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Severe thrombocytopenia associated with splenic torsion (case report)
Thrombocytopenia in dogs is a life-threatening problem which can have various causes. In these two standard poodles the intraabdominal mass which was idenitified as splenic torsion on surgery was the reason, and their removal was curative. Very brave to do surgery on dogs with such a severe thrombopenia - but succesful...

2 cases of severe thrombocytopenia associated with splenic torsion are discussed.

Each dog presented with non-specific clinical signs, radiographic evidence of an intra-abdominal mass, and platelet counts of less than 25,000 platelets/ìL.

The diagnosis of splenic torsion was made with abdominal ultrasonography and was confirmed during exploratory laparotomy.

Both dogs recovered rapidly following splenectomy.

The cause of thrombocytopenia associated with splenic torsion is not fully elucidated, but may be because of either platelet sequestration within the torsed spleen, platelet consumption in disseminated intravascular coagulation, or a combination of both.

This report provides previously unreported evidence that the degree of thrombocytopenia associated with splenic torsion may be of a severity at which primary hemostasis is compromised, and resolution of thrombocytopenia occurs after splenectomy.



Source: Stoneham, Anne E., Henderson, Alicia K. & O`Toole, Therese E. (2006): Resolution of severe thrombocytopenia in two standard Poodles with surgical correction of splenic torsion. In: Journal of Veterinary Emergency and Critical Care 16 (2), 131-135.




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