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Congenital Paraesophageal Hernia in a Cat

机译:先天性Paraesophageal疝的一只猫

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A 3 mo old male domestic shorthair weighing 2 kg was presented for acute onset of anorexia, lethargy, paradoxical breathing, and a palpable mass effect in the cranial abdomen. Initial diagnostics and imaging suggested a pleuroperitoneal or hiatal hernia. Emergency abdominal exploration was performed, and a complex type II paraesophageal hiatal hernia was identified. The entire stomach, greater and lesser omenta, spleen, left limb of the pancreas, and the proximal segment of the descending duodenum were herniated through a discrete defect in the phrenicoesophageal ligament. After reduction of the herniated organs back into the abdomen, a phrenicoplasty, esophagopexy, and left-sided fundic gastropexy were performed. The cat recovered uneventfully from the procedure and was free of any signs of disease for at least 30 mo postoperatively. This is the first detailed report of the findings and successful surgical treatment of a complex congenital, type II paraesophageal hiatal hernia with complete herniation of the stomach, omenta, and spleen in a cat.
机译:3国内短毛猫莫老男重2公斤提出了厌食症的急性发作,嗜睡,反常呼吸,显而易见的质量效应在颅腹部。诊断和成像建议pleuroperitoneal或食管裂孔疝。腹部进行探索,复杂类型II paraesophageal食管裂孔疝识别。小网膜、脾脏、胰腺的左肢,和下行的近端部分十二指肠通过一个离散的椎间盘髓缺陷在phrenicoesophageal韧带。减少的髓核突出器官回腹部,phrenicoplasty esophagopexy,左侧胃底gastropexy是执行。猫太平无事地从手术中恢复没有任何疾病的迹象至少30莫术后。报告的结果和成功的手术处理一个复杂的先天性,II型paraesophageal食管裂孔疝与完成网膜疝胃,脾脏一只猫。

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