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Hemothorax in 2 horses.

G Perkins1, D M Ainsworth, A Yeager

  • 1Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA. gap7@cornell.edu

Journal of Veterinary Internal Medicine
|August 17, 1999
PubMed
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Conservative medical management successfully treated hemothorax in two horses. This approach, involving oxygen, fluids, and medications, resolved pleural bleeding without drainage, indicating non-surgical options for equine hemothorax.

Area of Science:

  • Veterinary Medicine
  • Equine Surgery
  • Critical Care

Background:

  • Hemothorax, the accumulation of blood in the pleural space, can be a serious condition in horses.
  • Causes of hemothorax include trauma, coagulopathy, and iatrogenic factors such as lung biopsy.
  • Prompt diagnosis and appropriate management are crucial for patient outcomes.

Observation:

  • Two horses presented with clinical signs including tachypnea, tachycardia, nostril flaring, hemoptysis, and pawing.
  • Physical examination revealed absent ventral lung sounds, cool extremities, and pale mucous membranes.
  • Ultrasonography showed moderate to severe pleural effusion, with concurrent decreases in hematocrit and total plasma protein.

Findings:

  • Both horses were managed conservatively with intranasal oxygen, intravenous balanced polyionic solutions, antibiotics, nonsteroidal anti-inflammatory drugs, and analgesics.

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  • Pleural blood was not removed via drainage in either case.
  • Both horses recovered fully without lasting abnormalities, indicating successful resolution of hemothorax.

    • Implications:

    • Conservative medical management can be a viable and effective treatment for hemothorax in horses.
    • Pleural fluid drainage may not be necessary for successful resolution of hemothorax.
    • This approach offers a less invasive alternative to surgical intervention for certain cases of equine hemothorax.