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Hemolymphatic and Biopsy Technique: Splenic Surgery - Coggle Diagram
Hemolymphatic and Biopsy Technique: Splenic Surgery
anatomy
vascular supply
celiac a. to...
hepatic
L gastric
splenic
branching into...
pancreatic
more plenic
short gastrics
left gastroepiploic
omental
siderocalcific plaques
senile change
pathology
accessory spleen
splenosis
fragmentation
rupture
biopsy
rare
FNA/cytology more realistic
splenectomy
partial splenectomy
challenging
why?
focal splenic abscess
focal injury
:forbidden: neoplasia!
rare
complete splenectomy
why?
splenic masses
benign
usually generalized splenomegaly
causes
infectious
immune
neoplasia
CHF
drugs
torsion
malignant
usually nodular
causes
neoplasia in :dog:
hemangioma
hemangiosarcoma
other sarcomas
mast cell tumor
hystiocytoma
metastatic adenocarcinoma
infarction
hematoma
neoplasia in :cat:
lymphosarcoma
mast cell tumor
myeloproliferative disease
hemangiosarcoma
other sarcomas
melanoma
metastatic carcinoma
adenocarcinoma
grossly cannot differentiate
often hemoabdomen
PE findings
splenomegaly
abdominal pain
abdominal distention
fluid wave
pale mucous membranes
IMHA
trauma
splenic torsion
rare
not reported in cats
large, giant breed dogs
CS
splenomegaly
effusion
C shpared spleen on lateral rads
US/CT to diagnose
never ever ever derotate*
method
suture ligation of
hilar vessels
post-op complications
hemorrhage
vascular compromise
arrythmias
systemic inflammatory derangement
gastric dilation volvulus