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Journal of Veterinary Emergency and Critical Care

Retrospective evaluation of recurrent secondary septic peritonitis in dogs (2000-2011): 41 cases.

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Dominic M Barfield
Michael S Tivers
Matthew Holahan
Kristin Welch
Arthur House
Sophie E Adamantos

Keywords

Abstract

OBJECTIVE

To describe the clinical characteristics of recurrent septic peritonitis in dogs.

METHODS

Multicenter retrospective observational study.

METHODS

Client-owned dogs with recurrent septic peritonitis.

METHODS

Three university emergency and referral hospitals.

METHODS

None.

RESULTS

Medical records from 3 veterinary university teaching hospitals were reviewed and data were collected using a standardized data collection sheet for all cases of septic peritonitis during the study period (2000-2011). Forty one dogs met the inclusion criteria for recurrent peritonitis. All dogs underwent relaparotomy. The original cause of septic peritonitis in these cases included previous surgery for gastrointestinal foreign body removal (n = 26), gastrointestinal neoplasia (n = 3), gastric or duodenal ulceration (n = 3), biliary tract leakage (n = 2), and single instance for each of the following: penetrating foreign body, hernia strangulation, intussusception, mesenteric volvulus, infection of the laparotomy incision, prostatic abscess, and trauma. Eighteen animals survived to discharge. There was no difference detected between survivors and nonsurvivors with recurrent peritonitis in terms of inciting cause, serum albumin concentration, surgical management, or provision of appropriate initial antimicrobials. The survival rate for dogs having recurrent peritonitis was 43.9% (18/41 dogs).

CONCLUSIONS

This retrospective study did not identify any significant prognostic indicators for dogs with recurrent peritonitis and that the mortality rate for dogs having more than one surgery for septic peritonitis is similar to that reported for a single surgery for septic peritonitis.

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