Hemoperitoneum in horses: 67 cases (1989–2004)

Dechant, Julie E.; Nieto, Jorge E.; Jeune, Sarah S. le

doi:10.2460/javma.229.2.253

Cited by 57 publications

(140 citation statements)

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“…Im Gegensatz dazu haben Metastasen an den Lippen, den Adnexen des Auges und der Parotis einen eher semimalignen Charakter und können jahrelang in ihrem Wachstum sistieren. Im Falle von Metastasierungen in Organe des Brust-und Bauchraumes kann es zu Gefäßarro-sionen oder auch zur Destruktion von Gewebe kommen, welche Blutungen zur Folge haben (Dechant et al 2006). Der Übergang von benigne in maligne wird durch eine Reihe von Auslösern verursacht (Smith et al 2002).…”

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“…Metastasen des Hämangiosarkoms in Körperhöhlen sind mit Sickerblutungen und Verlust von Zellmaterial in die Körperhöhlen verbunden, was gewöhnlich zu einem Transsudat mit serosanguinösem Charakter und einer erhöhten Anzahl an Tumorzellen führen kann. Hämangiosarkome füh-ren häufiger auch zu ausgeprägten Hämorrhagien in Körper-höhlen (Pusterla et al 2005, Dechant et al 2006.…”

Section: Patientenunclassified

“…Am häufigsten kommen dabei Tumore im Bereich der Haut (equines Sarkoid, Hautmelanom) oder an gut zugänglichen Stellen wie Auge, Mundhöhle, oberen Atemwegen oder äußeren Genitalien (Plattenepithelkarzinom, Osteom und Osteosarkom, Fibrom und Fibrosarkom) vor (Madewell und Theilen 1987, Marr 1994 , Zicker et al 1990, Mair und Brown 1993, Marr 1994, Mair et al 2004, Dechant et al 2006 Internal neoplasia in the horse with special regard to the cytology of body cavity fluidIn eleven horses out of fourteen with internal neoplasia affecting the thoracic or abdominal cavity a cytologic investigation of pleural or peritoneal fluid was performed. In another horse a biopsy smear was made.…”

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Internal neoplasia in the horse with special regard to the cytology of body cavity fluid

Schmitz¹,

Grabner²

2008

PHK

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EinleitungTumore stellen in der Pferdemedizin ein relativ häufiges Geschehen dar. Am häufigsten kommen dabei Tumore im Bereich der Haut (equines Sarkoid, Hautmelanom) oder an gut zugänglichen Stellen wie Auge, Mundhöhle, oberen Atemwegen oder äußeren Genitalien (Plattenepithelkarzinom, Osteom und Osteosarkom, Fibrom und Fibrosarkom) vor (Madewell und Theilen 1987, Marr 1994 , Zicker et al. 1990, Mair und Brown 1993, Marr 1994, Mair et al. 2004, Dechant et al. 2006 Internal neoplasia in the horse with special regard to the cytology of body cavity fluidIn eleven horses out of fourteen with internal neoplasia affecting the thoracic or abdominal cavity a cytologic investigation of pleural or peritoneal fluid was performed. In another horse a biopsy smear was made. Out of the 12 cytologic examinations 9 proved positively for neoplasia. Criteria of malignancy in the cytology of thoracic and peritoneal effusions in tumours are demonstrated on a series of examples including lymphoma, malignant melanoma, adenocarcinoma, and hemangiosarcoma in the horse. Cells of aberrant morphology corresponding to the criteria of malignancy are also present in effusions in other forms of disease, e.g. chronic peritonitis, acute septic peritonitis, and systemic granulomatous disease. Delineation of neoplasia is sometimes difficult and subject to discussion.

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Internal neoplasia in the horse with special regard to the cytology of body cavity fluid

Schmitz¹,

Grabner²

2008

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“…Furthermore, anorexia and haemorrhagic shock indicated by pale mucous membranes, tachycardia and tachypnoea are frequently encountered (Conwell et al 2010, Dechant et al 2006). Abdominal distension is not a prominent feature of haemoperitoneum (Pusterla et al 2005).…”

Section: Introductionmentioning

confidence: 99%

“…Intra-abdominal haemorrhage in horses may result from a variety of aetiological processes such as coagulopathies (Dechant et al 2006), periparturient haemorrhage (Conwell et al 2010, Mogg et al 2006, Pusterla et al 2005, bleeding from the gastrointestinal tract and its mesentery (Dechant et al 2006) or rupture of predisposed vessels such as from a damaged iliac artery in case of pelvic fracture (Conwell et al 2010, Dechant et al 2006. Other reported causes of haemoperitoneum include rupture of the spleen, liver and/or kidney, as well as bleeding from various tumours (Alexander et al 2004, Conwell et al 2010, Dechant et al 2006, Ferrucci et al 2012, Mckay et al 2003, Pusterla et al 2005, Southwood et al 2000.…”

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confidence: 99%

Traumatic haemoperitoneum in a pony

Heus¹,

Thaller²,

Hoven³

et al. 2015

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Summary: Horses suffering from haemoperitoneum typically present with colic symptoms and depression. Furthermore, anorexia and haemorrhagic shock indicated by pale mucous membranes, tachycardia and tachypnoea are frequently encountered. This report describes a case of traumatic haemoperitoneum in a 24-year-old pony mare. The pony suffered from kick injuries by its pasture mate. Upon arrival at the hospital the pony was depressed and tachycardic, tachypnoeic with pale, sticky mucous membranes. Rectal and neurologic examinations were unremarkable. Laboratory work-up revealed a stress leukogram. Packed Cell Volume and Total Protein were within reference ranges. Ultrasonography of the thorax showed no abnormalities, but abdominal ultrasound suggested haemoperitoneum, which was confirmed through the yield of reddish fluid with a high packed cell volume (45 %) on abdominocentesis. Conservative treatment with crystalloid fluid and plasma fluid therapy was ineffective (no clinical improvement). Ongoing clinical signs indicating hypovolaemia strongly suggested active haemorrhage and a decision for exploratory surgery was made. Intraoperatively the source of bleeding could be identified as a ruptured liver vessel, but could not be visualised. The extent of damage to the liver was further assessed with intraoperative intra-abdominal ultrasound. By using ultrasound imaging we could evaluate the therapeutic options under consideration. Based on a guarded prognosis the owner elected euthanasia. Necropsy confirmed the intraoperative findings, but also revealed involvement of multiple other tissues including the diaphragm and pancreas. Intra-abdominal ultrasonography could aid intraoperative identification of the source of bleeding and the extent of injury in patients with haemoperitoneum in which anatomic restrictions and active bleeding impede direct visualisation.Keywords: haemoperitoneum / haemoabdomen / liver / ultrasonography / laparotomy / traumatology Citation: de Heus P., Thaller D., van den Hoven R

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Abdominal Sonographic Evaluation

Slack¹

2012

Practical Guide to Equine Colic

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Hemoperitoneum in horses: 67 cases (1989–2004)

Abstract: Hemoperitoneum is an infrequent but important cause of abdominal discomfort in horses. Predominant underlying causes were trauma, neoplasia, and idiopathic causes. Identification of underlying cause is important because of its association with outcome.

Cited by 57 publications

References 20 publications

Internal neoplasia in the horse with special regard to the cytology of body cavity fluid

Internal neoplasia in the horse with special regard to the cytology of body cavity fluid

Traumatic haemoperitoneum in a pony

Abdominal Sonographic Evaluation

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