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Non-coagulopathic hemothorax in a dog: A case report
Danielle LaVine1, Bobbi Conner1, Gregory B Daniel1
1Virginia-Maryland Regional College of Veterinary Medicine Blacksburg Virginia USA.
Clinical Case Reports
|October 3, 2022
Summary
A Blue Heeler experienced spontaneous hemothorax, initially suspected as neoplasia. Computed tomography revealed a traumatic vascular avulsion, successfully managed with supportive care.
Area of Science:
- Veterinary Medicine
- Diagnostic Imaging
- Emergency Medicine
Background:
- Spontaneous hemothorax in dogs can be challenging to diagnose, with neoplasia often considered.
- Normal coagulation parameters can complicate the differential diagnosis for hemothorax.
- Trauma is a common cause of hemothorax, but a clear history may be absent.
Observation:
- An 8-year-old, female-spayed Blue Heeler presented with hemothorax.
- Initial diagnostics suggested non-coagulopathic spontaneous hemothorax, with neoplasia as a primary differential.
- Coagulation parameters were within normal limits, and no history of trauma was reported.
Findings:
- Computed tomography (CT) was instrumental in diagnosing the condition.
- The definitive diagnosis was a traumatic partial vascular avulsion.
- The injury was successfully managed through supportive care.
Implications:
- CT imaging is crucial for identifying vascular causes of hemothorax, even without a clear history of trauma.
- Supportive management can be effective for traumatic vascular avulsion in dogs.
- This case highlights the importance of considering traumatic vascular injury in spontaneous hemothorax cases.
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