Splenic torsion….and the catchily-named hilar perivenous hyperechoic triangle sign
*Advanced warning -gory surgical photo involved here* This Great Dane presented with acute, non-tympanic abdominal distention and malaise. On sonography the spleen exhibits the classic ‘starry sky’ parenchymal pattern which is typical although not specific for torsion: There is no detectable flow in the splenic vessels with Doppler. At the point where the splenic veins … Continue reading