Figure 2
complications and had a normal recovery.
Post-operative treatment included Temgesic 0.02 mg/
kg every 8 hours for the next days, and no further
antibiotics were prescribed, since the operation was
considered a clean surgery.
The following morning, milk meals was started,
initially from a bottle and then from a bowl to avoid
further teat foreign bodies. Milo initially drank well
but that afternoon, when the owners visited, Milo
was noted to be slightly depressed and lethargic.
At this time he also started to refused milk and was
still dehydrated. A clinical exam at this time showed:
pronounced tachypnea, temperature of 38.9°C and
a pulse rate of 200 beats per minute. Since he had
pulled out his IV fluid line, he was re-sedated with
Midazolam at 1.15 mg/kg and Ketamine at 2.3 mg/
kg. Further blood sampling, revealed a low hematocrit
(33 %) and TPS (58 g/l). These results suggested blood
loss, presumably through the GIT. To restore body
fluids and blood volume he received ringers lactate
solution at 50ml/kg and Voluven (Hetastch) at 10ml/
kg. Antibiotic therapy was immediately started with
Cefazolin at 30 mg/kg q 24 and Metronidazole at 12.5
mg/kg q 12.
The following morning, an ultrasound inspection
revealed a large amount of fluid in the peritoneum
cavity, and a sample was aspirated. Analysis of this
fluid: the pre-centrifuge colour was orange, while
post centrifuge colour was straw; fluid clarity pre-
centrifuge was opaque and post-centrifuge was
clear; SG 1017, protein 25g/L; RCC < 10.000 cells/
Figure 3
Figure 4
2019
ISSUE 01
7