Abdominal computed tomography and exploratory laparotomy have high agreement in dogs with surgical disease

J Am Vet Med Assoc. 2023 Nov 9;262(2):226-231. doi: 10.2460/javma.23.08.0458. Print 2024 Feb 1.

Abstract

Objective: To compare the results of abdominal CT with exploratory laparotomy in the dog.

Animals: 100 client-owned dogs from 1 academic institution.

Methods: Medical records were searched for dogs that had undergone a preoperative abdominal CT scan read by a board-certified veterinary radiologist followed by an exploratory laparotomy. CT and surgical reports were compared.

Results: The overall agreement between abdominal CT scan and exploratory laparotomy in all cases was 97%. Overall, there was no evidence that proportion agreement differed on the basis of body condition score, time interval between CT and surgery, or oncologic versus nononcologic disease.

Clinical relevance: Abdominal CT scan read by a board-certified diplomate is a sensitive presurgical diagnostic tool for surgical abdominal disease in the dog. When performing a specific abdominal surgery, it is acceptable for the surgeon to fully explore the abdomen or forego it for a smaller approach to the organ of interest if an abdominal CT was performed prior.

Keywords: CT scan; contrast-enhanced CT; exploratory laparotomy; surgical abdominal disease; surgical approach.

MeSH terms

  • Abdomen / diagnostic imaging
  • Abdomen / surgery
  • Abdominal Injuries* / surgery
  • Abdominal Injuries* / veterinary
  • Animals
  • Dog Diseases* / diagnostic imaging
  • Dog Diseases* / surgery
  • Dogs
  • Gastrointestinal Diseases* / surgery
  • Gastrointestinal Diseases* / veterinary
  • Humans
  • Laparotomy / veterinary
  • Retrospective Studies
  • Tomography, X-Ray Computed / veterinary