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Thoracic trauma and post operative lung injury in a neonatal foal
Authors:A Borchers  A van Eps  S Zedler  P A Wilkins
Institution:1. Department of Clinical Studies Sections of Emergency, Critical Care and Anesthesia;2. Department of Medicine, University of Pennsylvania, School of Veterinary Medicine, New Bolton Center, Kennett Square, Pennsylvania, USA;3. Department of Surgery, University of Pennsylvania, School of Veterinary Medicine, New Bolton Center, Kennett Square, Pennsylvania, USA;4. Department of Veterinary Clinical Science, 1008 West Hazelwood Drive, Urbana, Illinois 61802, USA.
Abstract:A 24‐hour‐old Standardbred filly was referred with an acute history of weakness, respiratory distress and subcutaneous emphysema. Radiographic evaluation revealed left sided rib fractures, unilateral pneumothorax and pneumomediastinum. Serial arterial blood gas measurements pre‐ and post rib repair showed pulmonary dysfunction. Post operative radiographs revealed the presence of air bronchograms and a bronchointerstitial pattern, suggestive of alveolar parenchymal pathology consistent with pulmonary contusion, pulmonary oedema or ALI/ARDS. The filly was treated with intranasal oxygen and an active chest draining unit and recovered uneventfully.
Keywords:horse  rib fractures  parenchymal pulmonary disease
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