Uroperitoneum in a preparturient mare

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Date
2022-06-01
Authors
Gianino, Giuliana
Kopper, Jamie
Troy, Jarrod
Kersh, Kevin
Farrell, Alanna
Wu, Eleas
Yaeger, Michael
Merkatoris, Paul
Johnson, Katheryn
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Theriogenology Foundation
Abstract
Uroperitoneum is an insidious and potentially fatal disease process in horses.1,2 Although most commonly diagnosed in foals,1,3 uroperitoneum secondary to bladder rupture is uncommon in adult horses and reportedly associated with parturition, 2,4-7 urolithiasis,8,9 or trauma.10 Clinical signs typically present from 48 to 72 hours after rupture and consist of lethargy, anorexia, variable urination (anuria, pollakiuria, or stranguria), tachycardia, tachypnea, abdominal distension, or cardiac arrest.3 Hematologic findings often include azotemia, hyperkalemia, hyponatremia, hypochloremia, and metabolic acidosis.3 This report describes uroperitoneum secondary to urinary bladder rupture in a preparturient mare, that to the authors’ knowledge, has not previously been reported. This case underscores the importance of including uroperitoneum after urinary bladder rupture as a differential for late-term pregnant mares and highlights the possibility for safe use of maternal dexamethasone treatment after 335 days of pregnancy to hasten fetal maturity prior to Caesarean section.
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This article is published as Gianino, Giuliana, Jamie Kopper, Jarrod Troy, Kevin Kersh, Alanna Farrell, Eleas Wu, Michael Yaeger, Paul Merkatoris, Katheryn Johnson, and Theresa Beachler. "Uroperitoneum in a preparturient mare." Clinical Theriogenology 14, no. 2 (2022): 102-105. DOI: 10.58292/ct.v14.9285. Copyright 2022 The Authors. Posted with permission.
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