Presumptive intraperitoneal envenomation resulting in hemoperitoneum and acute abdominal pain in a dog. (14th July 2015)

• Record Type: Journal Article
• Authors: Istvan, Stephanie A.; Walker, Julie M.; Hansen, Bernard D.; Hanel, Rita M.; Marks, Steven L.
• Is Part Of: Journal of veterinary emergency and critical care. Volume 25:Number 6(2015:Nov./Dec.)
• Page Start: 770
• Page End: 777
• Publication Date: 2015-07-14
• Subjects: acute abdomen -- canine -- envenomation -- hemoabdomen -- local analgesia; Veterinary emergencies -- Periodicals; Veterinary critical care -- Periodicals; 636.089
• DOI: 10.1111/vec.12341
• Languages: English
• ISSNs: 1479-3261

Abstract

Abstract: Objective: To describe the clinical features, diagnostic findings, treatment, and outcome of a dog with acute abdominal pain and hemoperitoneum secondary to a presumptive intraperitoneal (IP) snakebite. Case Summary: A 10‐month‐old castrated male mixed‐breed dog was evaluated for suspected snake envenomation. The dog presented recumbent and tachycardic with signs of severe abdominal pain. Two cutaneous puncture wounds and hemoperitoneum were discovered during evaluation. Ultrasonographic examination revealed communication of the wounds with the peritoneal cavity. The dog was treated with supportive care, parenteral analgesia, packed red blood cell and fresh frozen plasma transfusions, crotalid antivenom, and placement of an IP catheter to provide local analgesia. The dog recovered fully and was discharged 5 days after initial presentation. New or Unique Information Provided: To our knowledge, this is the first report of IP envenomation accompanied by hemorrhage treated with continuous IP analgesia in the veterinary literature.