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Peer-reviewed veterinary case report

Dog with red urine and belly bruise from internal bleeding

By Schermerhorn, T et al.·Published in The Journal of small animal practice·1998·Department of Pharmacology, United States·View original on PubMed

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Original publication title: Cullen's sign and haemoglobinuria as presenting signs of retroperitoneal haemorrhage in a dog.

Species:
dog

Plain-English summary

A neutered male Shetland sheepdog was brought to the vet with red-colored urine (haematuria) and a noticeable bruise around his belly button (Cullen's sign). He also showed signs of abdominal pain and had an abdominal mass. Tests revealed that the red urine was due to haemoglobinuria, and X-rays suggested a splenic mass. During surgery, the vet found a large blood clot in the abdomen, likely caused by a ruptured tumor. The exact cause of the bleeding was uncertain, but the dog received treatment for the condition.

People also search for: dog red urine causes · Cullen's sign in dogs · Shetland sheepdog abdominal mass treatment

Abstract

Haemoglobinuria and periumbilical discoloration (also known as Cullen's sign) are clinical signs uncommonly reported in veterinary patients. This report describes a case of retroperitoneal haemorrhage in a dog, associated with haemoglobinuria and Cullen's sign. To the authors' knowledge, these clinical signs have not previously been reported singularly or in combination with retroperitoneal haemorrhage in dogs. A neutered male Shetland sheepdog, which was presented for haematuria, also had an abdominal mass, abdominal pain and a large area of periumbilical discoloration. Laboratory studies determined that haemoglobinuria was the cause of the red-coloured urine. Abdominal radiographs suggested a splenic mass and a coeliotomy was performed. During the induction and throughout the anaesthetic period the dog was hypertensive and a large haematoma originating from the right retroperitoneal space was identified at surgery. The cause of the haemorrhage was uncertain but a ruptured phaeochromocytoma was thought possible on the basis of the persistent hypertension and the location of the haemorrhage.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/9816573/