Hemangiosarcoma Hepático En Un Canino De Raza Pastor Alemán. Reporte De Caso.

Abstract

An 11-year-old female German Shepherd dog was admitted to Vetermedicas Veterinary Clinic. She was referred from the Veterinary Emergency Department for an explosive laparotomy due to hemoabdomen. During her clinical examination, the patient was found to be listless, weak, inappetant, with tachypnea, a capillary refill time greater than 3 seconds, and abdominal distension and pain on palpation. A complete blood count, biochemistry, and abdominal ultrasound were performed. The results of the complete blood count indicated that the patient was anemic, accompanied by decreased hematocrit and total protein levels with neutrophilia and lymphopenia. Blood chemistry indicated elevated creatinine, BUN, and phosphorus levels. An abdominal ultrasound also revealed free fluid with anechoic characteristics and scarce cellularity distributed across the different quadrants. At the liver level, a multifocal mass with hyperechoic structures was observed, bordered by multiple nodules. Based on the data obtained, an exploratory celiotomy was performed, followed by a blood transfusion and subsequent hepatic lobectomy. Several samples, approximately 1 cm in diameter, were then taken from the affected liver lobes and sent to histopathology, where a highly malignant hepatic hemangiosarcoma was reported. Due to the patient's prognosis and current condition, the owners declined to continue oncological treatment.