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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.

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  • 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).
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