Thromboembolic disorder in a dog after cesarean surgery
Abstract
A 3-year female dog (intact primiparous) overweight Labrador Retriever was presented as an emergency (fever, lethargy, and anorexia)
patient. Four days earlier, this dog had a dystocia (secondary uterine inertia with stillborn fetus) that was relieved via cesarean
surgery. Disseminated intravascular coagulation panel indicated marked increases in D-dimers, increases in partial prothrombin
time, and decreases in antithrombin III activity. Abdominal ultrasonography revealed a severely mottled spleen with multifocal
infarction. Arterial blood gas analysis indicated increases in alveolar-arterial oxygen gradient. Pulmonary thromboembolism was
suspected. Based on the history (peripartum obesity and cesarean delivery) and clinical manifestation, it was hypothesized that the
pregnancy-related hypercoagulable state and postpartum period led to the development of venous thromboembolism. To authors’
knowledge, this is the first case report of a suspected thromboembolic disorder in a postcesarean dog.
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