Case Index - September 2004 - Case of the Month.
Scroll down to the bottom for the final answer.
Signalment: Nine year old female spayed Rottweiler
History: 3 day history of lethargy, anorexia, vomiting, and distended abdomen.
Abdominal ultrasound:
What are your findings?
What is your diagnosis?
Answer:
Ultrasonographic findings:
A small amount of echogenic free fluid is present in the abdomen.
The spleen is normally proximally, and enlarged distally, with a mottled echogenicity
The liver is normal.
Ultrasonographic diagnosis:
- Peritonitis
- Focal splenic necrosis or infiltrative disease (lymphoma, mast cell disease)
Surgical diagnosis:
At surgery, the distal aspect of the spleen was necrotic, and a mild amount of free abdominal fluid was identified.
