An auto-penetrating wound resulting in delayed bilothorax

Authors: Nguyen D, Newman M, Tan C, Chow K
Publication: Australian Veterinary Practitioner, Volume 51, Issue 1, pp 11-18, Mar 2021
Publisher: Australian Veterinary Association

Animal type: Dog
Subject Terms: Clinical examination, Emergency medicine/critical care, Surgery, Trauma/injuries
Article class: Clinical Report

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Abstract:

A 13-year-old male neutered Staffordshire bull terrier was presented following blunt trauma from a kick, which resulted in rib fractures, mild pneumothorax, pulmonary contusions and acute hepatic haemorrhage. Exploratory coeliotomy was performed and the hepatic haemorrhage was controlled with pressure and the application of a haemostatic agent. The patient was discharged following a smooth recovery in hospital. The dog presented to the hospital again three days later with signs of lethargy and a mild increase in respiratory effort, following a second event of trauma. A bilious pleural effusion was identified secondary to an auto-penetrating diaphragmatic wound associated with a fractured rib. This also resulted in gall bladder perforation. The dog underwent a diaphragmatic repair and cholecystectomy and recovered uneventfully.

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