{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,8]],"date-time":"2025-03-08T05:24:45Z","timestamp":1741411485484,"version":"3.38.0"},"reference-count":5,"publisher":"American Veterinary Medical Association (AVMA)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe the clinical presentation of a Thoroughbred filly with acute hemoperitoneum from a splenic source immediately after racing.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMAL<\/jats:title>\n<jats:p>A 3-year-old Thoroughbred filly used for racing and that had raced shortly before presentation to the hospital.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES<\/jats:title>\n<jats:p>On presentation, the filly was quiet, alert, and responsive with a heart rate of 76 beats\/min, pale mucous membranes, and absent borborygmi. All other physical examination parameters were within normal limits. Abdominal ultrasound was performed and revealed echogenic free abdominal fluid and a splenic hematoma. Abdominocentesis yielded sanguinous fluid with a PCV of 35%. The next day, repeat ultrasound revealed the splenic hematoma with capsular separation.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>TREATMENT AND OUTCOME<\/jats:title>\n<jats:p>The filly was treated overnight with isotonic crystalloid fluids and aminocaproic acid (40 mg\/kg, IV, slow bolus over 30 minutes followed by 20 mg\/kg, IV, q 6 h), potassium penicillin (22,000 IU\/kg, IV, q 6 h), gentamicin (6.6 mg\/kg, IV, q 24 h), and omeprazole (4 mg\/kg, PO, q 24 h). The lowest PCV obtained from the filly was 36 hours after presentation. The filly stabilized with medical treatment and was discharged to a farm for further recuperation.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>There are no published reports detailing hemoperitoneum of splenic origin in Thoroughbreds immediately after racing. Hemoperitoneum of splenic origin is not common in horses, with most cases of hemoperitoneum being secondary to acute trauma, neoplasia, parturition, or postoperative complications. While uncommon, this case raises awareness to another differential for a colicky horse immediately after racing.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.24.01.0011","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T16:25:18Z","timestamp":1712334318000},"page":"1-3","source":"Crossref","is-referenced-by-count":0,"title":["Splenic hematoma and hemoperitoneum in a Thoroughbred racehorse after racing"],"prefix":"10.2460","volume":"262","author":[{"given":"Erin","family":"Neville","sequence":"first","affiliation":[{"name":"Cornell Ruffian Equine Specialists, Elmont, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Pigott","sequence":"additional","affiliation":[{"name":"Cornell Ruffian Equine Specialists, Elmont, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"2","key":"ref1","series-title":"J Am Vet Med Assoc","first-page":"253","article-title":"Hemoperitoneum in horses: 67 cases (1989-2004)","volume":"229","author":"Dechant JE","year":"2006","unstructured":"Dechant JE, Nieto JE, Le Jeune SS. Hemoperitoneum in horses: 67 cases (1989-2004). J Am Vet Med Assoc. 2006;229(2):253-258. doi:10.2460\/javma.229.2.253"},{"issue":"1","key":"ref2","series-title":"J Vet Diagn Invest","first-page":"112","article-title":"Cluster of cases of massive hemorrhage associated with anticoagulant detection in race horses","volume":"27","author":"Carvallo FR","year":"2015","unstructured":"Carvallo FR, Poppenga R, Kinde H,  Cluster of cases of massive hemorrhage associated with anticoagulant detection in race horses. J Vet Diagn Invest. 2015;27(1):112-116. doi:10.1177\/1040638714559970"},{"issue":"2","key":"ref3","series-title":"Equine Vet J","first-page":"174","article-title":"Splenic infarction and splenectomy in a jumping horse","volume":"32","author":"Roy MF","year":"2000","unstructured":"Roy MF, Lavoie JP, Deschamps I, Laverty S. Splenic infarction and splenectomy in a jumping horse. Equine Vet J. 2000;32(2):174-176. doi:10.2746\/042516400777591516"},{"issue":"14","key":"ref4","series-title":"Vet Rec","first-page":"514","article-title":"Haemoperitoneum in horses: a retrospective review of 54 cases","volume":"167","author":"Conwell RC","year":"2010","unstructured":"Conwell RC, Hillyer MH, Mair TS, Pirie RS, Clegg PD. Haemoperitoneum in horses: a retrospective review of 54 cases. Vet Rec. 2010;167(14):514-518. doi:10.1136\/vr.c4569"},{"issue":"3","key":"ref5","series-title":"J Vet Intern Med","first-page":"344","article-title":"Acute hemoperitoneum in horses: a review of 19 cases (1992-2003)","volume":"19","author":"Pusterla N","year":"2005","unstructured":"Pusterla N, Fecteau ME, Madigan JE, Wilson WD, Magdesian KG. Acute hemoperitoneum in horses: a review of 19 cases (1992-2003). J Vet Intern Med. 2005;19(3):344-347. doi:10.1892\/0891-6640(2005)19[344:ahihar]2.0.co;2"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/6\/javma.24.01.0011.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/6\/javma.24.01.0011.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/6\/javma.24.01.0011.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T13:10:20Z","timestamp":1741353020000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/6\/javma.24.01.0011.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,1]]},"references-count":5,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.2460\/javma.24.01.0011","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2024,6,1]]}}}