• Forum/Server Upgrade If you are reading this you have made it to the upgraded forum. Posts made on the old forum after 26th October 2023 have not been transfered. Everything else should be here. If you find any issues please let us know.
  • Please Note - Medical Advice

    Please keep in mind that posts on this forum are from members of the public sharing personal opinions. It is not a replacement for qualified medical advice from a veterinarian. Many illnesses share similar symptoms but require different treatments. A medical exam is necessary for an accurate diagnosis, without which appropriate treatment cannot be given.

    You should always consult your vet before following any suggestions for medication or treatment you have read about. The wrong treatment could make your rabbit worse or mean your vet is unable to give the correct treatment because of drug interactions. Even non prescription drugs can do harm if given inappropriately.

    We are very grateful to members who take time to answer other members questions, but please do be clear in your replies that you are sharing personal experience and not giving instructions on what must be done.

    Urgent Medical Advice: If you need, or think you might need, urgent medical advice you should contact a vet. If it is out of working hours phone your vet's normal number and there should be an answer phone message with instructions on what to do.

Spontaneous haematoma - advice please

snaisby

Warren Scout
Hi there, I've not been on for a long while - bunnies have been fine! But my bun has a slightly odd issue and I just wondered if anyone else had experience/advice.

Picked up Otto today (7 year old neutered boy) to do a bum check and noticed a big lump on his shoulder which must have sprouted up sometime in the last day or two. Felt very fluctuant and mobile so figured it was an abcess. He's been absolutely fine in himself, eating, hopping about and pestering his wifey as usual.

Took him to the vet tonight who had a prod and agreed, probably abscess, decided to lance & flush. She stuck a scalpel in it and loads of dark blood came spurting out :shock: so it was actually a haematoma. It then would not stop bleeding, so I ended up sitting in the waiting room with a wad of gauze for half an hour putting pressure on it! Eventually slowed to an ooze, and she stuck a stitch and glue in the scalpel wound, but it will probably continue to leak into the cavity so i'm expecting it to fill back up.

There's no trauma to the area, he's not limping so I've no idea how he got it. The vet has worried me a little by saying she has seen a similar spontaneous haematoma on a rabbit's face before which turned out to be a haemangiosarcoma :( but still could just be from an injury I haven't witnessed. We're watching and waiting to see what happens over the weekend. To be fair both buns have been quite spring fever-y over the past few weeks, lots of chasing and humping each other which is normal for them, I've never seen it escalate to fighting.

Anyway Otto is in a cage in my room for now, he is very unimpressed with his temporary accommodation but I don't want him leaping about or Bluebell bothering the wound. I'm a bit concerned about their bond though - how long do people think they can be apart? They've lived together for 6 years, they're in a hutch & run in the yard normally.

Here is the patient sulking in my old rat cage
IMG_20150514_192101681.jpg


The wound - lump was about 5x5cm
LVA3RwjLq3AAD4WCD5b24ee3I8PzGx09VuT6Nwv57I0=w298-h529

IMG_20150514_192037935.jpg


And Bluebell wondering what all the fuss is about and where her husbun is
IMG_20150514_192756915.jpg


Anyone got any experience of similar things? I've seen plenty of post-op haematomas but never a random one before. Thanks!
 
I hope Otto gets better soon and that it turns out to be just a haematoma. Bluebell is absolutely gorgeous though, what a beautiful little girl!
 
Poor lad :cry: Did the Vet suggest taking bloods to check his platelets and coagulation factors ?

The wound is in a place that could indicate an injury from a 'hanging on humping Rabbit', in which case it will hopefully heal up well. But a spontaneous haematoma is something I would want my Vet to investigate further, starting with the blood tests and a biopsy of the lesion.

I hope that Otto will simply heal up well with no further problems. As to how long he and Bluebell need to be apart, that would depend on whether Bluebell leaves Otto's wound alone. If Otto does have a blood clotting problem I would not want to risk the wound being opened up again.
 
The one thing that surprises me about what you've said, is the fact that the haematoma bled so much, and continued to ooze having been stitched. Rabbit's blood, as you probably know, clots very easily. Did your vet give you an explanation for the bleeding?

A wound caused by humping wouldn't normally produce such a reaction as a haematoma, and I would ask your vet to consult with a specialist and get some answers as to why this happened.

As for the bond, once he's healed up I see no reason at all why Otto and Bluebell shouldn't easily get back together. I've had many rabbits parted for lengthy times and had no trouble bonding again.

I wish you luck! You certainly need some answers on this one :thumb:
 
So the good news is the haematoma hasn't refilled, and the buns are happily back together outside. The bad news is that now the swelling has gone down, I'm sure I can feel something more firm underneath :( so going back to the vet tomorrow to discuss next option which is probably excision. I have a bad feeling it's something nasty what with the bleeding. Wish Otto luck...
 
So the good news is the haematoma hasn't refilled, and the buns are happily back together outside. The bad news is that now the swelling has gone down, I'm sure I can feel something more firm underneath :( so going back to the vet tomorrow to discuss next option which is probably excision. I have a bad feeling it's something nasty what with the bleeding. Wish Otto luck...

Lots of vibes being sent for Otto xx
 
So the good news is the haematoma hasn't refilled, and the buns are happily back together outside. The bad news is that now the swelling has gone down, I'm sure I can feel something more firm underneath :( so going back to the vet tomorrow to discuss next option which is probably excision. I have a bad feeling it's something nasty what with the bleeding. Wish Otto luck...

I'm wishing you all the luck in the world that it *isn't* something nasty, and that there's a simple explanation xx
 
Sorry it's taken so long to update! Shortly after my last post Otto had an FNA (biopsy) which showed abnormal and likely malignant cells. Unfortunately my usual vet was then off on holiday for 2 weeks, and though I could have had the stand-in vet operate on him, I decided to wait til she was back as I trust my usual vet completely with high risk surgeries. We were worried about the bleeding/older bunny under anaesthetic risk but she is super experienced with rabbits and has done various ops on rats/hamsters for me before with no issues.

Long story short Otto had his lumpectomy on Tues and is doing really well. There was no excessive bleeding (phew!) and he bounced straight back from the anaesthetic. He's on metacam and hasn't bothered his stitches at all. During the op the vet found an encapsulated haematoma with a small area of abnormal tissue adherent to the scapula, likely a sarcoma. She did a wide excision and did her best to remove it all. I haven't asked for histology as it won't really make a difference to long term management - I have no idea how old Otto is but I've had him nearly 6 years, found him as an adult stray. He is very much an outdoor bonded bunny and hates being confined to a cage for recovery, plus pines for Bluebell when they're apart. Therefore sadly I think if this comes back/spreads I doubt i can justify more surgery on him.

Anyway today I decided to risk putting the buns back together as they weren't eating very well apart. They were in the run all day with me keeping a close eye and no wound nibbling :) they were very happy to see each other. Now Otto is back in the hospital cage overnight just to give him a bit more time to heal, think I'll put them properly back together tomorrow though.

Immediately post-op, bad pic but you can see how big the incision is
IMG_20150602_185739229_zpsacdslpoa.jpg


Much happier in the run
IMG_20150604_172634507_zpsnkkuuojd.jpg


Relaxed buns back together (plus tasty forage to tempt munching haha!)
IMG_20150604_174129693_zpsotg4u1no.jpg


IMG_20150604_174154002_zpsublrlycv.jpg


BTW does anyone have any tips for putting weight back on a bunny? he's lost a couple of hundred grams over this process and I'd like to get his weight back up. He's already on increased pellets, unlimited hay, lots of fresh forage. I wondered if junior/dwarf pellets might help?
 
Last edited:
I'm sorry to hear that a sarcoma is suspected. But it seems that at the moment Otto is doing really well within himself. I completely agree with your thoughts about any future surgery. IMO quality of life always takes presidents over quantity. Both Bunnies look very content :love:

You could add a few junior pellets to his diet. My Vet had some excellent advice from an Exotics Vet about using a PREbiotic (different from a PRObiotic) called Avipro Plus. This can help the Rabbit metabolise food more efficiently, making the most of dietary calories

http://www.viovet.co.uk/Vetark_Avip...ljwupQw75XIUXMZh5nT8X3u4CY8BxwEQhAaAsQy8P8HAQ

Do the Rabbits ever have Readigrass ? This has a relatively high protein content and can help with weight gain. It is better to try to achieve weight gain gradually without overloading the GI tract with carbohydrates. Rabbits GI tract's do not cope well with a high carb diet and it can cause GI tract problems in some caes. Especially if the Rabbit happens to be on antibiotics.

I hope that Otto will remain 'well' for as long as possible xx
 
Sorry it's taken so long to update! Shortly after my last post Otto had an FNA (biopsy) which showed abnormal and likely malignant cells. Unfortunately my usual vet was then off on holiday for 2 weeks, and though I could have had the stand-in vet operate on him, I decided to wait til she was back as I trust my usual vet completely with high risk surgeries. We were worried about the bleeding/older bunny under anaesthetic risk but she is super experienced with rabbits and has done various ops on rats/hamsters for me before with no issues.

Long story short Otto had his lumpectomy on Tues and is doing really well. There was no excessive bleeding (phew!) and he bounced straight back from the anaesthetic. He's on metacam and hasn't bothered his stitches at all. During the op the vet found an encapsulated haematoma with a small area of abnormal tissue adherent to the scapula, likely a sarcoma. She did a wide excision and did her best to remove it all. I haven't asked for histology as it won't really make a difference to long term management - I have no idea how old Otto is but I've had him nearly 6 years, found him as an adult stray. He is very much an outdoor bonded bunny and hates being confined to a cage for recovery, plus pines for Bluebell when they're apart. Therefore sadly I think if this comes back/spreads I doubt i can justify more surgery on him.

Anyway today I decided to risk putting the buns back together as they weren't eating very well apart. They were in the run all day with me keeping a close eye and no wound nibbling :) they were very happy to see each other. Now Otto is back in the hospital cage overnight just to give him a bit more time to heal, think I'll put them properly back together tomorrow though.

Immediately post-op, bad pic but you can see how big the incision is
IMG_20150602_185739229_zpsacdslpoa.jpg


Much happier in the run
IMG_20150604_172634507_zpsnkkuuojd.jpg


Relaxed buns back together (plus tasty forage to tempt munching haha!)
IMG_20150604_174129693_zpsotg4u1no.jpg


IMG_20150604_174154002_zpsublrlycv.jpg


BTW does anyone have any tips for putting weight back on a bunny? he's lost a couple of hundred grams over this process and I'd like to get his weight back up. He's already on increased pellets, unlimited hay, lots of fresh forage. I wondered if junior/dwarf pellets might help?

Aaaww what lovely photos :love:

The scar on Otto's back *is* quite big, isn't it?

It sounds like you were absolutely right to trust your instinct and wait for your savvy vet to come back from holiday to do the surgery. As you say, finding out the histology makes no difference to treatment, and also to Otto's quality of life - which sounds as if it's great at the moment! Long may that continue!

Putting weight on a bunny ... Many of us here (including Tamsin, the site owner) recommend porridge oats. Just a pinch at a time - possibly twice daily. Bunnies usually love them dry, but you could add water if they prefer that. I also give a few sunflower seeds as they give an excellent coat and provide Vitamin E, as well as essential fats.

You could also add in readigrass, which has a higher nutrient content than hay, or alfalfa hay if there are no calcium (sludge) issues.

Some people give probiotics/prebiotics, but to be honest, I have now heard three exotic specialists suggest they are of no benefit to rabbits because of their stomach acid. However, they will certainly do no harm :thumb:

Good luck!!
 
Back
Top