The authors declare no conflict of interests.
Nonsurgical pneumoperitoneum in a dog secondary to blunt force trauma to the chest
Article first published online: 14 SEP 2011
© Veterinary Emergency and Critical Care Society 2011
Journal of Veterinary Emergency and Critical Care
Volume 21, Issue 5, pages 552–557, October 2011
How to Cite
Simmonds, S. L., Whelan, M. F. and Basseches, J. (2011), Nonsurgical pneumoperitoneum in a dog secondary to blunt force trauma to the chest. Journal of Veterinary Emergency and Critical Care, 21: 552–557. doi: 10.1111/j.1476-4431.2011.00671.x
- Issue published online: 10 OCT 2011
- Article first published online: 14 SEP 2011
- Manuscript Accepted: 14 JUL 2011
- Manuscript Received: 4 AUG 2010
To describe the medical management of pneumoperitoneum without surgical intervention in a dog that sustained blunt force trauma to the thorax. To review the mechanisms of how a thoracic injury (ie, extra-abdominal source) can lead to pneumoperitoneum.
A 4-month-old Shih Tzu puppy was attacked by a larger dog and sustained various injuries including a pneumothorax, pneumomediastinum, and a pneumoperitoneum. The dog presented minimally responsive and in respiratory distress secondary to pulmonary contusions and noncardiogenic pulmonary edema. No penetrating wounds to the abdomen or thorax were identified. As no immediate surgical lesion was identified the dog was treated conservatively without the need for surgical intervention. The dog was successfully managed and discharged after a few days of supportive care with oxygen therapy. Before discharge, repeat radiographs revealed complete resolution of the pneumothorax, pneumomediastinum, and pneumoperitoneum.
New or unique information provided
Cases of nonsurgical pneumoperitoneum have rarely been reported in the veterinary literature. A thoracic source of pneumoperitoneum should be considered when the suspicion of a ruptured viscus is low based on diagnostic procedures (eg, ultrasound, computed tomography, and diagnostic peritoneal lavage), in addition to physical examination (eg, lack of fever and absence of abdominal pain) and laboratory findings (eg, absence of inflammatory leukogram).