Vagotomy associated with splenectomy reduces lipid accumulation and causes kidneys histological changes in rats with hypothalamic obesity

Purpose To evaluate the influence of autonomic vagal and splenic activities on renal histomorphometric aspects in obese rats. Methods Thirty male Wistar rats were used, of which, 24 received subcutaneous injections of monosodium glutamate (MSG) during the first 5 days of life (4 g/kg body weight) and six control animals received injections of saline solution (CON). Five experimental groups were organized (n = 6/group): falsely-operated control (CON-FO); falsely-operated obese (MSG-FO); vagotomized obese (MSG-VAG); splenectomized obese (MSG-SPL); vagotomized and splenectomized obese (MSG-VAG-SPL). Results The MSG-FO group animals showed a significant reduction in body weight and nasal-anal length when compared to CON-FO group animals (p 0.05). The MSG-VAG-SPL group showed significant reduced in most biometric parameters associated with obesity. Falsely-operated obese animals showed a significant reduction in renal weight, glomerular diameters, glomerular tuff and capsule areas and Bowmans space compared to CON-FO group animals (p < 0.05). There was a significant reduction in diameter, glomerular tuft and capsule areas, and Bowmans space in MSG-VAG, MSG-SPL, MSG-VAG-SPL groups when compared to the MSG-FO group. Conclusions Vagotomy associated with splenectomy induces a reduction in the adiposity and causes histological changes in the kidney of obese rats.(AU)

Reduction in pregnancies and litters in mice couples with splenectomized male

Purpose The spleen is relevant in blood purification, hematopoiesis, metabolism, and immune response to antigens, in addition to the storage and control on the release of metals and amino acids. Its functions concerning reproduction characteristics are still unknown. The objective was to study the influence of splenectomies on reproduction. Methods This study analyzed 25 mice couples, distributed into five groups: group 1 control, no surgery: group 2 control, submitted to laparotomy and laparorrhaphy only; group 3 splenectomy in male mice; group 4 splenectomy in female mice; group 5 splenectomy in male and female mice. The animals were studied as regards the number of gestations and offspring generated in each gestation. Results A decrease in both the number of gestations and the number of offspring was verified in the male mice that had received a splenectomy when coupled with normal female mice. It is important to emphasize lower reproduction level when paired asplenic males with normal females, otherwise, the couples in which both mice had been splenectomized did not present change in the reproduction pattern. Conclusions A reduction in the number of pregnancies and litters occurs in mice couples when the male mice were previously splenectomized.(AU)

Atypical spleen hemophagocytic histiocytic sarcoma in a dog

Background: The histiocytic sarcoma (HS) complex is a set of malignant neoplasms originating from interstitial dendritic cells or macrophages. When it involves macrophages of the splenic red pulp and bone marrow, it is referred to as hemophagocytic histiocytic sarcoma (HHS). HHS behaves more aggressively than HS and is usually fatal. HHS can be diagnosed by cytological and histopathological examination of neoplastic tissue. HHS is confirmed by immunohistochemistry using an anti-CD11d antibody. This neoplasm is often confused with immune-mediated hemolytic anemia or Evans syndrome due to erythrophagocytosis and platelet consumption. The clinical presentation of the animals progresses with evident anemia and thrombocytopenia, leading to signs such as prostration, inappetence, and pale mucosa, making diagnosis challenging and often late. This study aimed to report the clinic-pathological aspects of a canine with atypical hemophagocytic splenic HS. Case: A 4-year-old male Shih-Tzu canine was referred to the Veterinary Hospital with a history of prostration and anorexia. Pale mucous membranes were observed on physical examination. Blood tests revealed non-regenerative anemia, leukopenia, and thrombocytopenia. Serum protein levels were below the reference values for the species in biochemical examinations. Hemoparasitosis was suspected; however, the result of the polymerase chain reaction was negative. Abdominal ultrasound revealed a splenomegaly with heterogeneous parenchyma and a slightly irregular surface, but no visible mass in the spleen. Due to the difficulty of stabilizing the patient, even after successive transfusions, the animal underwent exploratory laparotomy with medial access and posterior splenectomy. Subsequently, the spleen was surgically removed, fixed in 10% buffered formalin, and processed routinely. Macroscopically, it had an irregular reddish-brown capsular surface. Histopathological examination of the spleen revealed a densely cellular neoplasm composed of round to spindle cells (histiocytes) arranged haphazardly in variably sized sheets separating the pre-existing spleen stroma. These histopathological findings were consistent with a histiocytic malignant neoplasm. Immunohistochemical analysis was performed to better define the origin of the histiocytic neoplasm. Neoplastic cells showed positive immunostaining of more than 80% of tumor cells for the CD11d antibody and weak immunostaining for CD11c and lysozyme. The patient survived for less than 30 days after the first hospital visit. Discussion: The diagnosis of HHS was based on the histological characteristics and positive immunostaining of more than 80% of the tumor cells for the CD11d antibody. HHS is an extremely aggressive and rare tumor that affects elderly dogs of any breed. In this study, HHS had atypical histologic characteristics, in which erythrophagocytosis and hemosiderin were not observed within macrophages. HHSs arise from macrophages of the red pulp of the spleen or bone marrow and express the b2 integrin, CD11d, and have low expression of CD1 and CD11c, which are predominantly expressed by non-hemophagocytic HS. The hematological and biochemical changes observed in this case were similar to those described in other dogs with HHS. Treatment of HHS is only palliative. Erlichia ewingii, E. canis, Anaplasma phagocytophilum, A. platys, Borrelia burgdorferi, Dirofilaria immitis, Leishmania infantum and immune-mediated hemolytic anemia are the main differential diagnoses because they cause anemia and thrombocytopenia accompanied by splenomegaly.

Macro and microscopic comparison of the upper pole of the spleen with the lower pole in partial splenectomy

Purpose To evaluate the viability of the upper (UP) and lower pole (LP) of the spleen from a macro and microscopic point of view, after subtotal splenectomy with preservation (SSP) of the UP and the LP. Methods Seventeen male Wistar rats, two months old, were submitted to SSPUP and SSPLP and 5 to simulated operation (SG). After 80 days, the rats were euthanized, and the remaining LP and UP and intact spleens were evaluated macroscopically and microscopically. Results Two rats died during the operation. Macroscopic analysis showed that in 15 LP, one of them was not viable and in 15 UP and in 5 spleens in the SG, all were viable. In the statistical analysis, there was no difference in relation to viability. The LP and UP analyzed showed variation. As for the length, the UP increased significantly; however, in relation to the width, there was a significant increase in the LP in relation to the UP. In addition, the weight of the UP was significantly greater than that of the LP. Microscopic analysis attested viability of the splenic remnants. Conclusion There was no significant difference regarding the viability of UP and LP, in macroscopy and microscopy.(AU)

The influence of splenic tissue on the survival and TCD4 and TCD8 lymphocyte rates in rats subjected to fecal peritonitis induction

Purpose: Comparing survival rates of rats subjected to spleen procedures after fecal peritonitis induction. Assessing changes in TCD4 and CD8 lymphocyte rates before and after the procedures. Correlating animal survival with CD4 and CD8 lymphocytes. Methods: Thirty male Wistar rats were distributed into 3 groups of ten: spleen manipulation (SM); total splenectomy (TS); subtotal splenectomy with preservation of the inferior pole (IP). Rats were subjected to surgical procedure depending on the group. Seven days after surgery they underwent induction of peritonitis and survival time was recorded. All animals were subjected to two blood collections: before surgery and 70 days after it for TCD4/TCD8 lymphocyte counting. Results: Mean survival time was longer in the IP and SM groups and shorter in the TS group; there was significant difference between them. The comparison of the median number of CD4 did not present changes, whereas the comparison of the median number of CD8 decreased in the SM and IP groups. The correlation between the median number of TCD4 and TCD8 lymphocytes and the animals survival was not significant. Conclusion: The maintenance of splenic tissue contributed to increase the survival of rats and there was a change in the number of TCD8 lymphocytes.(AU)

Torção esplênica primária associado à baço acessório em cão / Primary splenic torsion associated with accessory spleen in a dog

Background: Primary splenic torsion occurs when there is a splenic vascular pedicle rotation without association of otherdiseases, as the Gastric Dilatation Volvulus (GDV). Accessory spleen consists in a splenic tissue fraction independentfrom main organ, caused by a spleen defect in the embryonic development, most remaining asymptomatic and discoveredincidentally. They have their own blood supply, which is usually from a branch of the splenic artery. Present report represents a primary splenic torsion with the accessory spleen finding in a dog.Case: A 7-year-old female mongrel was referred to Veterinary Hospital of Universidade Federal do Rio Grande do Sul,showing pain and firm consistency in the left abdominal region, prostration and inappetence four days before the medicalappointment. At the clinical examination, the patient was alert, 7% dehydration, hypocorous mucous membranes, withoutalteration in lymph nodes, left abdominal pain. Laboratory tests, chest radiographic and abdominal ultrasound was requested.Two images compatible with splenic image were visualized, one with a regular structure without vascularization suggestingsplenic torsion and another with homogeneous parenchyma and echogenicity of the normal spleen, with vascularizationsignal. The animal was referred to the surgical procedure and the anesthetic induction protocol with propofol (6 mg/kg-1)and ketamine hydrochloride (2 mg/kg-1) and maintenance with total intravenous anesthesia with propofol (0.2-0.4 mg/kg-1/min) and lidocaine (2 mg/kg-1), in a semi-closed loop and spontaneous ventilation. The pre-retro-umbilical incision in theventral midline was performed, and the exploratory celiotomy was done. During the cavity exploring, a small amount of freefluid and a structure compatible with the spleen were observed. It was noted that the splenic vascular pedicle was twistedaround its axis and the gastroesplenic and splenocolic ligaments were also involved...(AU)

Experimental infection by Anaplasma marginale in buffaloes and cattle: clinical, hematological, molecular and pathological aspects / Infecção experimental de Anaplasma marginale em búfalos e bovinos: aspectos clínicos, hematológicos, moleculares e patológicos

The study aimed to evaluate and compare the clinical, laboratory and pathological aspects of buffalo and bovine experimentally infected with AmRio 2 strain of Anaplasma marginale. Four Murrah buffaloes and four crossbred cattle were used in the experiment, which two animals of each species were splenectomized. Strain AmRio 2 of A. marginale was inoculated in all experimental animals. Clinical exams, Packed Cell Volume (PCV), blood counts, blood smears, rickettsemia, necropsy and histopathology were performed in all cases. Semi-Nested-PCR (snPCR) for the msp5 and snPCR for the msp1α target gene for identification of A. marginale in blood samples from animals was done. From positive samples for msp1α snPCR, samples were analyzed for the amino acid sequences of this gene. Two splenectomized cattle presented apathy, pale mucous membranes, jaundice, hyperthermia, and severe anemia. The remaining experimental animals did not show clinical signs. The rickettsemia in all animals was less than 1%. The mean PCV of the splenectomized cattle was below 20% at two-time points after infection. On the blood count, the main changes were observed in splenectomized calves and were characterized by a decrease in red blood cells, hemoglobin, PCV and platelets (p <0.05). All animals presented leukocyte elevation by increased lymphocytes, however, with no significant difference. The average prepatent period was two days in all the animals. The average incubation period in cattle that became ill was 25.5 days, and death occurred, on average, 63 days after inoculation of the strain. The necropsy findings were characterized by pale carcass, ascites, enlarged liver, distended gallbladder, and thick bile. Histopathological findings included infiltration of macrophages and lymphocytes in various organs, hepatic sinusoidal dilatation, and necrosis of the large intestine. In snPCR for the msp5 gene, 100% of the animals were positive in at least one evaluation. And in the snPCR for the infection of the msp1α target gene was also found in all animals in at least one sample evaluated. However, sequencing revealed only five animals, including the bovine which died, with a similarity of the amino acid sequences with AmRio 2 strain of A. marginale. It is concluded that the splenectomized cattle died due to anaplasmosis caused by the inoculated strain and the buffalo were more resistant compared to cattle. Buffaloes can be an alternative to cattle rearing in areas with a high occurrence of clinical cases of anaplasmosis.(AU)

O estudo teve como objetivo avaliar e comparar os aspectos clínicos, laboratoriais e patológicos de búfalos e bovinos infectados experimentalmente com estirpe AmRio 2 de Anaplasma marginale. Para isso, foram utilizados quatro bubalinos Murrah e quatro bovinos mestiços, sendo dois animais de cada espécie, esplenectomizados. Estirpe AmRio 2 de A. marginale foi inoculada em todos os animais. Foram realizados exames clínicos, hematócrito, hemograma, esfregaço sanguíneo com avaliação de riquetsemia, necropsia e histopatologia, além de, Semi-Nested-PCR (snPCR) para o gene alvo msp5 e snPCR para o gene alvo msp1α para identificação de A. marginale nas amostras de sangue dos ruminantes. A partir das amostras positivas na snPCR msp1α, foram selecionadas amostras para análise das sequências de aminoácidos deste gene. Dois bovinos esplenectomizados apresentaram apatia, mucosas pálidas, icterícia, hipertermia e anemia severa. O restante dos animais não apresentou sintomatologia clínica. A riquetsemia em todos os animais foi menor que 1%. A média do hematócrito dos bovinos esplenectomizados esteve abaixo de 20% em dois momentos após infecção. Ao hemograma, as principais alterações observadas foram nos bovinos esplenectomizados e caracterizaram-se por redução de hemácias, hemoglobina, hematócrito e plaquetas (p<0,05). Todos os animais apresentaram elevação de leucócitos por aumento de linfócitos, porém, sem diferença significativa. O período pré-patente médio foi de dois dias em todos os animais. O período de incubação médio nos bovinos que adoeceram foi de 25,5 dias e estes morreram em média 63 dias após inoculação da estirpe. Os achados de necropsia caracterizaram-se por carcaça pálida, ascite, aumento de volume do fígado, vesícula biliar distendida e bile espessa. À histopatologia, verificou-se infiltração de macrófagos e linfócitos em diversos órgãos, dilatação dos sinusoides hepáticos e necrose do intestino grosso. A snPCR para o gene msp5, revelou 100% dos animais positivos em pelo menos um momento de avaliação. E na snPCR para o gene alvo msp1α também verificou-se infecção em todos os animais em pelo menos uma amostra avaliada. Entretanto, o sequenciamento revelou apenas cinco animais, incluindo os bovinos que morreram, com similaridade das sequências de aminoácidos com estirpe AmRio 2 de A. marginale. Conclui-se que os bovinos esplenectomizados morreram em virtude de anaplasmose provocada pela estirpe inoculada e os bubalinos foram mais resistentes em comparação aos bovinos. Finalmente, os búfalos podem ser uma alternativa à criação de bovinos em áreas com alta ocorrência de casos clínicos de anaplasmose.(AU)

Experimental infection by Anaplasma marginale in buffaloes and cattle: clinical, hematological, molecular and pathological aspects / Infecção experimental de Anaplasma marginale em búfalos e bovinos: aspectos clínicos, hematológicos, moleculares e patológicos

The study aimed to evaluate and compare the clinical, laboratory and pathological aspects of buffalo and bovine experimentally infected with AmRio 2 strain of Anaplasma marginale. Four Murrah buffaloes and four crossbred cattle were used in the experiment, which two animals of each species were splenectomized. Strain AmRio 2 of A. marginale was inoculated in all experimental animals. Clinical exams, Packed Cell Volume (PCV), blood counts, blood smears, rickettsemia, necropsy and histopathology were performed in all cases. Semi-Nested-PCR (snPCR) for the msp5 and snPCR for the msp1α target gene for identification of A. marginale in blood samples from animals was done. From positive samples for msp1α snPCR, samples were analyzed for the amino acid sequences of this gene. Two splenectomized cattle presented apathy, pale mucous membranes, jaundice, hyperthermia, and severe anemia. The remaining experimental animals did not show clinical signs. The rickettsemia in all animals was less than 1%. The mean PCV of the splenectomized cattle was below 20% at two-time points after infection. On the blood count, the main changes were observed in splenectomized calves and were characterized by a decrease in red blood cells, hemoglobin, PCV and platelets (p <0.05). All animals presented leukocyte elevation by increased lymphocytes, however, with no significant difference. The average prepatent period was two days in all the animals. The average incubation period in cattle that became ill was 25.5 days, and death occurred, on average, 63 days after inoculation of the strain. The necropsy findings were characterized by pale carcass, ascites, enlarged liver, distended gallbladder, and thick bile. Histopathological findings included infiltration of macrophages and lymphocytes in various organs, hepatic sinusoidal dilatation, and necrosis of the large intestine. In snPCR for the msp5 gene, 100% of the animals were positive in at least one evaluation. And in the snPCR for the infection of the msp1α target gene was also found in all animals in at least one sample evaluated. However, sequencing revealed only five animals, including the bovine which died, with a similarity of the amino acid sequences with AmRio 2 strain of A. marginale. It is concluded that the splenectomized cattle died due to anaplasmosis caused by the inoculated strain and the buffalo were more resistant compared to cattle. Buffaloes can be an alternative to cattle rearing in areas with a high occurrence of clinical cases of anaplasmosis.(AU)

O estudo teve como objetivo avaliar e comparar os aspectos clínicos, laboratoriais e patológicos de búfalos e bovinos infectados experimentalmente com estirpe AmRio 2 de Anaplasma marginale. Para isso, foram utilizados quatro bubalinos Murrah e quatro bovinos mestiços, sendo dois animais de cada espécie, esplenectomizados. Estirpe AmRio 2 de A. marginale foi inoculada em todos os animais. Foram realizados exames clínicos, hematócrito, hemograma, esfregaço sanguíneo com avaliação de riquetsemia, necropsia e histopatologia, além de, Semi-Nested-PCR (snPCR) para o gene alvo msp5 e snPCR para o gene alvo msp1α para identificação de A. marginale nas amostras de sangue dos ruminantes. A partir das amostras positivas na snPCR msp1α, foram selecionadas amostras para análise das sequências de aminoácidos deste gene. Dois bovinos esplenectomizados apresentaram apatia, mucosas pálidas, icterícia, hipertermia e anemia severa. O restante dos animais não apresentou sintomatologia clínica. A riquetsemia em todos os animais foi menor que 1%. A média do hematócrito dos bovinos esplenectomizados esteve abaixo de 20% em dois momentos após infecção. Ao hemograma, as principais alterações observadas foram nos bovinos esplenectomizados e caracterizaram-se por redução de hemácias, hemoglobina, hematócrito e plaquetas (p<0,05). Todos os animais apresentaram elevação de leucócitos por aumento de linfócitos, porém, sem diferença significativa. O período pré-patente médio foi de dois dias em todos os animais. O período de incubação médio nos bovinos que adoeceram foi de 25,5 dias e estes morreram em média 63 dias após inoculação da estirpe. Os achados de necropsia caracterizaram-se por carcaça pálida, ascite, aumento de volume do fígado, vesícula biliar distendida e bile espessa. À histopatologia, verificou-se infiltração de macrófagos e linfócitos em diversos órgãos, dilatação dos sinusoides hepáticos e necrose do intestino grosso. A snPCR para o gene msp5, revelou 100% dos animais positivos em pelo menos um momento de avaliação. E na snPCR para o gene alvo msp1α também verificou-se infecção em todos os animais em pelo menos uma amostra avaliada. Entretanto, o sequenciamento revelou apenas cinco animais, incluindo os bovinos que morreram, com similaridade das sequências de aminoácidos com estirpe AmRio 2 de A. marginale. Conclui-se que os bovinos esplenectomizados morreram em virtude de anaplasmose provocada pela estirpe inoculada e os bubalinos foram mais resistentes em comparação aos bovinos. Finalmente, os búfalos podem ser uma alternativa à criação de bovinos em áreas com alta ocorrência de casos clínicos de anaplasmose.(AU)

Lesions in 224 spleens of splenectomized dogs and evalution of alternative techniques for previous microscopic diagnosis / Lesões em 224 baços de cães esplenectomizados e avaliação de técnicas alternativas para diagnóstico microscópico prévio

When detecting a proliferative splenic lesion, veterinarians usually choose splenectomy before a conclusive diagnosis, which can provide a deleterious effect to the dog. The most appropriate would be to perform splenectomy as a therapeutic procedure only in cases with real surgical indication, which can be established after defining microscopic diagnosis and prognosis. The objectives of this study were: to determine the frequency of different types of lesions in spleens of splenectomized dogs in the period of 12 years (2006-2017); determine the representativity of neoplastic lesions (benign and malignant) and non-neoplastic lesions; to evaluate and compare the safety and efficiency of fine needle aspiration biopsy (FNA) and ultrasound-guided Tru-cut needle biopsy for cytological and histopathological diagnosis, respectively, of splenic nodular lesions. In the studied period 224 cases of lesions were found in splenectomized spleens. The frequency of non-neoplastic lesions (50,45%, 113/224) and neoplastic lesions (49,55%, 111/224) was very similar. Among the neoplastic lesions, the malignant ones were more frequent (79,27%, 88/111), and the hemangiosarcoma was the most common (52,25%, 58/111). The possibility of malignant neoplasm was about 74% greater than a benign one. In summary, it was verified that 60.71% (136/224) of the cases corresponded to benign lesions without indication to splenectomy. FNA techniques and Tru-cut biopsy showed a low risk of complications. Regarding the diagnostic efficacy, the FNA obtained 71.43% (15/21) of conclusive diagnoses, 60% (9/15) of which were compatible with the final result of the histopathological evaluation, after splenectomy (gold standard). The Tru-cut biopsy obtained 71.43% (5/7) of conclusive diagnoses and 28.57% (2/7) of inconclusive diagnoses. Among the conclusive one, in 100% of the cases the diagnosis was compatible with the gold standard. Thus, since the possibility of benign splenic lesions in dogs is 1.52 times greater than malignancies, splenectomy should be recommended as a therapeutic procedure only in cases with proven surgical indication, which can be established after definition of microscopic diagnosis and prognosis. The use of FNA and Tru-cut biopsy should be recommended, especially for small and focal splenic lesions, since such techniques are good alternatives for establishing diagnosis previously to splenectomy, which may reduce the number of unnecessary splenectomies. The importance of recommending such techniques is emphasized, especially for dogs with focal splenic lesions smaller than three centimeters.(AU)

Rotineiramente, frente à detecção de uma lesão proliferativa esplênica, médicos veterinários costumam optar pela esplenectomia antes de se obter o diagnóstico definitivo da lesão esplênica, o que pode trazer consequências deletérias ao cão. O mais apropriado seria, contudo, a sua adoção, como medida terapêutica, apenas nos casos com comprovada indicação cirúrgica, o que pode ser estabelecido após o diagnóstico microscópico e prognóstico definidos. Os objetivos desse estudo foram: determinar a frequência dos diferentes tipos de lesão em baços de cães esplenectomizados no período de 12 anos (2006-2017); determinar a representatividade das lesões neoplásicas (benignas e malignas) e não neoplásicas; avaliar e comparar a segurança e a eficiência da punção aspirativa por agulha fina (PAAF) e da biópsia por agulha Tru-cut guiadas por ultrassom para o diagnóstico citológico e histopatológico, respectivamente, de lesões nodulares esplênicas. No período estudado foram encontrados 224 casos de lesões em baços esplenectomizados. A frequência de lesões não neoplásicas (50,45%, 113/224) e neoplásicas (49,55%, 111/224) esplênicas foi muito semelhante. Entre as neoplásicas, as de caráter maligno foram mais frequentes (79,27%, 88/111) e o hemangiossarcoma o mais comum (52,25%, 58/111). A possibilidade de ocorrência de uma neoplasia maligna foi cerca de 74% maior do que uma benigna. Em suma, verificou-se que em 60,71% (136/224) dos casos estudados, tratava-se de lesões benignas que não teriam indicação de esplenectomia. As técnicas de PAAF e a biópsia por agulha Tru-cut demonstraram ter baixo risco de complicações. Quanto à eficácia diagnóstica, pela PAAF obteve-se 71,43% (15/21) de diagnósticos conclusivos, sendo 60% (9/15) desses compatíveis com o resultado final realizado pela avaliação histopatológica, após a esplenectomia (padrão ouro). Já a biópsia por Tru-cut obteve 71,43% (5/7) de diagnósticos conclusivos e 28,57% (2/7) de inconclusivos. Dentre os conclusivos, em 100% dos casos o diagnóstico foi compatível com o padrão ouro. Desta maneira, visto a possibilidade de ocorrência de lesões esplênicas benignas em cães serem 1,52 vezes maior do que as malignas deve ser recomentado a adoção de esplenectomia, como medida terapêutica, apenas nos casos com comprovada indicação cirúrgica, o que pode ser estabelecido após o diagnóstico microscópico e prognóstico definidos. O uso da PAAF e da biópsia por Tru-cut deve ser recomentado, sobretudo, para lesões esplênicas pequenas e focais, uma vez que tais técnicas representam boas alternativas para o estabelecimento do diagnóstico prévio a esplenectomia, o que pode reduzir o número de esplenectomias desnecessárias. Enfatiza-se a importância da recomendação de tais técnicas, sobretudo para cães com lesões esplênicas focais menores do que três centímetros.(AU)

Lesions in 224 spleens of splenectomized dogs and evalution of alternative techniques for previous microscopic diagnosis / Lesões em 224 baços de cães esplenectomizados e avaliação de técnicas alternativas para diagnóstico microscópico prévio

When detecting a proliferative splenic lesion, veterinarians usually choose splenectomy before a conclusive diagnosis, which can provide a deleterious effect to the dog. The most appropriate would be to perform splenectomy as a therapeutic procedure only in cases with real surgical indication, which can be established after defining microscopic diagnosis and prognosis. The objectives of this study were: to determine the frequency of different types of lesions in spleens of splenectomized dogs in the period of 12 years (2006-2017); determine the representativity of neoplastic lesions (benign and malignant) and non-neoplastic lesions; to evaluate and compare the safety and efficiency of fine needle aspiration biopsy (FNA) and ultrasound-guided Tru-cut needle biopsy for cytological and histopathological diagnosis, respectively, of splenic nodular lesions. In the studied period 224 cases of lesions were found in splenectomized spleens. The frequency of non-neoplastic lesions (50,45%, 113/224) and neoplastic lesions (49,55%, 111/224) was very similar. Among the neoplastic lesions, the malignant ones were more frequent (79,27%, 88/111), and the hemangiosarcoma was the most common (52,25%, 58/111). The possibility of malignant neoplasm was about 74% greater than a benign one. In summary, it was verified that 60.71% (136/224) of the cases corresponded to benign lesions without indication to splenectomy. FNA techniques and Tru-cut biopsy showed a low risk of complications. Regarding the diagnostic efficacy, the FNA obtained 71.43% (15/21) of conclusive diagnoses, 60% (9/15) of which were compatible with the final result of the histopathological evaluation, after splenectomy (gold standard). The Tru-cut biopsy obtained 71.43% (5/7) of conclusive diagnoses and 28.57% (2/7) of inconclusive diagnoses. Among the conclusive one, in 100% of the cases the diagnosis was compatible with the gold standard. Thus, since the possibility of benign splenic lesions in dogs is 1.52 times greater than malignancies, splenectomy should be recommended as a therapeutic procedure only in cases with proven surgical indication, which can be established after definition of microscopic diagnosis and prognosis. The use of FNA and Tru-cut biopsy should be recommended, especially for small and focal splenic lesions, since such techniques are good alternatives for establishing diagnosis previously to splenectomy, which may reduce the number of unnecessary splenectomies. The importance of recommending such techniques is emphasized, especially for dogs with focal splenic lesions smaller than three centimeters.(AU)

Rotineiramente, frente à detecção de uma lesão proliferativa esplênica, médicos veterinários costumam optar pela esplenectomia antes de se obter o diagnóstico definitivo da lesão esplênica, o que pode trazer consequências deletérias ao cão. O mais apropriado seria, contudo, a sua adoção, como medida terapêutica, apenas nos casos com comprovada indicação cirúrgica, o que pode ser estabelecido após o diagnóstico microscópico e prognóstico definidos. Os objetivos desse estudo foram: determinar a frequência dos diferentes tipos de lesão em baços de cães esplenectomizados no período de 12 anos (2006-2017); determinar a representatividade das lesões neoplásicas (benignas e malignas) e não neoplásicas; avaliar e comparar a segurança e a eficiência da punção aspirativa por agulha fina (PAAF) e da biópsia por agulha Tru-cut guiadas por ultrassom para o diagnóstico citológico e histopatológico, respectivamente, de lesões nodulares esplênicas. No período estudado foram encontrados 224 casos de lesões em baços esplenectomizados. A frequência de lesões não neoplásicas (50,45%, 113/224) e neoplásicas (49,55%, 111/224) esplênicas foi muito semelhante. Entre as neoplásicas, as de caráter maligno foram mais frequentes (79,27%, 88/111) e o hemangiossarcoma o mais comum (52,25%, 58/111). A possibilidade de ocorrência de uma neoplasia maligna foi cerca de 74% maior do que uma benigna. Em suma, verificou-se que em 60,71% (136/224) dos casos estudados, tratava-se de lesões benignas que não teriam indicação de esplenectomia. As técnicas de PAAF e a biópsia por agulha Tru-cut demonstraram ter baixo risco de complicações. Quanto à eficácia diagnóstica, pela PAAF obteve-se 71,43% (15/21) de diagnósticos conclusivos, sendo 60% (9/15) desses compatíveis com o resultado final realizado pela avaliação histopatológica, após a esplenectomia (padrão ouro). Já a biópsia por Tru-cut obteve 71,43% (5/7) de diagnósticos conclusivos e 28,57% (2/7) de inconclusivos. Dentre os conclusivos, em 100% dos casos o diagnóstico foi compatível com o padrão ouro. Desta maneira, visto a possibilidade de ocorrência de lesões esplênicas benignas em cães serem 1,52 vezes maior do que as malignas deve ser recomentado a adoção de esplenectomia, como medida terapêutica, apenas nos casos com comprovada indicação cirúrgica, o que pode ser estabelecido após o diagnóstico microscópico e prognóstico definidos. O uso da PAAF e da biópsia por Tru-cut deve ser recomentado, sobretudo, para lesões esplênicas pequenas e focais, uma vez que tais técnicas representam boas alternativas para o estabelecimento do diagnóstico prévio a esplenectomia, o que pode reduzir o número de esplenectomias desnecessárias. Enfatiza-se a importância da recomendação de tais técnicas, sobretudo para cães com lesões esplênicas focais menores do que três centímetros.(AU)

Torção esplênica primária associado à baço acessório em cão / Primary splenic torsion associated with accessory spleen in a dog

Background: Primary splenic torsion occurs when there is a splenic vascular pedicle rotation without association of otherdiseases, as the Gastric Dilatation Volvulus (GDV). Accessory spleen consists in a splenic tissue fraction independentfrom main organ, caused by a spleen defect in the embryonic development, most remaining asymptomatic and discoveredincidentally. They have their own blood supply, which is usually from a branch of the splenic artery. Present report represents a primary splenic torsion with the accessory spleen finding in a dog.Case: A 7-year-old female mongrel was referred to Veterinary Hospital of Universidade Federal do Rio Grande do Sul,showing pain and firm consistency in the left abdominal region, prostration and inappetence four days before the medicalappointment. At the clinical examination, the patient was alert, 7% dehydration, hypocorous mucous membranes, withoutalteration in lymph nodes, left abdominal pain. Laboratory tests, chest radiographic and abdominal ultrasound was requested.Two images compatible with splenic image were visualized, one with a regular structure without vascularization suggestingsplenic torsion and another with homogeneous parenchyma and echogenicity of the normal spleen, with vascularizationsignal. The animal was referred to the surgical procedure and the anesthetic induction protocol with propofol (6 mg/kg-1)and ketamine hydrochloride (2 mg/kg-1) and maintenance with total intravenous anesthesia with propofol (0.2-0.4 mg/kg-1/min) and lidocaine (2 mg/kg-1), in a semi-closed loop and spontaneous ventilation. The pre-retro-umbilical incision in theventral midline was performed, and the exploratory celiotomy was done. During the cavity exploring, a small amount of freefluid and a structure compatible with the spleen were observed. It was noted that the splenic vascular pedicle was twistedaround its axis and the gastroesplenic and splenocolic ligaments were also involved...

Autoimplante esplênico em cães: revisão de literatura / Splenic autograft: literature review / Autoimplantación esplénica: revisión de la literatura

O baço possui importantes funções, principalmente imunológicas e hematológicas, despertando o interesse em sua manutenção quando uma esplenectomia total é inevitável. O autoimplante esplênico surge como única alternativa para manter essas funções, sendo uma cirurgia de fácil e rápida realização, mas pouco difundida no meio veterinário. A técnica do autoimplante consiste na fragmentação do tecido esplênico e inserção no grande omento, que tem sido considerado o melhor sítio de implantação. Em grande parte dos estudos, o enxerto regenera macroscopicamente e microscopicamente e apresenta funcionalidade. A avaliação da atividade esplênica é realizada através de exames indiretos e cintilografia, que podem demonstrar a função do baço autoimplantado. Essa técnica impede em parte as complicações que ocorreriam em um paciente esplenectomizado, destacando-se a suscetibilidade às infecções após a esplenectomia.

The spleen has important functions, especially immunologic and hematologic, arousing interest in maintaining them when a total splenectomy is inevitable. Splenic autograft comes up as the only alternative to keep these functions, being an easy and quick surgery but little spread among veterinarians. The technique of autograft consists on fragmentation of splenic tissue and insertion in the greater omentum, which has been considering the best deployment site. In most studies, autograft regenerates macroscopically and microscopically and presents functionality. The splenic activity evaluation is performed through indirect tests, and scintigraphy, which can demonstrate the function of spleen autograft. This technique partly prevents complications that would occur in a splenectomized patient, especially the susceptibility to infections after splenectomy.

El bazo tiene funciones importantes, especialmente inmunológica y hematológica despertando el interés en su mantenimiento cuando una esplenectomía total es inevitable. El autotrasplante esplénico surge como la única alternativa para mantener estas funciones, es una rápida y fácil operación, pero poco extendida entre los veterinarios. La técnica de autoimplantación consiste en la fragmentación de tejido esplénico y la inserción en el epiplón mayor, que se considera el mejor lugar de implantación. En gran parte del estúdios, el tejido esplénico regenera sus características macroscópicas y microscópicas y se muestra la funcionalidad. La evaluación de la actividad del bazo se lleva a cabo través de pruebas indirectas y la gammagrafía, que puedan demostrar la función del bazo autoimplantado. Esta técnica evita en parte las complicaciones que se producen en un paciente esplenectomizado, especialmente la susceptibilidad a infecciones después de la esplenectomía.

Autoimplante esplênico em cães: revisão de literatura / Splenic autograft: literature review / Autoimplantación esplénica: revisión de la literatura

O baço possui importantes funções, principalmente imunológicas e hematológicas, despertando o interesse em sua manutenção quando uma esplenectomia total é inevitável. O autoimplante esplênico surge como única alternativa para manter essas funções, sendo uma cirurgia de fácil e rápida realização, mas pouco difundida no meio veterinário. A técnica do autoimplante consiste na fragmentação do tecido esplênico e inserção no grande omento, que tem sido considerado o melhor sítio de implantação. Em grande parte dos estudos, o enxerto regenera macroscopicamente e microscopicamente e apresenta funcionalidade. A avaliação da atividade esplênica é realizada através de exames indiretos e cintilografia, que podem demonstrar a função do baço autoimplantado. Essa técnica impede em parte as complicações que ocorreriam em um paciente esplenectomizado, destacando-se a suscetibilidade às infecções após a esplenectomia.(AU)

The spleen has important functions, especially immunologic and hematologic, arousing interest in maintaining them when a total splenectomy is inevitable. Splenic autograft comes up as the only alternative to keep these functions, being an easy and quick surgery but little spread among veterinarians. The technique of autograft consists on fragmentation of splenic tissue and insertion in the greater omentum, which has been considering the best deployment site. In most studies, autograft regenerates macroscopically and microscopically and presents functionality. The splenic activity evaluation is performed through indirect tests, and scintigraphy, which can demonstrate the function of spleen autograft. This technique partly prevents complications that would occur in a splenectomized patient, especially the susceptibility to infections after splenectomy.(AU)

El bazo tiene funciones importantes, especialmente inmunológica y hematológica despertando el interés en su mantenimiento cuando una esplenectomía total es inevitable. El autotrasplante esplénico surge como la única alternativa para mantener estas funciones, es una rápida y fácil operación, pero poco extendida entre los veterinarios. La técnica de autoimplantación consiste en la fragmentación de tejido esplénico y la inserción en el epiplón mayor, que se considera el mejor lugar de implantación. En gran parte del estúdios, el tejido esplénico regenera sus características macroscópicas y microscópicas y se muestra la funcionalidad. La evaluación de la actividad del bazo se lleva a cabo través de pruebas indirectas y la gammagrafía, que puedan demostrar la función del bazo autoimplantado. Esta técnica evita en parte las complicaciones que se producen en un paciente esplenectomizado, especialmente la susceptibilidad a infecciones después de la esplenectomía.(AU)

Hemostasis technique using an adjustable nylon tie in dog with splenic hematoma and lymphoid hyperplasia

Background: Splenic hematoma is an encapsulated blood accumulation, which is macroscopically indistinguishable from malignant spleen. The treatment of choice and final diagnosis were by splenectomy and exploratory laparotomy followed by biopsy and histopathological examination, respectively. Nylon tie bands are devices made of polyamide 6.6, same material of surgical nylon wires, and has been used in different surgical procedures in animals. The present report case aimed to describe the use of nylon tie bands polyamide 6.6 in a 2.3-year-old Golden retriever dog diagnosed with splenic hematoma and lymphoid hyperplasia; and the clinical presentation, diagnostic evaluation, histological diagnosis of splenic hematoma and lymphoid hyperplasia. Case: A 2.3-year-old intact male Golden retriever dog was presented with history of anorexia, apathy, regurgitation and weight loss. During the physical examination was identified a mass in the left side of abdomen. The complete blood count (CBC), serum biochemistry, urinalysis, and thoracic radiographs were no alteration. Abdominal ultrasound revealed splenomegaly and heterogeneous hypoechoic structure. Splenectomy using an adjustable nylon ties polyamide 6.6 for hemostasis technique was performed during an exploratory laparotomy. The spleen presented hematoma and lymphoid hyperplasia at the histopathological examination, as well as the presence of siderocalcinotic plate in the trabecular spleen. The dog presented with no regurgitation, apathy or anorexia after 10 days of surgery. CBC, serum biochemistry analysis, thoracic radiographs and abdominal ultrasound revealed no abnormalities. Video laparoscopy did not showed any sign of adherence on the local where used the nylon tie bands. One year and three months after the surgery, the owner was contacted by telephone, since he had changed to other city, and he reported that the dog was healthy without any clinical signs...

Hemostasis technique using an adjustable nylon tie in dog with splenic hematoma and lymphoid hyperplasia

Background: Splenic hematoma is an encapsulated blood accumulation, which is macroscopically indistinguishable from malignant spleen. The treatment of choice and final diagnosis were by splenectomy and exploratory laparotomy followed by biopsy and histopathological examination, respectively. Nylon tie bands are devices made of polyamide 6.6, same material of surgical nylon wires, and has been used in different surgical procedures in animals. The present report case aimed to describe the use of nylon tie bands polyamide 6.6 in a 2.3-year-old Golden retriever dog diagnosed with splenic hematoma and lymphoid hyperplasia; and the clinical presentation, diagnostic evaluation, histological diagnosis of splenic hematoma and lymphoid hyperplasia. Case: A 2.3-year-old intact male Golden retriever dog was presented with history of anorexia, apathy, regurgitation and weight loss. During the physical examination was identified a mass in the left side of abdomen. The complete blood count (CBC), serum biochemistry, urinalysis, and thoracic radiographs were no alteration. Abdominal ultrasound revealed splenomegaly and heterogeneous hypoechoic structure. Splenectomy using an adjustable nylon ties polyamide 6.6 for hemostasis technique was performed during an exploratory laparotomy. The spleen presented hematoma and lymphoid hyperplasia at the histopathological examination, as well as the presence of siderocalcinotic plate in the trabecular spleen. The dog presented with no regurgitation, apathy or anorexia after 10 days of surgery. CBC, serum biochemistry analysis, thoracic radiographs and abdominal ultrasound revealed no abnormalities. Video laparoscopy did not showed any sign of adherence on the local where used the nylon tie bands. One year and three months after the surgery, the owner was contacted by telephone, since he had changed to other city, and he reported that the dog was healthy without any clinical signs...(AU)

Splenic abscess in a dog

Background: Splenic abscesses are rare in dogs, representing less than 1% of splenic injuries. Therefore, it has been seldom reported. The cases reported in veterinary medicine suggest trauma as the main cause of abscess formation in this organ. Due to the lack of information about the subject, the aim of this paper is to report the case and treatment of a splenic abscess in a dog. Case: A 4-year-old intact female Bernese Mountain dog was referred to the veterinary hospital with apathy and abdominal pain. The owner related estrous followed by artificial insemination three weeks prior to the referral. On physical exam the patient was mildly dehydrated and presented pale mucosal. Besides the abdominal pain and prostration, others signs were not found. The ultrasound images suggested uterine fluid collection and peritonitis. The patient was referred to laparotomy. During the procedure the uterus was normal, however it was verified peritonitis and a splenic mass of 15x10x5 cm. A total splenectomy was performed to remove the mass and two drains were placed in order to treat the inflammation of the peritoneum. The spleen with the mass was sent to histological examination and subcapsular splenic abscess was diagnosed. After the surgery, the patient was treated with antibiotics and lavage of abdominal cavity until the complete recovery. At the end of the eighth day post-surgery the dog.

Videolaparoscopic splenectomy with bipolar electrosurgery in dog with splenic mass / Esplenectomia videolaparoscópica com eletrocirurgia bipolar em cão com massa esplênica

Background: The main indications to splenectomy in dogs are splenic neoplasms and torsions as well as serious injuries and hemolytic diseases refractory to medical therapy. Animal laparoscopic splenectomy is basically described in experimental studies, while in humans the technique has been established as a standard surgical treatment of splenic disorders. Due to the shortage of reports showing the applicability of this technique in veterinary routine, this study aimed to report a case of laparoscopic splenectomy using bipolar hemostasis and transparietal sutures in a dog that presented splenic mass.Case: A 12-years-old dachshund male was referred for splenectomy due to suspected of splenic neoplasm, after observation of splenic nodules during an ultrasound examination. The splenectomy was performed by videosurgery, with three portal accesses after clinical and laboratory evaluation. The first portal was positioned laterally to the fourth right mammary gland, and the second one in the umbilicus scar; the third one was introduced by paramedian access, laterally to the penis (on the left position). After establishment of CO2 pneumoperitoneum was visualized the splenic mass and performed the first temporary transparietal suture using nylon 0; the spleen was elevated in order to exposure the branches of the splenic vessels. It was realized bipolar cauterization and splenic ablation...

Os neoplasmas e as torções esplênicas, assim como os traumatismos graves e doenças hemolíticas refratárias a tratamento clínico, estão entre as principais indicações para esplenectomia total em cães [10].As hiperplasias nodulares, principal alteração não neoplásica em caninos [3], tem grande importância diferencial para os neoplasmas, principalmente para os linfomas, já que estes podem se apresentar de forma nodular [9,12].A videocirurgia teve início na Medicina Veterinária como técnica diagnóstica e, cada vez mais, vem sendo utilizada com diferentes fins terapêuticos. A esplenectomia laparoscópica em pequenos animais é basicamente descrita em estudos experimentais [11,13], enquanto, em humanos essa técnica já foi consagrada como tratamento padrão das afecções cirúrgicas do baço [13].Em estudo no qual foi comparado o acesso laparoscópico com o convencional para esplenectomia em cães constatou-se a viabilidade da técnica que, apesar de estar associada à maior tempo cirúrgico, possibilitou redução na lesão de acesso, menor perda sanguínea e menor pontuação na escala de dor [11].Em virtude da escassez de relatos da aplicabilidade dessa técnica na rotina veterinária, esse trabalho objetiva relatar um caso de esplenectomia videolaparoscópica com auxílio de hemostasia bipolar e suturas transparietais em cão com massa esplênica...

Splenic abscess in a dog

Background: Splenic abscesses are rare in dogs, representing less than 1% of splenic injuries. Therefore, it has been seldom reported. The cases reported in veterinary medicine suggest trauma as the main cause of abscess formation in this organ. Due to the lack of information about the subject, the aim of this paper is to report the case and treatment of a splenic abscess in a dog. Case: A 4-year-old intact female Bernese Mountain dog was referred to the veterinary hospital with apathy and abdominal pain. The owner related estrous followed by artificial insemination three weeks prior to the referral. On physical exam the patient was mildly dehydrated and presented pale mucosal. Besides the abdominal pain and prostration, others signs were not found. The ultrasound images suggested uterine fluid collection and peritonitis. The patient was referred to laparotomy. During the procedure the uterus was normal, however it was verified peritonitis and a splenic mass of 15x10x5 cm. A total splenectomy was performed to remove the mass and two drains were placed in order to treat the inflammation of the peritoneum. The spleen with the mass was sent to histological examination and subcapsular splenic abscess was diagnosed. After the surgery, the patient was treated with antibiotics and lavage of abdominal cavity until the complete recovery. At the end of the eighth day post-surgery the dog.(AU)

Videolaparoscopic splenectomy with bipolar electrosurgery in dog with splenic mass / Esplenectomia videolaparoscópica com eletrocirurgia bipolar em cão com massa esplênica

Background: The main indications to splenectomy in dogs are splenic neoplasms and torsions as well as serious injuries and hemolytic diseases refractory to medical therapy. Animal laparoscopic splenectomy is basically described in experimental studies, while in humans the technique has been established as a standard surgical treatment of splenic disorders. Due to the shortage of reports showing the applicability of this technique in veterinary routine, this study aimed to report a case of laparoscopic splenectomy using bipolar hemostasis and transparietal sutures in a dog that presented splenic mass.Case: A 12-years-old dachshund male was referred for splenectomy due to suspected of splenic neoplasm, after observation of splenic nodules during an ultrasound examination. The splenectomy was performed by videosurgery, with three portal accesses after clinical and laboratory evaluation. The first portal was positioned laterally to the fourth right mammary gland, and the second one in the umbilicus scar; the third one was introduced by paramedian access, laterally to the penis (on the left position). After establishment of CO2 pneumoperitoneum was visualized the splenic mass and performed the first temporary transparietal suture using nylon 0; the spleen was elevated in order to exposure the branches of the splenic vessels. It was realized bipolar cauterization and splenic ablation...(AU)

Os neoplasmas e as torções esplênicas, assim como os traumatismos graves e doenças hemolíticas refratárias a tratamento clínico, estão entre as principais indicações para esplenectomia total em cães [10].As hiperplasias nodulares, principal alteração não neoplásica em caninos [3], tem grande importância diferencial para os neoplasmas, principalmente para os linfomas, já que estes podem se apresentar de forma nodular [9,12].A videocirurgia teve início na Medicina Veterinária como técnica diagnóstica e, cada vez mais, vem sendo utilizada com diferentes fins terapêuticos. A esplenectomia laparoscópica em pequenos animais é basicamente descrita em estudos experimentais [11,13], enquanto, em humanos essa técnica já foi consagrada como tratamento padrão das afecções cirúrgicas do baço [13].Em estudo no qual foi comparado o acesso laparoscópico com o convencional para esplenectomia em cães constatou-se a viabilidade da técnica que, apesar de estar associada à maior tempo cirúrgico, possibilitou redução na lesão de acesso, menor perda sanguínea e menor pontuação na escala de dor [11].Em virtude da escassez de relatos da aplicabilidade dessa técnica na rotina veterinária, esse trabalho objetiva relatar um caso de esplenectomia videolaparoscópica com auxílio de hemostasia bipolar e suturas transparietais em cão com massa esplênica...(AU)

Effect of total splenectomy in the lipid profile in mice

PURPOSE: To analyze total splenectomy effect on the lipid profile - total cholesterol, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), very-low-density lipoprotein cholesterol (VLDL) and triglycerides levels, in Balb/c mice.METHODS: Thirty Balb/c male mice, one (1) month old and average weight 26.2g ± 4.0 were used in the experiment. They were distributed into three groups of 10 animals each: a control group (non-operated), a simulation group (spleen manipulation) and the splenectomy group. The animals were subjected to blood sampling to measure plasma lipid levels, at three different times: before surgery, days 30 and 75 of the experiment.RESULTS: Increased total cholesterol and LDL were observed in the control group from the start to end of the experiment. The simulation group showed increased rates of VLDL and triglycerides at the 30th and 75th days. Splenectomized animals showed no significant change.CONCLUSION: Total splenectomy did not induce increased plasma lipids levels of in Balb/c mice.(AU)