Peer-reviewed veterinary case report
Hemoperitoneum as a complication of anaphylaxis in dogs
By Hnatusko, Aubrey L et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2021·BluePearl Specialty + Emergency Pet Hospital·View original on PubMed →
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Original publication title: Anaphylaxis-related hemoperitoneum in 11 dogs.
- Species:
- dog
Plain-English summary
Eleven dogs were brought to emergency care for severe allergic reactions (anaphylaxis) after suspected bee stings, showing symptoms like vomiting, weakness, and even collapse. Upon examination, they were found to have bleeding in their abdominal cavity (hemoperitoneum) but did not require surgery. Instead, all dogs were treated medically, and 10 out of the 11 dogs recovered and were able to go home. This case highlights that while hemoperitoneum can occur with anaphylaxis, it can often be managed successfully without surgery.
People also search for: dog allergic reaction treatment · dog vomiting after bee sting · dog hemoperitoneum symptoms
Abstract
OBJECTIVE: To describe the unique complication of hemoperitoneum associated with anaphylaxis. DESIGN: Retrospective case series from September 2012 to August 2017. SETTING: Two private emergency and specialty referral hospitals. ANIMALS: Eleven client-owned dogs diagnosed with anaphylaxis and hemoperitoneum upon presentation or referral. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Inclusion criteria included clinical signs consistent with anaphylaxis (hypotension, tachycardia, vomiting, diarrhea, weakness, collapse, with or without the presence of dermal signs) due to witnessed or unwitnessed presumed bee sting, an elevated alanine aminotransferase (ALT), performance of abdominal FAST (AFAST) examination with an abdominal fluid score, the sonographic presence of gallbladder wall edema, and hemoperitoneum. All dogs (n=11) were managed medically without surgical intervention. 91% (n=10) of dogs survived to discharge. CONCLUSIONS: Hemoperitoneum development can be seen with anaphylactic reactions, though the exact mechanism remains to be fully understood. Medical therapy is warranted and can be successful in these patients; surgery is not indicated to address hemoperitoneum.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33118683/