3-year-old intact female Irish Wolfhound
2016 Image Interpretation Session - Case 7
section content
Bred one month before; since then she has developed lethargy, anorexia, and abdominal distention. Referring veterinarian did a FAST scan and found some free peritoneal fluid. This was determined to be a hemoabdomen upon sampling.
- Loss of serosal detail in the central and ventral abdomen; unusual position of the spleen, which is not grossly enlarged.
Pre-contrast
Arterial
Dorsal post-contrast
- Abnormally positioned, consistently non-enhancing liver lobe. Abdominal effusion is present.
- Abnormal porta hepatis with a distorted caudal vena cava and non-visible portal vein.
- Marked displacement of the left kidney.
- Thrombi are noted in the branches of the portal vein as well as small renal infarcts.
- Right middle and caudate liver lobe torsion.
- Exploratory laparotomy revealed massive hemoabdomen. A right middle and caudate liver lobectomy was performed. The liver lobes were noted to be malpositioned, dark red/purple, enlarged, lobulated and friable.
- Histopathology showed massive acute hepatic necrosis with congestion, hemorrhage, edema and capsular rupture (liver lobe torsion).