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Peer-reviewed veterinary case report

Traumatic hemoperitoneum in 28 cases: a retrospective review.

Journal:
Journal of the American Animal Hospital Association
Year:
1995
Authors:
Mongil, C M et al.
Affiliation:
Department of Clinical Studies · United States

Plain-English summary

This study looked at 28 small animals that suffered from severe internal bleeding in the abdomen due to blunt trauma. These pets needed blood transfusions to stabilize their condition. Out of the 28, 16 survived, giving a survival rate of about 57%. The animals that underwent surgery had a survival rate of 67%, while those treated without surgery had a slightly higher rate of 75%. Overall, the treatment worked for a little over half of the patients, but larger animals tended to have a better chance of survival.

Abstract

This study was conducted to evaluate and describe presenting clinical signs, course, management, and outcome of small animal patients that suffered severe traumatic hemoperitoneum. The medical records of 28 blunt trauma patients diagnosed as having hemoperitoneum and requiring the transfusion of blood products for stabilization were analyzed. The survival rate was 16/28 (57%). Six patients died from natural causes, and six patients were euthanized. Euthanized patients were not considered for the analysis of outcome. The survival rates for six animals that had surgical intervention and 16 animals that were treated medically were 67% and 75%, respectively. Statistically, larger animals had a better prognosis (p less than 0.05, unpaired t-test) for survival. Presenting clinical signs, packed cell volume (PCV), peripheral pulse rate, effusion PCV, site of intra-abdominal hemorrhage, and age were not found to correlate statistically with survival nor with the decision to perform an abdominal exploratory.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/7634055/