Feline Hemoperitoneum 16 Cases (1986‐1993)

Abstract

SurnmtqySixteen cases oJ'eZine, non-traumatic hemoperi~oneum were evaluated retrospective~. tie median age was 5. 75years were anorexia (37%), lethargy (3I %), and recumbency (31 %). Physical examination~ndings (n=ll) included depressed mentation (100%), hypothermia (89 %), pale mucous membranes (82 %), and poor qualip pzdses (80%). 7i??e median initi"al penphera [ packed celi volume (n=ll) was 24% (range 17-55%). InJour outo~sti cases where abdominocentesis was per$onne~the packed cell voiume oJthe abdominalj?uid rangedfiom 18% to 24%, and matched the penpheralpacked cell volume (range 15-26%). Some common abnormalities in the serum chemistry screens {n=6) were elevated alanine aminotrans~erasein 83% (5/6) tithe cats (range 55-5828 U/~and elevated alkaline phosphatase in 50% (3/6) of the cats (range 18-402 LJYZ). Ten cats (63%) were euthanued, three (19%) werepresented dead on arriva( two (12%) are sti~lalive, and one (6%) died. me causes o~hemopentoneum were hepatic neopkzsia (3I %), hepatic necrosis (19 '%),hepatic amyioidosis (13%), non hepa~"cneopkzsia (13%), hepatopathy (6%), hepatic rupture (6%), necrofi"tihemon-hagicqwtitis (6%), and ruptured bladder (6%).

Spontaneous hemoperitoneum in cats: 65 cases (1994–2006)

“…1 This tendency toward hepatic disease resulting in hemoperitoneum in cats also varies from findings in dogs; the source of bleeding is the spleen or liver in 75% and 13%, respectively, of dogs with hemoperitoneum that undergo surgery. This finding is similar to that of another study 1 ; however, hepatic disease was almost twice as likely to occur in the previous study, compared with the present study (75% vs 40%, respectively).…”

“…1 However, most of those cats developed hemperitoneum secondary to trauma, and the rate of spontaneous hemoperitoneum in cats was only 0.06%. 1 However, most of those cats developed hemperitoneum secondary to trauma, and the rate of spontaneous hemoperitoneum in cats was only 0.06%.…”

Body Cavity Fluids

“…Physical evaluation reveals a protein concentration slightly less than that of peripheral blood. Similar studies in cats implicate malignant neoplasia as the etiology in feline hemoperitoneum in 44% to 46% of cases (Culp et al, 2010;Mandell and Drobatz, 1995). Hemoperitoneum is generally divided into traumatic and nontraumatic (spontaneous), with the former being subdivided into blunt trauma (e.g., motor vehicle accident) and penetrating (e.g., gunshot wound).…”

“…PCV of effusions is often the same or slightly less than that of peripheral blood (Culp et al, 2010;Mandell and Drobatz, 1995;Mongil et al, 1995). These effusions are serosanguineous to red depending on the duration of the exudate and the extent of the hemorrhage.…”

“…PCV of effusions is often the same or slightly less than that of peripheral blood (Culp et al, 2010;Mandell and Drobatz, 1995;Mongil et al, 1995). Other etiologies include coagulopathies, hepatic necrosis, ruptured urinary bladder, hepatic torsion, hepatic rupture secondary to amyloidosis, and FIP-associated lesions of the liver and kidney (Culp et al, 2010;Mandell and Drobatz, 1995;Swann and Brown, 2001). Malignant neoplasia was the final diagnosis in 68.3% to 80% of canine cases of acute nontraumatic hemoperitoneum (Aronsohn et al, 2009;Pintar et al, 2003).…”