title: Left lateral and left middle liver lobe torsion in a Saint Bernard puppy.
abstract: A 5-month-old, male Saint Bernard was presented for acute collapse and abdominal discomfort. Significant findings were a cranial abdominal mass, hemorrhagic abdominal effusion, anemia, and disseminated intravascular coagulation. An exploratory surgery revealed torsion of both the left lateral and middle liver lobes, a condition that has not been previously described in the veterinary literature. Torsion of one or more hepatic lobes is a rare condition but should be considered as a differential diagnosis for acute abdomen syndrome in both young and mature dogs. Early diagnosis and prompt surgical intervention may be curative.
authors.affiliation: Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan 48824-1314, USA.
authors.forename: Dirsko J F
authors.initials: DJ
authors.lastname: von Pfeil
authors.forename: L Ari
authors.initials: LA
authors.lastname: Jutkowitz
authors.forename: Joe
authors.initials: J
authors.lastname: Hauptman
mesh_terms: D000818:Animals; D003937:Diagnosis, Differential; D004283:Dog Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D004285:Dogs; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary*; D008297:Male; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary; D016896:Treatment Outcome; D014463:Ultrasonography