title: Retrospective evaluation of concurrent intra-abdominal injuries in dogs with traumatic pelvic fractures: 83 cases (2008-2013).
abstract: OBJECTIVE
  To report the occurrence of intra-abdominal injury (IA) in dogs with pelvic fractures due to blunt trauma, to evaluate for association between characterization of pelvic fractures and the presence of IA, and to evaluate for association between IA and other specific clinical conditions.
  
  
  METHODS
  Retrospective case series (2008-2013).
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  Eighty-three client-owned dogs with pelvic fractures due to blunt trauma.
  
  
  METHODS
  None.
  
  
  RESULTS
  Pelvic injuries included pubic fractures (90.4%), ischial fractures (80.7%), sacroiliac luxations (57.8%), iliac fractures (43.4%), acetabular fractures (30.1%), and sacral fractures (13.3%). Thirty-one dogs (37%) had IA, which included hemoabdomen (27 dogs), uroabdomen (3), and septic abdomen (3); 2 dogs had 2 types of IA. Dogs with sacral fractures were significantly more likely to have IA than dogs without sacral fractures (P = 0.0162). Characterization of pelvic fractures included the direction of compression, presence of a weight-bearing bone fracture, and degree of pelvic narrowing, none of which had an association with IA (P > 0.05). Dogs were more likely to have IA if they had cardiac dysrhythmia (P = 0.0002) or hematuria (P = 0.0001), and were more likely to have a hemoabdomen if they had cardiac dysrhythmia (P = 0.0005). Dogs with hematochezia were more likely to have a septic abdomen (P = 0.0123). Dogs were more likely to receive a transfusion if they had AI (P = 0.033) or hemoabdomen specifically (P = 0.0033). Overall survival to discharge was 89%, which was significantly greater than survival in dogs with pelvic injury that also had septic abdomen (33%; P = 0.0299).
  
  
  CONCLUSIONS
  IA is common in dogs with pelvic fractures, especially those with sacral fractures. Pelvic fracture characterization had no bearing on the presence of IA.
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI, 48824.
authors.forename: Jamie E
authors.initials: JE
authors.lastname: Hoffberg
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI, 48824.
authors.forename: Amy M
authors.initials: AM
authors.lastname: Koenigshof
authors.affiliation: Department of Veterinary Clinical Sciences, Veterinary Medical Center at Dublin, The Ohio State University, Dublin, OH, 43017.
authors.forename: Laurent P
authors.initials: LP
authors.lastname: Guiot
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000453:epidemiology / Q000662:veterinary*; D000818:Animals; D001803:Blood Transfusion / Q000662:veterinary; D004285:Dogs / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000453:epidemiology / Q000662:veterinary*; D006784:Hospitals, Teaching; D008297:Male; D008824:Michigan / Q000453:epidemiology; D010384:Pelvic Bones / Q000293:injuries*; D012189:Retrospective Studies; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000453:epidemiology / Q000662:veterinary*
keywords: canine; hemoabdomen; peritonitis; polytrauma; uroabdomen