Beste SARAÇOĞLU, Doğan Can HANEY, Mustafa Volkan YAPRAKCI, Turan CİVELEK

Bir Köpekte Hipokalsemi İle İlişkili Gastrik Kanama Olgusu

Sunulan vaka raporu materyalini doğum yaptıktan 1.5 ay sonra halsizlik, iştahsızlık, şiddetli kasılma ve inkoordinasyon şikâyeti ile Afyon Kocatepe Üniversitesi Hayvan Hastanesine getirilen 4 yaşlı Golden Retriever ırkı köpek oluşturdu. Anamnez ve klinik belirtiler kapsamında gerçekleştirilen biyokimyasal analiz sonucu serum kalsiyum düzeyi 5.81 mg/dL olarak belirlenen hastaya hipokalsemi (eklampsia) tanısı kondu. Uygun tedavi prosedürü sonrası tüm vital bulguları normale dönen hastada, tedaviden 4 saat sonra orta şiddetli hematemesis gözlendi. Gastrik kanamaya hipokalseminin pıhtılaşma mekanizması üzerindeki etkisinin neden olabileceği düşünüldü. Tedaviden 24 saat sonra tekrarlanan biyokimyasal ölçümde serum kalsiyum düzeyi 7.70 mg/dL olarak belirlendi. Sonraki takiplerde hematamesis bulgusuna rastlanmadı, nüks gözlenmedi. Köpeklerde hipokalsemi olgularında kanama bozukluğu riski önemlidir ve dikkate alınmalıdır.

Anahtar Kelimeler:

Fosfor, Gastrointestinal kanama, Hipokalsemi, Kalsiyum, Köpek

Gastric Bleeding Case Associated with Hypocalcemia in A Dog

The presented case report material was composed of a 4-year-old Golden Retriever dog brought to Afyon Kocatepe University Animal Hospital with complaints of weakness, anorexia, severe contraction and incoordination 1.5 months after giving birth. Due to biochemical analysis performed within the scope of anamnesis and clinical symptoms, serum calcium level was measured as 5.81 mg/dL and the patient was diagnosed with hypocalcemia (eclampsia). After the appropriate treatment procedure, all vital findings returned to normal, moderate hematemesis was observed 4 hours after the treatment. It was thought that the effect of hypocalcemia on the coagulation mechanism may cause gastric bleeding. In the biochemical measurement repeated 24 hours after the treatment, serum calcium level was determined as 7.70 mg/dL. In the subsequent follow-ups, no evidence of hematamesis was found and no recurrence was observed. The risk of bleeding disorders in dogs with hypocalcemia is significant and should be considered.

Keywords:

Phosphorus, Gastrointestinal bleeding, Hypocalcemia, Calcium, Dog,

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