Acta Vet. Brno 2023, 92: 139-142

Computed tomographic features of massive pneumoperitoneum in a dog with intestinal lymphoma – a case report

Sohee Lim1,2, Yawon Hwang1, Sangjune Sohn1, Byunggyu Cheon1, Chi Won Shin3, Kichang Lee2

1Bupyeong SKY Animal Medical Center, Inchoen, Republic of Korea
2Jeonbuk National University Specialized Campus, College of Veterinary Medicine, Iksan, Republic of Korea
3Seoul National University College of Veterinary Medicine, Department of Veterinary Clinical Sciences, Seoul, Republic of Korea

Received June 15, 2021
Accepted May 4, 2023

A 6-year-old intact male Jindo dog was presented for reduced appetite, depression, and tympanic abdominal distension. Abdominal radiographs showed severe pneumoperitoneum and an intestinal mass. Computed tomography revealed massive pneumoperitoneum associated with intestinal perforation, with cervical and thoracoabdominal wall emphysema, pneumomediastinum, pneumoretroperitoneum, pneumoscrotum, and peritonitis. Surgery confirmed a ruptured jejunal mass, and histopathologic evaluation of the excised tissues revealed intestinal lymphoma. Clinicians should therefore consider the possibility of gastrointestinal perforation in patients with severe pneumoperitoneum even where there is no history of trauma. Despite clinical stability, intensive monitoring and urgent decompressive intervention should be performed in patients with severe pneumoperitoneum.


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