Omental torsion associated with splenic torsion in a dog

Abstract

A 5-year-old female spayed Cane Corso was referred for further investigation and treatment of a splenic torsion and an abdominal mass. The dog presented with a history of anorexia, depression and vomiting of 4 days’ duration. Physical examination revealed pain on abdominal palpation. On a plain radiograph of the abdomen, a cranial abdominal mass and splenomegaly were present. On CT images of the abdomen, a twisted splenic pedicle, splenic torsion and a well-defined mass in the left cranial abdomen were observed adjacent and caudal to the greater curvature of the stomach. The dog underwent a midline coeliotomy, a total splenectomy and a partial gastrectomy to resect the mass attached to the great curvature of the stomach. Omental torsion was diagnosed on gross and histological examinations of the mass. The dog was reported by the owners to be free of clinical signs 2 years after surgery.

Computed tomography of a canine omental torsion secondary to a chronic abdominal gossypiboma and concurrent incidental broad ligament torsion

“…Omental torsion is an even rarer cause of acute abdomen, having been reported only twice previously in the canine, 10,11 and four times in other veterinary species 12–15 . In a recent retrospective study on canine omental and omental bursa disease, there were no reports of omental torsion within the 12‐year study period, further attesting to the rarity of this condition 16 .…”

“…[7][8][9] More specifically, the presence of a radiopaque marker or a spongiform appearance (seen as gas bubbles trapped within the sponge fibers) is generally characteristic, although infrequently noted. 5,6 Omental torsion is an even rarer cause of acute abdomen, having been reported only twice previously in the canine, 10,11 and four times in other veterinary species. [12][13][14][15] In a recent retrospective study on canine omental and omental bursa disease, there were no reports of omental torsion within the 12-year study period, further attesting to the rarity of this condition.…”