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Computed tomographic features of intra‐abdominal hypertension in three dogs
Author(s) -
Jang Min,
Choi Sooyoung,
Lee In,
Lee Inhyung
Publication year - 2019
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.12810
Subject(s) - medicine , abdomen , abdominal cavity , computed tomographic , inferior vena cava , anesthesia , hydronephrosis , abdominal compartment syndrome , beagle , surgery , urinary system , computed tomography , anatomy
Objective To describe computed tomographic (CT) features of intra‐abdominal hypertension (IAH) in 3 dogs with abdominal distension. Case Summary Three dogs with anorexia, distended abdomen, or labored breathing were presented for CT imaging. All 3 dogs were premedicated with IV butorphanol (0.2 mg/kg). A Foley urinary catheter was aseptically placed and the transvesical technique was used to obtain intra‐abdominal pressure (IAP). The IAP measurements were obtained with the dogs in a standing position after a stabilization period of 5 minutes. The mean IAP values for each of the 3 dogs were 26.0, 12.0, and 13.0 mm Hg. Anesthesia was induced with IV propofol (2.0–4.0 mg/kg, to effect) in all 3 dogs and maintained with sevoflurane in 2 dogs. Compression of the caudal vena cava and elevation of the diaphragm were observed in all 3 dogs, whereas renal compression and the extension of peritoneal fluid to the vaginal canal and cavity were seen in the dog with the highest IAP. New or Unique Information Provided Compression of the caudal vena cava, direct renal compression, and the extension of peritoneal fluid into the vaginal canal and vaginal cavity are consistent with a diagnosis of IAH. Measurement of IAP and detection of these CT features should alert clinicians to the possible presence of IAH in veterinary patients.