Abstract :
[en] A 1.5-year-old German Shepherd bitch was presented for depression, and abdominal pain after being hit in the abdomen. After emergency management, a haemoperitoneum was diagnosed. The dog's condition degraded rapidly and a coeliotomy was performed and a partial rupture at the tip of the spleen was evidenced. Partial splenectomy was performed. The bitch recovered well from the intervention. In cases of haemoperitoneum, medical management includes initial stabilization of the respiratory and cardiovascular systems by restoring adequate circulating volume and initiating oxygen therapy, diagnosis of the cause, and identification and cessation of current haemorrhage. In some situations, surgical management is necessary. In cases of traumatic rupture of the spleen, at least 30% of the organ should be conserved to allows adequate physiological function. Partial splenectomy is therefore an interesting alternative to total splenectomy, especially since the surgical technique is relatively simple. It also allows splenocontraction, responsible for an increase in circulating blood volume. This surgical technique may be considered in cases of trauma but should be avoided when there is suspicion of underlying neoplasia. © 2018 Editions du Point Veterinaire. All rights reserved.
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