SURGICAL MANAGEMENT OF GASTRIC PERFORATION DUE TO HIGH-RISE SYNDROME IN A DOG

Abstract

A two year old non descript bitch was presented to the Department of Veterinary Surgery and Radiology, Veterinary Clinical Complex, Rajiv Gandhi Institute of Veterinary Education and Research, Puducherry with a history of an accidentall fall from the first floor of a building to the spiked metal railings of a gate onto the ground level. Physical examination revealed respiratory distress, pain on palpation around thoracic and abdomen region, perforating wound was noticed on the left lateral thorax at the level of 10 costal cartilage and animal was vomiting since then. On radiographic examination, a mild pneumothorax and gas filled air pockets were noticed in the abdomen, suspecting gastric perforation. Haematobiochemical values were within the normal range. Animal was stabilized by oxygen supplementation, IV fluids and analgesics. After stabilization, anaesthesia was achieved by Inj. Diazepam @ 0.5 mg/kg and Inj. Propofol @ 3 mg/kg IV. Exploratory laparotomy was performed to repair the perforating wound. Post operatively, antibiotics and analgesia were administered for 5th days along with fluid therapy. Based on history and clinical examination, the case was diagnosed as gastric perforation due to high rise syndrome and animal made an uneventful recovery.