Peer-reviewed veterinary case report
Surgery outcomes for dogs with blood in the abdomen 2005-2010
By Lux, Cassie N et al.·Published in Journal of the American Veterinary Medical Association·2013·Department of Surgical and Radiological Sciences, United States·View original on PubMed →
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Original publication title: Perioperative outcome in dogs with hemoperitoneum: 83 cases (2005-2010).
- Species:
- dog
Plain-English summary
A group of 83 dogs with hemoperitoneum (bleeding in the abdominal cavity) underwent surgery to address their condition. Unfortunately, 13 of these dogs did not survive the perioperative period, which is the time from when they were admitted until they were either discharged or euthanized. The dogs that needed a large amount of blood transfusions had a poorer chance of recovery, while those with bleeding from the spleen had a better chance of surviving and going home. Overall, 84% of the dogs were able to leave the hospital after treatment.
People also search for: dog hemoperitoneum surgery · dog abdominal bleeding treatment · signs of dog internal bleeding
Abstract
OBJECTIVE: To characterize the clinical course of dogs with hemoperitoneum in the perioperative setting and to determine risk factors that may affect short-term outcome. DESIGN: Retrospective case series. ANIMALS: 83 client-owned dogs. PROCEDURES: The medical records of dogs with hemoperitoneum that underwent surgery between 2005 and 2010 were reviewed. Data were analyzed to determine risk factors associated with perioperative outcome. The perioperative period was defined as the time from admission to the hospital for treatment of hemoperitoneum until the time of discharge or euthanasia (within the same visit). RESULTS: 13 of 83 (16%) dogs died or were euthanized in the perioperative period. The median hospitalization time for surviving dogs was 2 days (range, 1 to 5 days). The requirement for a massive transfusion with blood products was a negative prognostic indicator for hospital discharge. The source of bleeding was isolated to the spleen in 75 of 83 (90%) dogs; a splenic source of hemorrhage was determined to be a positive predictor of survival to discharge from the hospital. CONCLUSIONS AND CLINICAL RELEVANCE: In the present study, factors associated with death and failure to be discharged from the hospital included tachycardia, a requirement for massive transfusion with blood products, and the development of respiratory disease secondary to suspected pulmonary thromboembolism or acute respiratory distress syndrome. The presence of disease within the spleen was positively associated with survival to discharge. Surgical intervention for treatment of hemoperitoneum, regardless of etiology, resulted in discharge from the hospital for 70 of the 83 (84%) dogs in this series.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23634683/