Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Diagnostic Imaging of Isolated Splenic Torsion in a German Shepherd Dog

독일셰퍼드 견에서 단독으로 발생한 비장 염전의 영상진단

  • Lee, Ki-Ja (Department of Clinical Veterinary Science, Obihiro University of Agriculture and Veterinary Medicine) ;
  • Jeong, Seong-Mok (College of Veterinary Medicine.Research Institute of Veterinary Medicine, Chungnam National University) ;
  • Choi, Ho-Jung (College of Veterinary Medicine.Research Institute of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-Won (College of Veterinary Medicine.Research Institute of Veterinary Medicine, Chungnam National University)
  • 이기자 (오비히로 농과대학 임상수의학부) ;
  • 정성목 (충남대학교 수의과대학.동물의과학연구소) ;
  • 최호정 (충남대학교 수의과대학.동물의과학연구소) ;
  • 이영원 (충남대학교 수의과대학.동물의과학연구소)
  • Accepted : 2011.12.05
  • Published : 2011.12.31
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Abstract

A 5-year-old male German shepherd dog was presented with a 4 day-history of anorexia and depression. Abdominal radiographs showed a large soft tissue mass and loss of serosal detail. Ultrasonographs revealed splenomegaly with the lacy pattern parenchyma, perivenous hyperechoic region at the splenic hilum, and loss of splenic venous flow. Computed tomographic findings included the enlarged non-enhanced spleen except perivenous region at the splenic hilum and a whirled soft tissue mass at the splenic hilum. Exploratory laparotomy confirmed the diagnosis of splenic torsion. Ultrasonographic findings including lacy appearance, hyperechoic perivenous echogenicity and absence of splenic blood flow and CT findings including no or minimal enhancement of the spleen and a whirled appearance of splenic pedicle could be useful for diagnosing isolated splenic torsion in the dog.

5년령의 수컷 독일 셰퍼드견이 4일 동안의 식욕부진, 침울 등의 증상으로 내원하였다. 복부의 일반 방사선 사진에서 연부조직 밀도의 대형 종괴가 관찰되었다. 또한 종괴 변연과 주변에 장막세부음영의 소실이 관찰되었다. 복부 초음파 검사를 통해 고에코를 나타내는 비장문의 비장정맥 주위를 제외하고 전반적으로 저에코를 나타내는 비장 종대를 관찰하였고, 펄스파 도플러검사에서 비장정맥에 혈류신호가 없음을 확인하였다. 복부 CT 검사에서 비장문에 위치한 비장정맥 주위에서의 조영증강효과를 제외한 비장의 나머지 부위에서의 조영증강효과는 관찰되지 않았다. 비장의 혈관줄기의 염전을 나타내는 소용돌이 모양의 연부조직 밀도의 종괴를 확인하였다. 탐색적 개복술을 통해 단독으로 발생한 비장 염전을 진단하였다. 초음파 검사에서 레이스 형태의 실질 변화와 도플러 검사시 비장 정맥의 혈류 신호 소실, CT 영상에서 비장 뿌리 부위의 소용돌이 모양의 소견 등이 비장 염전의 유용한 영상학적 특징으로 생각된다.

Keywords

References

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