Diagnosis of Uroabdomen

Fry, Michael M.

doi:10.1002/9781118785546.ch11

Cited by 3 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To understand the underlying cause of the abdominal effusion, peripheral blood concentrations of various parameters are often compared to their abdominal counterparts. Different parameters could be taken into consideration, such as glucose and lactate in septic peritonitis [ 20 , 21 , 22 ], lipase in pancreatitis [ 22 ], triglycerides in chylous effusion, creatinine and potassium in uroabdomen [ 22 , 23 , 24 ], and bilirubin in bile peritonitis [ 22 ]. Bile peritonitis should be suspected when yellow-green or brown-orange abdominal fluid is obtained during an abdominocentesis [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual Case of Biliary Peritonitis in a Dog Secondary to a Gastric Perforation

Pavone,

Castellucci,

Pavone

et al. 2023

Veterinary Sciences

View full text Add to dashboard Cite

Biliary peritonitis is a pathological condition representing a medical emergency with a high risk of mortality. This condition is reported in both human and veterinary medicine following biliary tract rupture, extrahepatic biliary obstructions, gallbladder rupture, trauma, or duodenal perforation. In this report, the first-ever case of biliary peritonitis due to gastric perforation in a Bobtail purebred dog is described, which was probably induced by the administration of nonsteroidal anti-inflammatory drugs (NSAIDs). After an elective splenectomy and castration, the dog was referred to our hospital for medical management for inappetence, mental depression, and multiple episodes of gastric vomits with traces of blood. Clinical diagnostic tests showed the presence of biliary peritonitis. Due to worsening clinical conditions, the patient was subjected to euthanasia. Macroscopic examination showed a free brownish abdominal effusion and the presence of perforating ulcer of the stomach pylorus region.

show abstract

Section: Discussionmentioning

confidence: 99%

Unusual Case of Biliary Peritonitis in a Dog Secondary to a Gastric Perforation

Pavone,

Castellucci,

Pavone

et al. 2023

Veterinary Sciences

View full text Add to dashboard Cite

show abstract

“…Potassium: The effusion:serum potassium value has been used in the diagnosis of uroabdomen (Dempsey and Ewing, 2011;Fry, 2011;Tsompanidou et al, 2015, Ben Oz et al, 2016 but it was recently proposed that it could also be indicative of gastric perforation (Ben Oz et al, 2016).…”

Section: Chemical and Biochemical Analysismentioning

confidence: 99%

The laboratory diagnostic approach to thoracic and abdominal effusions in the dog, cat, and horse

Athanasiou

Spyropoulou

Meichner

2019

J Hellenic Vet Med Soc

View full text Add to dashboard Cite

Cases involving pleural and peritoneal effusions occur relatively frequently in clinical practice. Determining the underlying etiology in these cases relies mainly on fluid analysis. The technique used for obtaining the pleural or peritoneal fluid can impact greatly the results of the analysis. Most often used diagnostic tools include evaluation of gross appearance, Total Nucleated Cell Count / Total Protein (TNCC/TP) measurement, chemical/biochemical analysis (Lactate dehydrogenase and lactate, cholesterol, triglycerides, glucose, creatinine, pH, pO2, pCO2, and K measurements), cytology (identification of septic and non-septic inflammation and neoplasia), microbiology (Gram stain, culture, molecular techniques), and specific tests for certain clinical conditions and diseases. Classifying an effusion as transudate, modified transudate and exudate is traditionally based on the TNCC and TP values. New diagnostic methods encourage the clinician to approach the effusion etiologically instead of strictly following this traditional classification. Many of the diagnostic tests described in this review are simple and can be performed in-house, providing the clinician quickly with information about the cause of the effusion, essential for an effective treatment plan without wasting valuable time.

show abstract

“…Peripheral blood concentrations of various parameters are often compared to their abdominal effusion counterparts to identify the underlying cause of the effusion. Such parameters include glucose and lactate in septic peritonitis, bilirubin in bile peritonitis, lipase in pancreatitis, triglycerides in chylous effusion, and creatinine and potassium when uroabdomen is suspected . In uroabdomen, the ratio between peritoneal effusion and serum potassium [ K (eff): K (s)] is expected to be increased, since urine potassium concentration is substantially higher than serum potassium concentration …”

Section: Introductionmentioning

confidence: 99%

“…Such parameters include glucose and lactate in septic peritonitis, 1-3 bilirubin in bile peritonitis, 3,4 lipase in pancreatitis, 3 triglycerides in chylous effusion, and creatinine and potassium when uroabdomen is suspected. 3,5,6 In uroabdomen, the ratio between peritoneal effusion and serum potassium [K(eff):K(s)] is expected to be increased, since urine potassium concentration is substantially higher than serum potassium concentration. 7,8 Effusion-to-serum potassium concentration ratios of >1.9 in cats and >1.4 in dogs are consistent with uroabdomen, based on 2 previous studies.…”

Section: Introductionmentioning

confidence: 99%