Sixteen dogs with splenic infarction due to causes other than splenic
torsion were identified, Dogs with splenic infarction often had multip
le concurrent diseases, and surgical management of splenic infarction
was associated with high mortality, Splenic infarction occurred in dog
s with hypercoagulable conditions associated with liver disease. renal
disease, and hyperadrenocorticism, or as a consequence of uniform spl
enomegaly, neoplasia, or thrombosis associated with cardiovascular dis
ease, Clinical signs and common laboratory findings generally reflecte
d the underlying disease process, A variety of splenic abnormalities w
ere detected by abdominal ultrasound in 15 dogs, with the ventral extr
emity of the spleen being most often abnormal, Four dogs were euthaniz
ed or died because of the presence of severe systemic disease, whereas
12 dogs underwent laparotomy. Complete splenectomy was performed in 9
dogs and partial splenectomy was performed in 2 dogs, Seven dogs died
in the immediate postoperative period. 3 required chronic veterinary
care, and 2 had uncomplicated long-term recoveries. Splenic infarction
should be regarded as a sign of altered blood flow and coagulation, r
ather than as a primary disease, and surgical management should be res
erved for patients with life-threatening complications such as hemoabd
omen or sepsis. Copyright (C) 1995 by the American College of Veterina
ry Internal Medicine.