Peer-reviewed veterinary case report
Puppy boxer had stomach tube slip after vomiting treatment and heart
By Brincin, C et al.·Published in The Journal of small animal practice·2022·Southern Counties Veterinary Specialists, United Kingdom·View original on PubMed →
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Original publication title: Gastroesophageal intussusception secondary to induction of emesis with subsequent development of septic pericardial effusion after corrective surgery.
- Species:
- dog
Plain-English summary
A young boxer dog developed a serious condition called gastroesophageal intussusception, which is when part of the stomach folds into itself, after being given a medication to induce vomiting. The dog underwent surgery to correct this issue and initially seemed to recover well. However, a week later, the dog developed a life-threatening condition called cardiac tamponade, where fluid builds up around the heart, leading to severe complications. Despite further surgery, the dog suffered cardiac arrest and unfortunately did not survive. This case highlights the risks associated with using certain medications to induce vomiting in dogs.
People also search for: boxer dog vomiting treatment · gastroesophageal intussusception in dogs · cardiac tamponade in dogs treatment
Abstract
A juvenile boxer dog was diagnosed with gastroesophageal intussusception that occurred after the induction of emesis with apomorphine. A ventral midline coeliotomy and diaphragmotomy were performed and the intussusception was manually reduced. Despite initial satisfactory recovery, the dog was diagnosed with cardiac tamponade 1 week post-operatively. Escherichia coli was cultured from pericardial and pleural effusion samples. During subtotal pericardiectomy surgery the pericardium was found to be markedly thickened with adhesions to the epicardium, thoracic wall and diaphragm. Substantial haemorrhage and refractory hypotension necessitated the administration of a blood transfusion during surgery. The dog entered cardiac arrest in the immediate post-operative period and cardiopulmonary resuscitation was unfortunately unsuccessful. Gastroesophageal intussusception should be considered a possible severe adverse effect of administering apomorhine to induce emesis in dogs. Additionally, septic pericardial and pleural effusions may occur post-reduction of gastroesophageal intussusception.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34370318/