Schultz BL, Bookbinder LC, Claffey EF, Luedke LK, Delvescovo B, Fubini SL, Radcliffe RM. Treatment and outcomes of two pigs treated for hemoabdomen secondary to splenic disease.
Vet Surg 2022;
51:1206-1214. [PMID:
35857027 DOI:
10.1111/vsu.13858]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 05/26/2022] [Accepted: 06/18/2022] [Indexed: 10/17/2022]
Abstract
OBJECTIVE
To report the management and outcomes of two pigs undergoing emergency surgery for hemoabdomen secondary to splenic disease.
STUDY DESIGN
Case report.
ANIMAL
Two adult pigs with hemoabdomen and suspected splenic pathology.
METHODS
Pigs were admitted for several clinical signs including lethargy, inappetence, vomiting, abdominal distention, hypothermia, and tachycardia. Abdominal ultrasound and abdominocentesis led to a diagnosis of hemoabdomen secondary to splenic disease.
RESULTS
The spleen was confirmed as the source of hemorrhage during midline exploratory celiotomy in both pigs. Splenic rupture resulted from splenic vein thrombosis in one pig and splenic torsion in the other. Complications included intraoperative hemorrhage and intraabdominal adhesion formation. Four years following splenectomy, one pig was euthanized because of widespread small intestinal adhesions causing luminal obstruction, while the other pig was euthanized following a diagnosis of chronic myeloid leukemia.
CONCLUSIONS
A ventral midline celiotomy provided adequate exposure for splenectomy. The procedure allowed resolution of signs in both pigs. Splenic pathology, such as vessel thrombosis or torsion, may result in splenic rupture and should be considered as a differential in pigs with hemoabdomen.
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