Corrección quirúrgica de tórax paradoxal debido a traumatismo por mordedura en un perro: Reporte de caso

Tiago Trindade Dias Dias

doi:10.31533/pubvet.v14n10a678.1-6

Abstract

Thoracic trauma is among the most common conditions in small animals and can be presented with different levels of severity. The most common findings are pneumothorax, hemothorax, rib fractures and diaphragmatic hernias. These injuries do not always require surgical procedures, but when the degree of involvement is high, surgical exploration is acceptable to evaluate the real extent of internal injuries. The present work aims to report a case of a dog attacked in the thoracic region, describing an approach to the multiple trauma patient, in addition to diagnosis, treatment and care in the postoperative period. The patient was attended at Hospital Veterinário Renata Saccaro and had extensive soft tissue injuries, pneumothorax and rib fractures, resulting in loss of chest stability. After the first medical appointments and complementary exams, the patient was referred to the operating room, where the inspection of the thoracic organs was performed, followed by thoracorraphy with placement of a chest tube. The patient received intensive care until medical release and continued to follow up until his complete recovery. This paper demonstrates the importance of the veterinarian’s agility in diagnosing the comorbidities that accompany the polytrauma patient in order to refer him to effective treatment as soon as possible and save the patient.

Highlights

Thoracic trauma is among the most common conditions in small animals and can be presented with different levels of severity
The patient was attended at Hospital Veterinário Renata Saccaro and had extensive soft tissue injuries, pneumothorax and rib fractures, resulting in loss of chest stability
This paper demonstrates the importance of the veterinarian’s agility in diagnosing the comorbidities that accompany the polytrauma patient in order to refer him to effective treatment as soon as possible and save the patient

Summary

Introduction

Thoracic trauma is among the most common conditions in small animals and can be presented with different levels of severity. As fraturas de costela é um dos achados mais frequentes, podendo ocasionar uma instabilidade torácica que faz com que o segmento fraturado se mova paradoxalmente com os movimentos respiratórios, resultando no acúmulo e recaptação de CO2, pela pressão e inabilidade de inflar e desinflar, exercido sob o(s) lobo(s) pulmonares afetados (Aguiar, 2011; Fossum, 2014). Quando ocorre uma lesão na parede torácica, que possibilita a entrada de ar atmosférico para dentro da cavidade pleural, classifica-se como pneumotórax aberto (Aguiar, 2011; Fossum, 2014).

Results

Conclusion