Computed tomographic and clinical findings in a dog with suspected liver lobe torsion, secondary disseminated intravascular coagulation and multiorgan infarction

Sumping, J. C.; O’Connell, Erin M; Mortier, Jérémy

doi:10.1136/vetreccr-2020-001166

Cited by 4 publications

(29 citation statements)

References 26 publications

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“…It has been postulated that the ligaments supporting the liver lobes have a role in LLT. 1 – 3 , 5 – 15 , 19 , 22 , 23 Increased laxity, aplasia, stretching or rupture of these ligaments can result in increased mobility of the liver lobe and possible torsion. 1 – 3 , 5 – 15 , 19 , 22 , 23 There were no abnormalities reported at the time of surgery in these ligaments.…”

Section: Discussionmentioning

confidence: 99%

“…For most cases, the cause for LLT is not identified, as in the case reported here. 3 , 6 – 8 , 10 – 13 , 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

“…In previous cases in dogs and cats, abdominal pain, abdominal distension and a palpable abdominal mass were reported. 1 – 4 , 6 , 7 , 9 , 10 , 12 – 18 …”

Section: Discussionmentioning

confidence: 99%

“…An acute abdomen secondary to a liver lobe torsion (LLT) is rarely reported in dogs, cats, horses and humans, but is relatively frequent in the rabbit. 1 – 26 The exact cause of LLT is still unknown. There are several potential causes of LLT in dogs and cats, such as secondary to trauma, neoplasia, gastric dilatation and volvulus in dogs, abnormal hepatic ligaments or a diaphragmatic hernia.…”

Section: Introductionmentioning

confidence: 99%

“…There are several potential causes of LLT in dogs and cats, such as secondary to trauma, neoplasia, gastric dilatation and volvulus in dogs, abnormal hepatic ligaments or a diaphragmatic hernia. 1 – 18 The purpose of this case report is to document the first peer-reviewed report of an acute LLT in a kitten and its successful management.…”

Section: Introductionmentioning

confidence: 99%

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Acute liver lobe torsion in a kitten

Tallaj¹,

Cortes²,

Gannon³

et al. 2021

Journal of Feline Medicine and Surgery Open Reports

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Case summary A 10-week-old intact male domestic shorthair kitten presented for an acute onset of lethargy, vomiting and anorexia. An abdominal mass effect was palpable on presentation. Blood work, abdominal radiographs and point-of-care abdominal ultrasound showed severe anemia, decreased serosal detail and abdominal effusion, respectively. Based on the concern for an abdominal organ torsion or ruptured mass, an emergency abdominal exploratory surgery was performed. Torsion of the entire caudate liver lobe was discovered with a secondary hemoabdomen, and a liver lobectomy was performed. The kitten was stabilized and discharged 3 days after surgery. At the recheck examination, 15 days postoperatively, the patient was reported to be doing well. Relevance and novel information Liver lobe torsion is a rare condition previously reported in six other cats; however, this is the first peer-reviewed report in a kitten successfully treated with surgery with no identifiable underlying cause.

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Section: Discussionmentioning

confidence: 99%

“…For most cases, the cause for LLT is not identified, as in the case reported here. 3 , 6 – 8 , 10 – 13 , 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

“…In previous cases in dogs and cats, abdominal pain, abdominal distension and a palpable abdominal mass were reported. 1 – 4 , 6 , 7 , 9 , 10 , 12 – 18 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Acute liver lobe torsion in a kitten

Tallaj¹,

Cortes²,

Gannon³

et al. 2021

Journal of Feline Medicine and Surgery Open Reports

View full text Add to dashboard Cite

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Multi‐modality imaging characteristics of a surgically confirmed emphysematous torsion of papillary process of the caudate liver lobe and pneumoperitoneum in a dog

Jerabkova,

Krekis,

Thompson

et al. 2023

Vet Record Case Reports

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A 7‐year‐old, female, spayed dog presented with a 1‐week history of vomiting, diarrhoea and lethargy. Abdominal radiographs and ultrasound revealed bicavitary effusion, a large, gas‐cavitated, soft tissue mass in the region of the papillary process of the caudate lobe of the liver, with associated peritonitis and mild pneumoperitoneum. The location of the mass and gas cavitation were confirmed on computed tomography. The absence of vascular and parenchymal contrast enhancement and the distortion of the caudal vena cava was consistent with hilar torsion of the papillary process of the liver. The torsion was surgically confirmed and excised, and ischemic necrosis was histologically confirmed. The patient fully recovered following surgery.

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Left medial liver lobe torsion with secondary bicavitary effusion and septic peritonitis in a dog with an acute kidney injury following ovariohysterectomy

Johnson,

Spartz,

Erickson

et al. 2024

Vet Record Case Reports

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A 7‐month‐old, spayed, female, mixed breed dog was referred for a 3‐day duration of elevated liver enzymes, azotaemia, anorexia and lethargy following ovariohysterectomy. Bloodwork showed non‐regenerative anaemia, inflammatory leukogram, moderate thrombocytopenia, severe azotaemia, severe mixed hepatopathy, hyperbilirubinemia and hypoalbuminemia. Point‐of‐care ultrasound identified free fluid and a heterogeneous mass in the mid‐ventral abdomen. Septic peritonitis was confirmed on cytology, and abdominal exploratory with left medial liver lobectomy was performed. Histopathology identified submassive hepatic necrosis and bridging fibrosis with biliary reaction, confirming a liver lobe torsion. The dog recovered perioperatively, but remained hospitalised to receive dialysis for severe renal dysfunction. The dog was transitioned to outpatient dialysis for several treatments. Unfortunately, kidney function continued to decline after dialysis was discontinued, and humane euthanasia was performed approximately 2 months postoperatively. To the authors’ knowledge, this is the first reported case of liver lobe torsion following routine ovariohysterectomy in a dog.

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Computed tomographic and clinical findings in a dog with suspected liver lobe torsion, secondary disseminated intravascular coagulation and multiorgan infarction

Cited by 4 publications

References 26 publications

Acute liver lobe torsion in a kitten

Acute liver lobe torsion in a kitten

Multi‐modality imaging characteristics of a surgically confirmed emphysematous torsion of papillary process of the caudate liver lobe and pneumoperitoneum in a dog

Left medial liver lobe torsion with secondary bicavitary effusion and septic peritonitis in a dog with an acute kidney injury following ovariohysterectomy

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