Hematology and Blood Disorders

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Hematology and Blood Disorders 44 7897 074717

Spontaneus Hemoperitoneum:

Prompt diagnosis and intervention are critical for improving outcomes in these patients.

An 8‐year‐old female neutered Beagle presented as an emergency for acute onset of collapse, hematemesis, and hematochezia. The dog was tachycardic, tachypneic, and hypotensive.

 The patient was medically stabilized and ultimately made an uneventful recovery.

A diagnosis of occult intra-abdominal bleeding is usually considered in patients with a predisposing condition. Hemoperitoneum will be readily considered in the differential diagnosis of patients who have been injured, who are treated with anticoagulants, who have a known abdominal tumor when they exhibit the signs and symptoms of hypovolemia, or who have a falling hematocrit. However, idiopathic occurrence of hemoperitoneum is rare, and therefore poorly recognized, which may cause a dangerous diagnostic delay.

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