Presentation
Presents with acute lethargy and anemia.
Patient Data
The peritoneal detail is poor and the abdomen is mildly distended. There is a mass effect in the right cranial abdomen, displacing the transverse colon caudally and the stomach dorsally and to the left side. There is incidental spondylosis deformans in the spine.
Hepatic mass with hemoabdomen.
Case Discussion
The mass was confirmed to be liver in origin with abdominal ultrasound. Differential diagnoses include hemangiosarcoma, lymphoma, hepatic carcinoma or a benign process such as a hepatoma. Further diagnostics were not pursued given the hemoabdomen complications.
Location of a cranial abdominal mass can be challenging as they are poorly visible. The displacement of the stomach and transverse colon suggests liver, although pancreas could be considered as a differential diagnosis in a smaller mass. The effusion is often hemorrhage given the anemia, however transudate and neoplastic effusions are also possible.
This is a focal enlargement of the liver which indicates the differential diagnoses are mass lesions: neoplasia, granuloma, cyst, abscess. Generalized liver enlargement retains its normal shape and has diffuse infiltrative etiologies.
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