Primary splenic torsion in dogs: 102 cases (1992–2014)

Whitney DeGroot, Michelle Giuffrida, Jacob Rubin, Jeffrey J. Runge, Amy Zide, Philipp Mayhew, William T Culp, Kelley Thieman Mankin, Pierre M. Amsellem, Brandi Petrukovich, P. Brendon Ringwood, J. Brad Case, Ameet Singh

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objective To determine the percentage of dogs surviving to hospital discharge and identify factors associated with death prior to hospital discharge among dogs undergoing surgery because of primary splenic torsion (PST). Design Retrospective case series. Animals 102 client-owned dogs. Procedures Medical records of dogs with a confirmed diagnosis of PST that underwent surgery between August 1992 and May 2014 were reviewed. History, signalment, results of physical examination and preoperative bloodwork, method of splenectomy, concurrent surgical procedures, perioperative complications, duration of hospital stay, splenic histopathologic findings, and details of follow-up were recorded. Best-fit multivariate logistic regression was performed to identify perioperative factors associated with survival to hospital discharge. Results 93 of the 102 (91.2%) dogs survived to hospital discharge. German Shepherd Dogs (24/102 [23.5%]), Great Danes (15/102 [14.7%]), and English Bulldogs (12/102 [11.8%]) accounted for 50% of cases. Risk factors significantly associated with death prior to hospital discharge included septic peritonitis at initial examination (OR, 32.4; 95% confidence interval [CI], 2.1 to 502.0), intraoperative hemorrhage (OR, 22.6; 95% CI, 1.8 to 289.8), and postoperative development of respiratory distress (OR, 35.7; 95% CI, 2.7 to 466.0). Histopathologic evidence of splenic neoplasia was not found in any case. Conclusions And Clinical Relevance Results suggested that the prognosis for dogs undergoing splenectomy because of PST was favorable. Several risk factors for death prior to discharge were identified, including preexisting septic peritonitis, intraoperative hemorrhage, and postoperative development of respiratory distress.

Original languageEnglish (US)
Pages (from-to)661-668
Number of pages8
JournalJournal of the American Veterinary Medical Association
Volume248
Issue number6
DOIs
StatePublished - Mar 15 2016

ASJC Scopus subject areas

  • veterinary(all)

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    DeGroot, W., Giuffrida, M., Rubin, J., Runge, J. J., Zide, A., Mayhew, P., Culp, W. T., Mankin, K. T., Amsellem, P. M., Petrukovich, B., Brendon Ringwood, P., Brad Case, J., & Singh, A. (2016). Primary splenic torsion in dogs: 102 cases (1992–2014). Journal of the American Veterinary Medical Association, 248(6), 661-668. https://doi.org/10.2460/javma.248.6.661