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Vol. 22, No.

9 September 2000

CE Refereed Peer Review

The Avian Spleen:


FOCAL POINT
★The avian spleen differs from
Anatomy, Physiology,
the mammalian spleen in its
anatomy, function, and response
to disease; assessing the spleen
and Diagnostics
can aid in the diagnosis of
multisystemic illness. Timberlyne Animal Clinic, Chapel Hill, North Carolina
Lauren V. Powers, DVM
KEY FACTS
ABSTRACT: Literature reviewing the avian spleen, particularly that of psittacines, is scarce.
■ The lack of lymph nodes in The anatomy, physiology, and response to disease of the avian spleen are significantly differ-
most avian species increases the ent from those of the mammalian spleen. However, there are several methods to assess
relative importance of the spleen splenic health, and results of such testing can aid in evaluating systemic disease as well as
in disease resistance. specific diseases of the spleen. This article briefly discusses the anatomy and function of the
avian spleen and describes methods used to assess splenic health. A companion article will
■ In proportion to body weight, the discuss diseases of the avian spleen.
spleen is smaller in birds than in
mammals.

I
n birds, the thymus and bursa of Fabricius serve as primary lymphoid organs.
■ The avian spleen does not The bone marrow has been described as both a primary and a secondary
function as a blood reservoir. lymphoid organ.1,2 Secondary lymphoid tissue includes the spleen, all mu-
cosa-associated lymphoid tissue, and periarteriolar lymphoid aggregates. The
■ The spleen is primarily a avian spleen is considered the largest secondary lymphoid organ. In most birds,
defensive organ and is frequently lymph nodes are absent or rudimentary (e.g., the small cervicothoracic nodes in
involved in systemic disease. waterfowl). The lack of lymph nodes in most avian species increases the relative
importance of the spleen in disease resistance. To date, no reviews of avian
■ The spleen is an excellent splenic histology and immune function of the psittacine spleen have been pub-
cytologic sampling site for lished. Chicken and turkey spleens have been the most extensively studied.
detection of chlamydial There are published reviews of the splenic anatomy of ducks, brown-headed
inclusions. cowbirds (Molothrus ater), pied flycatchers (Ficedula hypoleuca), and doves.3,4

ANATOMY
Location
The avian spleen lies dorsal to the right lobe of the liver between the proven-
triculus and ventriculus (Figure 1). At necropsy, the spleen can be isolated by ro-
tating the ventriculus to the right. The spleen is located at the angle between the
proventriculus, ventriculus, and liver. Accessory spleens are well recognized in
chickens and may hypertrophy after splenectomy.5 One or more small accessory
spleens may be cranial, adjacent, or caudal to the spleen. Accessory spleens have
not been described in psittacines.
Compendium September 2000 Small Animal/Exotics

Figure 2—Schematic representation of the histology of the


Figure 1—Anatomic arrangement of the avian spleen dorsal chicken spleen. (CA = central artery; CV = central vein; GC =
to the proventriculus and between the proventriculus and germinal center; PALS = periarterial lymphoid sheath; PC =
ventriculus in a 2-year-old cockatiel. (Photo courtesy of H. J. penicilliform capillary; PELS = periellipsoidal lymphoid
Barnes, DVM, PhD, North Carolina State University, sheath; S = sinusoid; TA = trabecular artery; TC = terminal
Raleigh) capillary; TV = trabecular vein)

Size and Shape branches arising from the gastric and hepatic arteries.1 It
The spleen is oval in psittacines and galliformes; bean drains into the larger of the two hepatic portal veins en-
shaped in pigeons 6; elongated, tubular, or comma tering the liver.3 The vascular tree within the spleen be-
shaped in passerines; and long and narrow in gulls. In gins with a trabecular artery that gives rise to smaller
proportion to body weight, the spleen is smaller in central arteries and arterioles; these arterioles still possess
birds than in mammals.3 The diameter of a normal a single muscular layer. Several penicilliform capillaries
chicken spleen is approximately one quarter the length branch from the central arterioles; these capillaries lack a
of the proventriculus. The size of the psittacine spleen muscular layer and are surrounded by the ellipsoid (i.e.,
varies widely, ranging from 1 to 2 mm in budgerigars the Schweigger-Seidel sheath). Blood flows from the
and 3 to 4 mm lovebirds and cockatiels to 7 to 8 mm penicilliform capillaries into the interstices of the red
in Amazon parrots. Because the psittacine spleen is pulp, and venous capillaries receive blood from the red
ovoid, these sizes should be used only as an estimate to pulp. Venous capillaries fuse to become larger trabecular
help determine whether splenomegaly is present. The veins that eventually leave the spleen.1
color varies from pink to red–brown in normal birds.7 Red and white pulps constitute about 80% of the
Seasonal variation in spleen size associated with migra- chicken spleen. The spleen is roughly divided into
tion occurs in some passerines and columbiformes.3 equal amounts of red and white pulp, although the his-
tologic division between the two is not as distinct as in
MICROANATOMY mammals.3,4 The red pulp occupies less of the spleen in
Among bird species, the gallinaceous spleen has been chickens than in mammals, accounting for approxi-
the best studied. Other avian species, including exotic mately 40% to 45% of the chicken spleen compared
birds, have been less well investigated. In many mam- with 76% to 79% of the human spleen.3 The red pulp
malian species, the spleen is surrounded by a muscular is composed of blood-filled sinusoids and diffusely scat-
capsule and partially divided into sections by trabecu- tered lymphoid and nonlymphoid cells (e.g., macro-
lae. The avian spleen has a thin connective tissue cap- phages, granulocytes, plasma cells). The marginal zone
sule that contains only rare smooth muscle fibers.3,4 in the mammalian spleen consists of layers of reticulum
True trabeculae do not occur. Unlike the mammalian and lies between the red and white pulps, which is
spleen, the avian spleen is considered to have little ca- where blood gains much of its access to pulp tissue. No
pacity for blood storage and is unlikely to contract to histologically distinct marginal zone exists in the chick-
release blood components into the circulation in re- en spleen.3,8
sponse to blood loss.2,3 The white pulp is a denser lymphoid tissue and is
The main blood supply to the chicken spleen comes closely associated with the vascular tree (Figure 2). The
from the cranial and caudal splenic arteries, with smaller central arteries and arterioles are enclosed by the periar-

TRABECULAE ■ ELLIPSOID ■ RED PULP ■ WHITE PULP


Small Animal/Exotics Compendium September 2000

terial lymphoid sheath. Lym- the differentiation of plasma


phoid tissue in this region is cells.11 Plasma cell proliferation
believed to be primarily com- appears to occur in the red pulp.
posed of T-dependent lym- There seems to be no correla-
phocytes (T cells). The cen- tion between the number of
tral arteries branch into the germinal centers and antibody-
penicillary arterioles, and the producing capacity.11 Although
muscular layer of these arteri- the spleen is an important
oles is replaced by the ellip- component of the lymphoid
soid. These vessels have tall en- system, splenectomy apparent-
dothelial cells, thick basement ly has no profound effect on
laminae, and an intimate asso- immunocompetence in chick-
ciation with reticular cells. The ens, possibly as a result of the
Figure 3—Histologic appearance of a normal psittacine
sheath is composed of two lay- spleen (adult macaw). The splenic capsule at the top of presence of accessory spleens
ers of cuboidal reticular cells. the photograph appears somewhat contracted (hema- and compensatory antibody
The ellipsoid is surrounded by toxylin & eosin stain; original magnification, ×18). (Pho- synthesis by the bone marrow.4
a layer of lymphoid cells called to courtesy of H. J. Barnes, DVM, PhD, North Carolina However, splenectomy in
the periellipsoidal lymphoid State University, Raleigh) young birds delays peak anti-
sheath, which is composed of body response.11
bursa-dependent lymphocytes
(B cells), plasma cells, and macrophages. Ellipsoidal cells, Granulopoiesis
the periellipsoidal lymphoid sheath, and surrounding When chickens hatch, the spleen is a granulocytopoi-
macrophages form a complex considered to be analogous etic organ but quickly transforms into a predominantly
to the marginal zone in mammalian spleens. Some lym- lymphocytic organ. The granulocytes vacate the spleen
phoid tissue surrounds venules and is bursa independent.9 at hatching and are replaced by lymphocytes.2,3 The
Germinal centers contain B cells and are often located ad- spleen is not known to be a site for embryonic lym-
jacent to central arteries within the periarterial lymphoid phopoiesis, and its major development occurs after
sheath.8 hatching.3

NONIMMUNE FUNCTIONS
IMMUNE FUNCTIONS
The spleen is a site of phagocytosis of senescent or
Antigen Processing
diseased erythrocytes by macrophages in the red pulp.12
The spleen is primarily a defensive organ and is fre-
Some erythropoiesis occurs in the chicken spleen dur-
quently involved in systemic disease. All antigen is ini-
ing early development but is believed to be confined to
tially localized in the ellipsoid, independent of the
the bone marrow in healthy mature birds.3 Extrame-
nature of the antigen. Antigenic activation of ellipsoid-
dullary hematopoiesis can occur in the psittacine spleen
associated cells triggers them to migrate to the periarte-
secondary to chronic blood loss.a
rial lymphoid sheath.2,10 Germinal centers are formed by
the agglutination of migrating ellipsoid-associated cells
KEY DIFFERENCES IN THE PSITTACINE SPLEEN
with B lymphocytes having complementary surface anti-
To date, there are no published reviews of the psittacine
body receptors. Ellipsoid-associated cells likely differen-
spleen and how it differs from the chicken model. Some
tiate into follicular dendritic cells.10,11 Dendritic cells
observed differences in the psittacine spleen include an
may prevent diffusion of virus into the host or converse-
indistinct red pulp without detectable sinusoids, scarcity
ly may facilitate viral transmission throughout the body.
of germinal centers in normal spleens, and probable dif-
Such antigens as lipopolysaccharide may also be ab-
ferences in the distribution and type of lymphoid tissue.
sorbed by red-pulp macrophages. Ellipsoid-associated
Most of the lymphoid cells are small, mature lymphocytes
cells may enter the general circulation, where they serve
that are not in obvious periellipsoidal or periarterial lym-
as antigen-presenting cells to other secondary lymphoid
phoid sheath arrangements (Figure 3). Blood flow and
tissue, via the red pulp.
function are presumed to be similar among avian species,
but the differences in structure suggest that there may
Memory and Plasma Cells also be differences in function.b Germinal centers have
The function of the germinal centers in chickens may a
Phalen D: Personal communication, Texas A&M University,
be the proliferation of memory B cells as opposed to College Station, 1999.

PERIELLIPSOIDAL AND PERIARTERIAL LYMPHOID SHEATHS ■ GERMINAL CENTERS


Compendium September 2000 Small Animal/Exotics

Your Animal
Health Collection
Isn’t Complete
Without
CE CREDIT FROM MICHIGAN STATE UNIVERSITY Volume 21 Number 9 September 2000

Figure 4—Schematic representation of the radiographic ap-


Veterinary Breathing Easy
(page 509)

pearance of the avian spleen on the plain lateral view.


Technician
The Complete Journal for the Veterinary Hospital Staff
®

504
HOTLINE HEROES
been reported in psittacines affected with type 2 aden- at the NAPCC
New
ovirus.13 506
TOXICOLOGY BRIEF:
Column!

Permethrin in Cats

RADIOLOGY 508
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Radiography is useful in evaluating the coelomic or-
518
gans. Survey whole-body radiographs are indicated in Get a Handle
on HIRING
birds with persistent lethargy, weight loss, leukocytosis, 526
and elevated liver enzymes or plasma bile acids. The The Golden Years—
A Roundtable on
SENIOR CARE
spleen should be evaluated as part of a systemic radio- Check out TechMart.
See page 541.

graphic assessment. Dana Farbman, CVT


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Control Center

Survey Radiographs
The spleen lies dorsal to the proventriculus on lateral
survey radiographs (Figures 4 and 5) and can be visual- The Most Widely Read
ized in approximately one third of normal large psit-
tacines using this view. The spleen cannot be visualized Journal in Its Field
in the ventrodorsal plane in normal psittacines. Spleno-
megaly is best detected using the lateral view. An enlarged ■ The technician’s right hand—the source
spleen might be seen through the hepatic tissue to the
right and slightly cranial to the ventriculus on the ven- they reach for first
trodorsal view, although splenomegaly is rarely docu- ■ Articles of interest to animal health
mented in this manner.14 Splenic neoplasia, notably in
professionals of all kinds: breeders,
budgerigars, may displace the ventriculus caudodorsally
on the lateral view.6 caretakers, trainers…
■ Medical and management articles of
Computed Tomography and
Magnetic Resonance Imaging interest to the dedicated pet owner
Computed tomography and magnetic resonance imag-
ing may be promising diagnostic tools to evaluate the
avian spleen. The spleen was identified among the SUBSCRIBE TODAY!
coelomic viscera in the golden eagle (Aquila chrysaetos) CALL 800-426-9119
using computed tomography (5-mm slices).15 Magnetic
resonance imaging can identify the spleen within the Veterinary Technician is published by
coelom. However, the spleen was difficult to identify in Veterinary Learning Systems
b
Barnes HJ: Personal communication, North Carolina State 275 Phillips Blvd.
University, Raleigh, 1999. Trenton, NJ 08618-1496
Price is in US dollars and is subject to change.

SPLENOMEGALY ■ SPLENIC NEOPLASIA


Small Animal/Exotics Compendium September 2000

all planes examined in a one of the splenic poles can


study of magnetic resonance help to differentiate the spleen
imaging techniques in pi- from a similarly colored,
geons; the authors suggested large mesenteric blood vessel
that this difficulty may be re- that is located in the same
lated to the shape of the area.19
spleen in pigeons, in which it
is a slender, oval structure.16 Biopsy Techniques
In psittacines, the spleen is Biopsy is indicated if
round and thus more easily splenomegaly is present or
identified using magnetic lesions are observed on the
resonance imaging.16 spleen during endoscopic ex-
amination. In most patients,
Ultrasonography Figure 5—Plain survey lateral radiograph of a Moluccan cock- a 5-Fr elliptic biopsy cup or
The spleen is difficult to atoo (Cacatua moluccensis). The spleen is visible dorsal to the fine-needle aspiration can be
visualize ultrasonographical- proventriculus. used to collect a sample of
ly in birds; a lateral approach splenic tissue.20 Alternatively,
is suggested. The spleen is a left lateral laparotomy inci-
slightly more echogenic than is the liver. The tissue has sion can be made; the spleen can then be accessed by
a fine, dense granularity and an even texture. An en- proceeding dorsally over the proventriculus, moving the
larged spleen is easier to visualize using a ventromedial intestines caudally, and exposing the organ.21 However,
approach. Homogenous enlargement is seen with infec- the laparoscopic approach is much more traumatic and
tion or trauma. Splenic neoplasia frequently has mixed indicated only when laparotomy is being performed for
echogenicity.17 Massive splenomegaly is uncommon in other purposes or when the spleen cannot be approached
psittacines but is easily identifiable by ultrasonography using standard endoscopic technique. If bleeding occurs
when present.a during biopsy, a small wedge of Gelfoam® (Pharmacia &
Ratites have no muscle on either side of the linea Upjohn, Kalamazoo, MI) or Surgicel™ (Ethicon, a
alba. This zone provides an adequate sonographic win- Johnson & Johnson company, Somerville, NJ) can be in-
dow for imaging the coelomic organs. The spleen is es- serted endoscopically and pressed against the biopsy site
pecially difficult to visualize ultrasonographically in until bleeding stops.
ratites if there is abundant gas in the gastrointestinal
tract or hyperinflation of the caudal coelomic air sacs.18 CYTOLOGY AND HISTOPATHOLOGY
Cytologic evaluation of the avian spleen can be per-
ENDOSCOPY formed on fine-needle aspiration or biopsy samples or at
Endoscopy is indicated for persistent unexplained necropsy. Before making impression smears, cut sections
splenomegaly detected radiographi- of the spleen should be blotted on
cally or persistent unexplained sys- filter paper or a paper towel to re-
temic disease. Psittacines should be duce blood contamination. In nor-
fasted for 3 to 6 hours and raptors mal birds, impression smears usually
for 12 to 20 hours before endoscop- reveal large amounts of peripheral
ic examination to ensure that the blood within the spleen. Many ma-
proventriculus is empty for the pro- ture lymphocytes can also be seen,
cedure. representing the abundant lymphoid
tissue present. Macrophages exhibit-
Approach ing erythrophagocytosis are com-
The spleen should be approached mon. Splenic stromal (reticular) cells
from the left abdominal air sac, which have a pale blue cytoplasm with an
can be entered from the left caudal indistinct cytoplasmic border. The
thoracic air sac or via a left caudal ab- nucleus is eccentric and round to
dominal air sac approach. The Figure 6—Endoscopic appearance of a nor- oval with a loose chromatin pat-
proventriculus is pushed ventrally mal pigeon spleen. (Photo courtesy of M. tern.22
with the tip of the endoscope to ex- Taylor, DVM, University of Guelph, On- The spleen is a dense, cellular or-
tario, Canada)
pose the spleen (Figure 6). Identifying gan and tends not to fix well unless

ECHOGENICITY ■ LAPAROSCOPIC APPROACH ■ IMPRESSION SMEARS


Compendium September 2000 Small Animal/Exotics

sectioned before being placed in formalin. The spleen tion of avian dendritic cells in the spleen using a monoclonal
should be sliced like a loaf of bread (i.e., the cut sec- antibody specific for chicken follicular dendritic cells. Anat
Rec 249(1):81–85, 1997.
tions are not actually separated) in 2-mm sections to 11. Payne LV, Powell PC: The lymphoid system, in Freeman
best expose it to the fixative. Samples of splenic tissue MB (ed): Physiology and Biochemistry of the Domestic Fowl,
should be collected for microbiologic culture and virus vol 5. London, Academic Press, 1984, pp 298–304.
isolation before immersing in formalin. The spleen is 12. Schmidt RE: Immune system, in Altman RB, Clubb SL,
an excellent cytologic sampling site for detection of Dorrestein GM, et al (eds): Avian Medicine and Surgery.
Philadelphia, WB Saunders Co, 1997, pp 645–652.
chlamydial inclusions. Excessive amounts of iron accu- 13. Gomez-Villamandos JC, Bautista MJ, Carrasco L, et al:
mulation with erythrophagocytosis may be associated Electron microscopic evidence for infection of splenic dendrit-
with hemolytic anemias. The presence of hemosiderin ic cells by adenovirus in psittacine birds. Res Virol 146(6):
in the spleen is common in any chronic disease as well 389–395, 1995.
14. Walsh MT: Radiology, in Harrison GJ, Harrison LR (eds):
as with iron storage disease.a Such etiologic agents as
Clinical Avian Medicine and Surgery. Philadelphia, WB
bacteria and hemoparasites may be observed.23 Saunders Co, 1986, pp 201–233.
15. Orosz SE, Toal RL: Tomographic anatomy of the golden ea-
ACKNOWLEDGMENT gle (Aquila chrysaetos). J Zoo Wildl Med 23(1):39–46, 1992.
The author extends deep appreciation to David Phalen, 16 Romagnano A, Shiroma JT, Heard DJ, et al: Magnetic reso-
nance imaging of the brain and coelomic cavity of the do-
DVM, PhD, Diplomate American Board of Veterinary
mestic pigeon (Columba livia domestica). Vet Radiol Ultra-
Practitioners (Avian Practice), Texas A&M University, sound 37(6):431–440, 1996.
College Station, for reviewing an early draft of this 17. Krautwald-Junghanns ME, Enders F: Ultrasonography, in
manuscript. Altman RB, Clubb SL, Dorrestein GM, et al (eds): Avian
Medicine and Surgery. Philadelphia, WB Saunders Co, 1997,
REFERENCES pp 200–209.
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of lymphoid tissues of the chicken. Poultry Sci Rev 5:183– Anim Pract 14(3):421–435, 1998.
207, 1994. 19. Harrison GJ: Endoscopy, in Harrison GJ, Harrison LR
2. Pope CR: Lymphoid system, in Riddell C (ed): Avian His- (eds): Clinical Avian Medicine and Surgery. Philadelphia, WB
topathology. Tallahassee, FL, American Association of Avian Saunders Co, 1986, p 242.
Pathologists, 1996, pp 18–44. 20. Taylor M: Biopsy techniques in avian medicine. Proc Annu
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69(3):327–351, 1994. 21. McKibben JS, Harrison GJ: Clinical anatomy with emphasis
4. Nasu T, Shimizu K, Nakai M: Morphological study of the on the Amazon parrot, in Harrison GJ, Harrison LR (eds):
dove spleen. Poultry Sci 71:1527–1530, 1992. Clinical Avian Medicine and Surgery. Philadelphia, WB
5. Glick B, Sato K: Accessory spleens in the chicken. Poultry Saunders Co, 1986, pp 31–66.
Sci 43:1610–1611, 1964. 22. Campbell TW: Cytology, in Harrison GJ, Harrison LR
6. Krautwald-Junghanns ME: Avian radiology, in Rosskopf (eds): Clinical Avian Medicine and Surgery. Philadelphia, WB
WJ, Woerpel RW (eds): Diseases of Cage and Aviary Birds. Saunders Co, 1986, p 269.
Baltimore, William & Wilkins, 1996, pp 630–663. 23. Campbell TW: Avian Hematology and Cytology, ed 2. Ames,
7. Lowenstine LJ: Necropsy procedures, in Harrison GJ, Harri- Iowa State University Press, 1995.
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8. Oláh I, Glick B: Splenic white pulp and associated vascular ABOUT THE AUTHOR
channels in chicken spleen. Am J Anat 165:445–480, 1982. Dr. Powers is an exotics and general veterinary practition-
9. Eerola E, Veromaa T, Toivanen P: Special features in the
structural organization of the avian lymphoid system, in er at Timberlyne Animal Clinic, Chapel Hill, North Caroli-
Toivanen A, Toivanen P (eds): Avian Immunology: Basis and na. She is a Diplomate of the American Board of Veteri-
Practice, vol 1. Boca Raton, FL, CRC Press, 1987, pp 15–19. nary Practitioners (Avian Practice).
10. Gallego M, del Cacho E, Lopez-Bernad F, et al: Identifica-

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