S— Coral Springs Animal Hospital Board Certified Surgeon
identified just left to the portal vein
likely representing a mildly enlarged
hepatic lymph node. In addition, a 1
cm in diameter nodule was identified
in the ventral extremity of the spleen.
A focal, small, fusiform nodule was
present in the subcutaneous tissues
right dorsal to the caudal thorax, likely
representing a benign nodule or
granuloma. Incidentally, multiple sites
of intervertebral disc mineralization
and a small mineral focus in the T12
vertebral body were found.
Treatment:
Gizmo
underwent
a
midline
celiotomy
for
an
abdominal
exploration and liver lobectomy. The
liver mass was expansile and cystic
encompassing the majority of the
right medial liver lobe intimately
close to the gallbladder quadrate
liver
lobe.
It
had
extensive
vascularization and extended cranially
about the level of the hilus and
associated triangular ligament. The
remaining liver appeared small and
normal in color and texture. The
whole central region of the liver,
encompassing the right medial and
quadrate liver lobes as well as the
gallbladder, was removed using a TA
Figure 1: Right lateral abdominal
radiograph – Note large soft tissue opacity
occupying the cranial abdomen (arrow)
stapling device. Moderate hemorrhage
occurred and it was controlled by
hemoclips, Surgicel and Gel Foam. Due
to the moderate blood loss during
surgery, a 250 ml packed red blood cell
(pRBC) transfusion was done post
surgery. No external nodules were
observed in the spleen; and given
patient instability during anesthesia
splenectomy was postponed.
After surgery, Gizmo was hospitalized