Jamie E Hoffberg 1 , Amy M Koenigshof 1 , Laurent P Guiot 2 Show Affiliations »
Abstract
OBJECTIVE: To report the occurrence of intra-abdominal injury (IA) in dogs with pelvic fractures due to blunt trauma, to evaluate for association between characterization of pelvic fractures and the presence of IA, and to evaluate for association between IA and other specific clinical conditions. DESIGN: Retrospective case series (2008-2013). SETTING: University teaching hospital. ANIMALS: Eighty-three client-owned dogs with pelvic fractures due to blunt trauma. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Pelvic injuries included pubic fractures (90.4%), ischial fractures (80.7%), sacroiliac luxations (57.8%), iliac fractures (43.4%), acetabular fractures (30.1%), and sacral fractures (13.3%). Thirty-one dogs (37%) had IA, which included hemoabdomen (27 dogs), uroabdomen (3), and septic abdomen (3); 2 dogs had 2 types of IA. Dogs with sacral fractures were significantly more likely to have IA than dogs without sacral fractures (P = 0.0162). Characterization of pelvic fractures included the direction of compression, presence of a weight-bearing bone fracture, and degree of pelvic narrowing, none of which had an association with IA (P > 0.05). Dogs were more likely to have IA if they had cardiac dysrhythmia (P = 0.0002) or hematuria (P = 0.0001), and were more likely to have a hemoabdomen if they had cardiac dysrhythmia (P = 0.0005). Dogs with hematochezia were more likely to have a septic abdomen (P = 0.0123). Dogs were more likely to receive a transfusion if they had AI (P = 0.033) or hemoabdomen specifically (P = 0.0033). Overall survival to discharge was 89%, which was significantly greater than survival in dogs with pelvic injury that also had septic abdomen (33%; P = 0.0299). CONCLUSIONS: IA is common in dogs with pelvic fractures, especially those with sacral fractures. Pelvic fracture characterization had no bearing on the presence of IA. © Veterinary Emergency and Critical Care Society 2016.
OBJECTIVE: To report the occurrence of intra-abdominal injury (IA) in dogs with pelvic fractures due to blunt trauma , to evaluate for association between characterization of pelvic fractures and the presence of IA, and to evaluate for association between IA and other specific clinical conditions. DESIGN: Retrospective case series (2008-2013). SETTING: University teaching hospital. ANIMALS: Eighty-three client-owned dogs with pelvic fractures due to blunt trauma . INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Pelvic injuries included pubic fractures (90.4%), ischial fractures (80.7%), sacroiliac luxations (57.8%), iliac fractures (43.4%), acetabular fractures (30.1%), and sacral fractures (13.3%). Thirty-one dogs (37%) had IA, which included hemoabdomen (27 dogs ), uroabdomen (3), and septic abdomen (3); 2 dogs had 2 types of IA. Dogs with sacral fractures were significantly more likely to have IA than dogs without sacral fractures (P = 0.0162). Characterization of pelvic fractures included the direction of compression, presence of a weight-bearing bone fracture , and degree of pelvic narrowing, none of which had an association with IA (P > 0.05). Dogs were more likely to have IA if they had cardiac dysrhythmia (P = 0.0002) or hematuria (P = 0.0001), and were more likely to have a hemoabdomen if they had cardiac dysrhythmia (P = 0.0005). Dogs with hematochezia were more likely to have a septic abdomen (P = 0.0123). Dogs were more likely to receive a transfusion if they had AI (P = 0.033) or hemoabdomen specifically (P = 0.0033). Overall survival to discharge was 89%, which was significantly greater than survival in dogs with pelvic injury that also had septic abdomen (33%; P = 0.0299). CONCLUSIONS: IA is common in dogs with pelvic fractures , especially those with sacral fractures . Pelvic fracture characterization had no bearing on the presence of IA. © Veterinary Emergency and Critical Care Society 2016.
Entities: Disease
Species
Keywords:
canine; hemoabdomen; peritonitis; polytrauma; uroabdomen
Mesh： See more »
Year: 2016
PMID： 26754578 DOI： 10.1111/vec.12430
Source DB: PubMed Journal: J Vet Emerg Crit Care (San Antonio) ISSN： 1476-4431