorous mucous membranes, without alteration in lymph nodes, left abdominal pain. Laboratory tests, chest radiographic and abdominal ultrasound was requested. Two images compatible with splenic image were visualized, one with a regular structure without vascularization suggesting splenic torsion and another with homogeneous parenchyma and echogenicity of the normal spleen, with vascularization signal. The animal was referred to the surgical procedure and the anesthetic induction protocol with propofol (6 mg/kg -1 ) and ketamine hydrochloride (2 mg/kg -1 ) and maintenance with total intravenous anesthesia with propofol (0.2-0.4 mg/kg -1 / min) and lidocaine (2 mg/kg -1 ), in a semi-closed loop and spontaneous ventilation. The pre-retro-umbilical incision in the ventral midline was performed, and the exploratory celiotomy was done. During the cavity exploring, a small amount of free fluid and a structure compatible with the spleen were observed. It was noted that the splenic vascular pedicle was twisted around its axis and the gastroesplenic and splenocolic ligaments were also involved. The stomach maintained its position, size and vascularization. Thus, an isolated or primary splenic torsion was characterized. The exploratory laparotomy was recommended, and the total splenectomy was the treatment of choice. The accessory spleen did not demonstrate vascular damage; therefore, was advocated the zeal in handling to preserve your integrity. Discussion: Isolated splenic torsion is a rare occurrence in dogs. A retrospective study was performed with 60 dogs presenting with non-traumatic hemoperitoneum, in which only three cases presented splenic torsion. Usually, twisting occurs in large or giant breed dogs with deep chest conformation. The etiology of splenic torsion is not well established. Primary splenic torsion is considered emergency surgery, and the prognosis is considered favorable. The literature shows no relation between the presence of the accessory spleen and the occurrence of primary splenic torsion, but both occur due to congenital defects, both of which may be correlated in this case. The accessory spleen is characterized by a defect in the embryo...

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Assessment of the incidence of GDV following splenectomy in dogs

Abstract: Splenectomy is not associated with an increase in the incidence of GDV.

Cited by 23 publications

References 19 publications

Torsion of quadrate and right middle liver lobes and gallbladder in a German Shepherd dog

Torsion of quadrate and right middle liver lobes and gallbladder in a German Shepherd dog

Investigation and management of splenic disease in dogs

Primary Splenic Torsion Associated with Accessory Spleen in a Dog

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