Back Soft Tissue Case · 02

GDV with partial splenectomy (full case report attached)

Acute gastric dilatation and volvulus with focal splenic congestion.

PatientCaptain
Patient detailsGerman Shepherd Dog · 7 years · Male neutered
ProcedureGDV correction · partial splenectomy · gastropexy
Content advisory: This page contains explicit clinical imagery (anatomical structures, surgical procedures or X-rays) intended for veterinary professionals.

Abstract

Gastric dilatation and volvulus (GDV) is an acute life-threatening condition characterised by rotation of the stomach that can lead to many systemic disturbances.

A seven-year-old male neutered German Shepherd Dog presented with an acute onset of retching and lack of appetite for the last 12 hours. Clinical examination and radiographic study were consistent with GDV. The patient underwent pre-surgical medical stabilisation before exploratory coeliotomy.

Surgical findings

During surgical correction of GDV, the spleen was found with a focal area of congestion. Avulsion of short gastric vessels and the gastrosplenic ligament was confirmed. Partial splenectomy and an incisional gastropexy were performed.

Splenic congestion
Fig. 1 — Splenic congestion
Gastropexy
Fig. 2 — Gastropexy

Recovery

The patient recovered well but experienced anorexia and abdominal pain after surgery. A lateral right abdominal radiograph revealed a large amount of liquid and gas in the stomach that was readily aspirated with a nasogastric tube. After 48 h of hospitalisation, the patient was discharged with normal appetite.

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