Presentation
Presents with abdominal discomfort and vomiting after being groomed.
Patient Data
The cardiovascular structures are normal in size and shape. Megaesophagus is visible on multiple images. The left 5th and 6th costochondral junctions are prominent.
Abdomen: The stomach is mildly distended with gas. The fundus appears to be ventrally positioned on the lateral projection with rugal folds visible. The pylorus is dorsally positioned. On the ventrodorsal projection, both the fundus and pylorus are positioned on the left side of the abdomen. The duodenum appears to cross midline and join the pylorus on the left side. The spleen is malpositioned, with the proximal extremity not visible on the v/d, and the distal extremity and body in a curved shape in the ventral abdomen on the lateral projection. The remainder of the small intestine and colon appear normal.
Gastric dilation and volvulus with splenic malposition. The megaesophagus is likely secondary to the GDV.
Case Discussion
Abdominal surgery was performed, and 180 degree gastric dilation and volvulus was found. Derotation of the stomach and gastropexy were performed. No mention was made of splenic torsion in the surgery report.
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