Case report: Diagnosis and Surgical Treatment of Delayed Traumatic Diaphragmatic Hernia with Hepatothorax and Enterothorax in a Small Dog Provisionally Accepted
Yiding Liu1
Tiange Tai1
Zhaoyang Liu1
Tianyu Han1
Yu Yang1
Shanshan Fei1
Shu Wang2
Haibin Wang1
Tiezhu Chen3*
Guangliang Shi1*
- 1College of Veterinary Medicine, Northeast Agricultural University, China
- 2Heilongjiang Key Laboratory for Zoonosis, College of Veterinary Medicine, Northeast Agricultural University, China
- 3Sichuan Provincial Key Laboratory of Quality and Innovation Research of Chinese Materia Medica, Sichuan Academy of Chinese Medicine Sciences, China
An 8-year-old castrated male teddy bear dog presented to our clinic with a persistent cough. The sick dog suffered from vehicular trauma six months prior to the visit and had imaging and exploratory laparotomy. Imaging and exploratory laparotomy at the time showed no significant damage. We performed contrast radiography (barium gavage) on the sick dog. Based on the results of a complete contrast radiography (barium gavage), tubular shadows in the thoracic cavity were identified as the small intestine and cecum, and delayed traumatic diaphragmatic hernia with hepatothorax and enterothorax was confirmed with radiographs. Accordingly, the sick dog underwent general anesthesia, manual ventilation and diaphragmatic herniorrhaphy by standard ventral midline abdominal approach. Postoperatively, the dog were given analgesia and antibacterial treatment, and the liver biochemical indexes were monitored to prevent endotoxin. Postoperative radiographs revealed clear contours of thoracic and abdominal organs. The dog moved, ate, and urinated normally within 10 days of the surgery. This case provides a reference for a complete barium meal imaging procedure that clearly shows the position of the organs in the thoracoabdominal cavity after the occurrence of a delayed traumatic diaphragmatic hernia. This paper provides a practical reference for the diagnosis of delayed traumatic diaphragmatic hernia with hepatothorax and enterothorax.
Keywords: dog, Delayed diaphragmatic hernia, x-ray, Ultrasound examination, case report
Received: 18 Dec 2023;
Accepted: 16 May 2024.
Copyright: © 2024 Shao, Liu, Tai, Liu, Han, Yang, Fei, Wang, Wang, Chen and Shi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Dr. Tiezhu Chen, Sichuan Provincial Key Laboratory of Quality and Innovation Research of Chinese Materia Medica, Sichuan Academy of Chinese Medicine Sciences, Chengdu, Sichuan Province, China
Dr. Guangliang Shi, College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150038, Heilongjiang Province, China