Peer-reviewed veterinary case report
Boxer dog with life-threatening chest bleeding after dialysis
By Athanasia Mitropoulou et al.·Published in Frontiers in Veterinary Science·2021·View original on DOAJ →
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Original publication title: Life-Threatening Mediastinal Hematoma Formation After Removal of the Hemodialysis Catheter in a Boxer: A Case Report
- Species:
- dog
Plain-English summary
A 4-year-old female Boxer developed severe breathing problems and signs of shock just hours after having a dialysis catheter removed. The dog had previously been treated for kidney issues after eating grapes, and after the catheter was taken out, she showed signs of a serious complication called a mediastinal hematoma, which is bleeding in the chest area. The veterinarian used blood transfusions and mechanical ventilation to help her breathe, and thankfully, she recovered and was able to go home after 17 days. This case highlights the importance of careful monitoring for complications in dogs with kidney problems after catheter procedures.
People also search for: Boxer breathing problems after catheter removal · dog kidney failure treatment · mediastinal hematoma in dogs
Abstract
A 4-year-old female Boxer was referred for renal replacement therapy 2 days after observed grape ingestion. An 11-French dual-lumen dialysis catheter was placed into the right jugular vein and continuous renal replacement therapy was initiated for 66 h. Afterwards the patient received enoxaparin subcutaneously as a thromboprophylaxis. Four hours after removal of the dialysis catheter the patient developed severe dyspnea with hypercapnia and signs of hemorrhagic shock. Bedside ultrasound and X-rays of the thorax revealed a soft tissue opacity dorsally of the trachea, located in the mediastinum. The findings were consistent with mediastinal bleeding and hematoma formation. Blood gas examination indicated hypoventilation. The dog was managed conservatively with multiple blood transfusions and mechanical ventilation. The patient survived to discharge, and the hematoma was fully absorbed in the radiographs after 17 days. Patients with impaired kidney function should receive individualized enoxaparin dosage adjusted to anti-Xa levels and should be strictly monitored for complications. Mediastinal hemorrhage and hematoma formation should be considered as a potential complication in patients receiving a jugular vein catheter.
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Search related cases →Original publication on DOAJ: https://doi.org/10.3389/fvets.2021.691472