ISSN 2398-2950      

Spleen: trauma

ffelis

Introduction

  • Cause: blunt trauma (eg HBC/RTA, kicks) or occasionally penetrating injuries to the abdomen.
  • Signs: can be sudden in onset (hemorrhagic shock) or more insidious.
  • The most serious consequence is hemorrhage, which may be life-threatening.
  • Diagnosis: may be problematical. A high incidence of suspicion of this condition should be maintained in traumatized animals.
  • Treatment: fluid therapy, oxygen administration, blood transfusion, partial or total splenectomy.
  • Prognosis: fair provided initial stabilization is successful and there are no other internal injuries.

Pathogenesis

Etiology

  • Road traffic accidents or other blunt trauma (eg kicks) are the most common causes.
  • Many cats are targets of air guns. Occasionally these pellets may lacerate the spleen.

Pathophysiology

  • Rupture of the splenic parenchyma or avulsion of splenic blood vessels results in hemorrhage and hemoperitoneum.
  • Blood loss leads to hypoxemia Hypoxemia and hypovolemic shock Shock in severe cases.

Timecourse

  • Rapid if massive bleeding into the abdomen; progressive if there is a lesser degree of injury which nevertheless continues to bleed.

Diagnosis

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Treatment

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Vinayak A, Krahwinkel D J (2004) Managing blunt trauma-induced hemoperitoneum in dogs and cats. Comp Cont Educ Pract Vet 26 (4), 276 VetMedResource.
  • Spangler W L & Culbertson M R (1992) Prevalence and type of splenic diseases in cats - 455 cases (1985-1991). JAVMA 201 (5), 773-776 PubMed.

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!

 
 
 
 

To show you are not a Bot please can you enter the number showing adjacent to this field

 Security code