Published in Scientific Works. Series C. Veterinary Medicine, Vol. LXX, Issue 2
Written by Alina ȘTEFĂNESCU, Cristian Ionuţ FLOREA, Crina Alexandra BOANCĂ, Andrei RĂDULESCU, Alexandru Bogdan VIȚĂLARU
A five-months-old female Miniature Schnauzer dog, was referred with persistent vomiting and history of inappetence, lack of appetite, abdominal distention, tachypnea, and progressive weight loss. During clinical examination, the patient presented a defense reaction in the epigastric region upon deep palpation, auscultation of left side of the lungs found
enhanced respiratory noises. Cardiac auscultation, revealed diminished heart sounds and intermittent borborygmi on the right hemithorax. At abdominal focused assessment with sonography in trauma, intestines were slightly distended by gas and liquid content and motility was reduced. The X-rays revealed enlarged cardiac silhouette and abnormal topography of the intestinal mass, with the cranial displacement especially on the projection area of the right heart. The radiological aspect suggests a peritoneo-pericardial hernia with the involvement of the small intestine. Peritoneo-pericardial hernia is a malformation which allows the protrusion of abdominal organs into the pericardial sac. Surgical repair was performed by herniorrhaphy with a polypropylene suture. Antibiotics were administered before and after surgery. Following herniorrhaphy, an abdominal exploration was performed. The only treatment for peritoneo-pericardial
hernias is surgical and the main tool for diagnosis is radiography.
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