Successful non-invasive management of iatrogenic splenic injury associated with a peritoneal dialysis catheter in a dog.

Abstract

An 11-month-old, intact female Labrador retriever was presented with oligoanuric acute kidney injury and overhydration after grape ingestion. Percutaneous placement of a 12G × 30 cm Mila chest tube was done as an emergency temporary peritoneal dialysis catheter. Although no serious immediate complications were noted, an iatrogenic splenic injury had occurred. The catheter was used for peritoneal dialysis and urine output and hydration status improved over time. When the dialysis catheter was removed 3 d later, a synthetic hemostatic matrix, Surgiflo, was deposited through the catheter. No complications were noted. The dog recovered uneventfully and was doing well with normal kidney function. Key clinical message: To the authors' knowledge, this report represents the first description of non-invasive management of iatrogenic splenic injury secondary to percutaneous peritoneal dialysis catheter placement in a dog.