Printezi F. DVM, Plakentia Veterinary Clinic, Athens | Totta E. DVM, CertAVP, PgCert VPS, Plakentia Veterinary Clinic, Athens
Introduction
Secondary septic peritonitis is the most common form of peritonitis in companion animals. It most commonly results from bacterial contamination, internal leakage or external trauma. Treatment focuses on hemodynamic stabilization, although it is a life-threatening condition that needs intensive and possibly surgical treatment even if the prognosis is guarded. The purpose of this case is to describe the management of a septic dog after pyometra rupture.
Clinical case
A 7-year-old, 1.5 kilograms, female, intact, Yorkshire terrier was presented in shock, with bradycardia, hypoglycemia, hypothermia, hypotension, lack of consciousness and dilated abdomen. Nasal cannulas were placed for oxygen administration and emergency fluid therapy was initiated. All required tests resulted in pyometra and septic peritonitis. The treatment included packed red blood cells transfusion, dopamine, gastroprotectants, antibiotics and 3 hours later ovariohysterectomy and peritoneal lavage.
Results
After the recovery from surgery, she remained hospitalized for 2 days and was discharged on the 5th day. On re-examination on the 5th and 15th day clinical and laboratory examinations were normal. 18 months after, she remains healthy.
Conclusions
The results are presented to highlight the intensive management of septic patients where surgery is part of stabilization, the appropriate therapy and the ideal time for surgical intervention.
