kleintier konkret 2021; 24(05): 34-43
DOI: 10.1055/a-1522-5005
Innere Medizin

Splenomegalie bei Hund und Katze – Was können die bildgebenden Verfahren?

Sophie Ophey
,
Claudia Köhler
,
Sabrina Gamerad
,
Ingmar Kiefer

Die Frage nach der klinischen Relevanz einer Splenomegalie ist eine Herausforderung. Der Beitrag informiert über die bildgebenden Verfahren in der Diagnostik und über die zugrunde liegenden Ursachen der diffusen Milzvergrößerung.



Publication History

Article published online:
28 October 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Nickel R, Schummer A, Seiferle E. Lehrbuch der Anatomie der Haustiere. Band 2 – Eingeweide. 9. Aufl.. Stuttgart: Parey; 2004
  • 2 Fritsch R, Gerwing MF. Sonografie bei Hund und Katze. Stuttgart: Enke; 1993
  • 3 Kohn B, Schwarz G. Praktikum der Hundeklinik. 12. Aufl.. Stuttgart: Enke; 2018
  • 4 Lutz H, Kohn B, Forterre F. Krankheiten der Katze. 6. Aufl.. Stuttgart: Thieme; 2019
  • 5 Du Plessis WM. Sono-Grundkurs für Tiermediziner. Stuttgart: Schattauer; 2014
  • 6 Penninck D, DʼAnjou MA. Atlas of Small Animal ultrasonography. 2nd ed.. ed. Ames, Iowa: Wiley Blackwell; 2015
  • 7 Thrall DE. Textbook of Veterinary Diagnostic Radiology. 7th ed. St. Louis: Elsevier; 2018
  • 8 von Pückler K. Röntgen Hund und Katze: Thorax und Abdomen: Röntgenbilder sicher befunden. Stuttgart: Thieme; 2019
  • 9 Auger M, Fazio C, De Swarte M. et al. Administration of certain sedative drugs is associated with variation in sonographic and radiographic splenic size in healthy cats. Vet Radiol Ultrasound 2019; 60 (06) 717-728
  • 10 Johnson KL, Porter EG, Berry CR. Analysis of feline splenic radiographic measurements and their correlation to ultrasonographic measurements. J Feline Med Surg 2017; 19 (10) 985-991
  • 11 Reese SL, Zekas LJ, Iazbik MC. et al. Effect of sevoflurane anesthesia and blood donation on the sonographic appearance of the spleen in 60 healthy cats. Vet Radiol Ultrasound 2013; 54 (02) 168-175
  • 12 Sayre RS, Spaulding KA. Formulation of a standardized protocol and determination of the size and appearance of the spleen in healthy cats. J Feline Med Surg 2014; 16 (04) 326-332
  • 13 Mattoon JS, Nyland TG. Small Animal Diagnostic Ultrasound. 3rd ed.. ed. St. Louis: Elsevier; 2015
  • 14 Baldo CF, Garcia-Pereira FL, Nelson NC. et al. Effects of anesthetic drugs on canine splenic volume determined via computed tomography. Am J Vet Res 2012; 73 (11) 1715-1719
  • 15 Hasiuk MMM, Garcia-Pereira FL, Berry CR. et al. Effects of a single intravenous bolus injection of alfaxalone on canine splenic volume as determined by computed tomography. Can J Vet Res 2018; 82 (03) 203-207
  • 16 Bertolini G. The Spleen. In: Bertolini G. eds. Body MDCT in Small Animals. Cham: Springer; 2017: 143-157
  • 17 Schwarz T, Saunders J. Veterinary Computed Tomography. Chichester, West Sussex, Ames, Iowa: Wiley-Blackwell; 2011
  • 18 MacGavin MD, Zachary JF. Pathologie der Haustiere: Allgemeine, spezielle und funktionelle Veterinärpathologie. München: Urban & Fischer in Elsevier; 2009
  • 19 Liebich HG. Funktionelle Histologie der Haussäugetiere und Vögel: Lehrbuch und Farbatlas für Studium und Praxis. 5. Aufl.. Stuttgart: Schattauer; 2010
  • 20 OʼBrien RT, Waller KR, Osgood TL. Sonographic features of drug-induced splenic congestion. Vet Radiol Ultrasound 2004; 45 (03) 225-227
  • 21 Wilson DV, Evans AT, Carpenter RA. et al. The effect of four anesthetic protocols on splenic size in dogs. Vet Anaesth Analg 2004; 31 (02) 102-108
  • 22 Biermann K, Hungerbühler S, Mischke R. et al. Sedative, cardiovascular, haematologic and biochemical effects of four different drug combinations administered intramuscularly in cats. Vet Anaesth Analg 2012; 39 (02) 137-150
  • 23 Collette WL, Meriwether WF. Some changes in the peripheral blood of dogs after administration of certain tranquilizers and narcotics. Vet Med Small Anim Clin 1965; 60 (12) 1223-1226
  • 24 Hughes JR, Johnson VS, Genain MA. CT characteristics of primary splenic torsion in eight dogs. Vet Radiol Ultrasound 2020; 61 (03) 261-268
  • 25 Konde LJ, Wrigley RH, Lebel JL. et al. Sonografic and radiografic changes associated with splenic torsion in the dog. Vet Radiol 1989; 30 (01) 41-45
  • 26 Saunders HM, Neath PJ, Brockman DJ. B-mode and Doppler ultrasound imaging of the spleen with canine splenic torsion: a retrospective evaluation. Vet Radiol Ultrasound 1998; 39 (04) 349-353
  • 27 Spangler WL, Culbertson MR. Prevalence, type, and importance of splenic diseases in dogs: 1480 cases (1985–1989). J Am Vet Med Assoc 1992; 200 (06) 829-834
  • 28 DeGroot W, Giuffrida MA, Rubin J. et al. Primary splenic torsion in dogs: 102 cases (1992–2014). J Am Vet Med Assoc 2016; 248 (06) 661-668
  • 29 Neath PJ, Brockman DJ, Saunders HM. Retrospective analysis of 19 cases of isolated torsion of the splenic pedicle in dogs. J Small Anim Pract 1997; 38 (09) 387-392
  • 30 Stickle RL. Radiographic signs of isolated splenic torsion in dogs: eight cases (1980–1987). J Am Vet Med Assoc 1989; 194 (01) 103-106
  • 31 Ohta H, Takagi S, Murakami M. et al. Primary splenic torsion in a Boston terrier. J Vet Med Sci 2009; 71 (11) 1533-1535
  • 32 Reinhart JM, Sherwood JM, KuKanich KS. et al. Chronic splenic torsion in two dogs. J Am Anim Hosp Assoc 2015; 51 (03) 185-190
  • 33 Weber NA. Chronic primary splenic torsion with peritoneal adhesions in a dog: case report and literature review. J Am Anim Hosp Assoc 2000; 36 (05) 390-394
  • 34 Laurenson MP, Hopper K, Herrera MA. et al. Concurrent diseases and conditions in dogs with splenic vein thrombosis. J Vet Intern Med 2010; 24 (06) 1298-1304
  • 35 Hardie EM, Vaden SL, Spaulding K. et al. Splenic infarction in 16 dogs: a retrospective study. J Vet Intern Med 1995; 9 (03) 141-188
  • 36 Kim J. A case of acute splenic vein thrombosis in a dog. J Vet Med Sci 2019; 81 (10) 1492-1495
  • 37 Gibson PR, Gibson RN, Ditchfield MR. et al. Splenomegaly – an insensitive sign of portal hypertension. Aust N Z J Med 1990; 20 (06) 771-774
  • 38 Szatmári V, Rothuizen J, van den Ingh TSGAM. et al. Ultrasonographic findings in dogs with hyperammonemia: 90 cases (2000–2002). J Am Vet Med Assoc 2004; 224 (05) 717-727
  • 39 Baumgärtner W, Gruber AD. Spezielle Pathologie für die Tiermedizin. Stuttgart: Enke; 2015
  • 40 Corbin EE, Cavanaugh RP, Schwartz P. et al. Splenomegaly in small-breed dogs: 45 cases (2005–2011). J Am Vet Med Assoc 2017; 250 (10) 1148-1154
  • 41 Hanson JA, Papageorges M. Girard E et. Ultrasonographic appearance of splenic disease in 101 cats. Vet Radiol Ultrasound 2001; 42 (05) 441-445
  • 42 Cruz-Arámbulo R, Wrigley R, Powers B. Sonographic features of histiocytic neoplasms in the canine abdomen. Vet Radiol Ultrasound 2004; 45 (06) 554-558
  • 43 Kraje AC, Patton CS, Edwards DF. Malignant histiocytosis in 3 cats. J Vet Intern Med 2001; 15 (03) 252-256
  • 44 Moore PF. A review of histiocytic diseases of dogs and cats. Vet Pathol 2014; 51 (01) 167-184
  • 45 Ramirez S, Douglass JP, Robertson ID. Ultrasonographic features of canine abdominal malignant histiocytosis. Vet Radiol Ultrasound 2002; 43 (02) 167-170
  • 46 Clark L, Seawright AA. Generalised amyloidosis in seven cats. Pathol Vet 1969; 6 (02) 117-134
  • 47 DiBartola SP, Benson MD. The pathogenesis of reactive systemic amyloidosis. J Vet Intern Med 1989; 3 (01) 31-41
  • 48 DiBartola SP, Tarr MJ, Benson MD. Tissue distribution of amyloid deposits in Abyssinian cats with familial amyloidosis. J Comp Pathol 1986; 96 (04) 387-398
  • 49 Segev G, Cowgill LD, Jessen S. et al. Renal amyloidosis in dogs: a retrospective study of 91 cases with comparison of the disease between Shar-Pei and non-Shar-Pei dogs. J Vet Intern Med 2012; 26 (02) 259-368
  • 50 Terio KA, OʼBrien T, Lamberski N. et al. Amyloidosis in black-footed cats (Felis nigripes). Vet Pathol 2008; 45 (03) 393-400
  • 51 Crowell WA, Goldston RT, Schall WD. et al. Generalized amyloidosis in a cat. J Am Vet Med Assoc 1972; 161 (10) 1127-1233
  • 52 Woldemeskel M. A concise review of amyloidosis in animals. Vet Med Int 2012; 2012: 427296
  • 53 Yabuki A, Endo Y, Sakamoto H. et al. Quantitative assessment of renal cortical echogenicity in clinically normal cats. Anat Histol Embryol 2008; 37 (05) 383-386
  • 54 Harel M, Touzet C, Barthélemy A. et al. Prevalence and diagnostic value of the ultrasonographic honeycomb appearance of the spleen in cats. J Feline Med Surg 2020; 22 (02) 186-192
  • 55 Bertal M, Carmel NE, Diana A. et al. Association between ultrasonographic appearance of splenic parenchyma and cytology in cats. J Feline Med Surg 2018; 20 (01) 23-29
  • 56 Eberhardt F, Köhler C, Krastel D. et al. Sonografisch erfassbare Milzveränderungen bei Hunden mit malignem Lymphom. Tierarztl Prax Ausg K Kleintiere Heimtiere 2015; 43 (04) 215-320
  • 57 Book AP, Fidel J, Wills T. et al. Correlation of ultrasound findings, liver and spleen cytology, and prognosis in the clinical staging of high metastatic risk canine mast cell tumors. Vet Radiol Ultrasound 2011; 52 (05) 548-554
  • 58 Cordella A, Caldin M, Bertolini G. Splenic extramedullary hematopoiesis in dogs is frequently detected on multiphase multidetector-row CT as hypervascular nodules. Vet Radiol Ultrasound 2020; 61 (05) 512-518
  • 59 Hughes JR, Szladovits B, Drees R. Abdominal CT evaluation of the liver and spleen for staging mast cell tumors in dogs yields nonspecific results. Vet Radiol Ultrasound 2019; 60 (03) 306-315
  • 60 Feeney DA, Sharkey LC, Steward SM. et al. Parenchymal signal intensity in 3-T body MRI of dogs with hematopoietic neoplasia. Comp Med 2013; 63 (02) 174-182
  • 61 Mai W. The hilar perivenous hyperechoic triangle as a sign of acute splenic torsion in dogs. Vet Radiol Ultrasound 2006; 47 (05) 487-491
  • 62 Patsikas MN, Rallis T, Kladakis SE. et al. Computed tomography diagnosis of isolated splenic torsion in a dog. Vet Radiol Ultrasound 2001; 42 (03) 235-237
  • 63 Moritz A. Klinische Labordiagnostik in der Tiermedizin. 7. Aufl.. Stuttgart: Schattauer; 2013
  • 64 Crabtree AC, Spangler E, Beard D. et al. Diagnostic accuracy of gray-scale ultrasonography for the detection of hepatic and splenic lymphoma in dogs. Vet Radiol Ultrasound 2010; 51 (06) 661-664
  • 65 Lamb CR, Hartzband LE, Tidwell AS. et al. Ultrasonografic findings in hepatic and splenic lymphosarcoma in dogs and cats. Vet Radiol 1991; 32 (03) 117-120
  • 66 Ovejero Braun A, Hauser B. Korrelation zwischen zytologischen und histologischen Haut-, Lymphknoten- und Milzbefunden bei 500 Hunden und Katzen. Schweiz Arch Tierheilkd 2007; 149 (06) 249-257
  • 67 Tecilla M, Gambini M, Forlani A. et al. Evaluation of cytological diagnostic accuracy for canine splenic neoplasms: an investigation in 78 cases using STARD guidelines. PloS One 2019; 14 (11) e0224945
  • 68 Ballegeer EA, Forrest LJ, Dickinson RM. et al. Correlation of ultrasonographic appearance of lesions and cytologic and histologic diagnoses in splenic aspirates from dogs and cats: 32 cases (2002–2005). J Am Vet Med Assoc 2007; 230 (05) 690-696
  • 69 Watson AT, Penninck D, Knoll JS. et al. Safety and correlation of test results of combined ultrasound-guided fine-needle aspiration and needle core biopsy of the canine spleen. Vet Radiol Ultrasound 2011; 52 (03) 317-322