Diaphragmatic rupture and biliary tract damage in a dog

A 9-month-old bitch was presented with respiratory distress 7 days after a road traffic accident. Radiographs showed a severe hydrothorax and moderate ascites. The removal of bile-stained fluid by thoracentesis reduced the dyspnoea. A diaphragmatic and a hepatic duct rupture were found and repaired at laparotomy. A biliary peritonitis and pleuritis was present. A blood bilirubin of 67 μmol/1 and elevated serum enzymes were present prior to surgery. These changes were largely reversed once the leakage was stopped.