Case 10

Presentation:
5 month old, intact female pit mix canine was presented to AcaseAweek Clinic with chief complaint of hypersalivation and retching for few hours. Puppy was up to date on vaccination and deworming. Puppy is indoor/outdoor.


Physical exam:

  • QAR, slightly lethargic
  • Weight: 6.1kg
  • Choking and gagging induced by gentle palpation of the laryngeal region
  • Hypersalivation
  • MM pink
  • Abdomen distended
  • Fleas and ticks present
  • Waxy debris in both ears


Radiographs of head and neck region were taken as shown below:








Give radiographic interpretation.

What is your diagnosis? Give differentials for the signs presented.
How will you treat and manage this case?

Posted by at 1 comment:

Solution for case 9

Radiographic interpretation: Lateral radiograph shows the loss of cardiac silhouette and loss of continuity of the diaphragmatic line. Gas filled loops of intestine are seen in the thorax. There are also poor thoracic details on the ventral caudal thorax. On VD view we can see fissure lines on the left thorax suggestive of the pleural effusion. On the right side of thorax we can see loops of gas filled intestine.

Diagnosis: Traumatic diaphragmatic hernia / pleuroperitoneal hernia.

Treatment and management: Surgery to repair the ruptured diaphragm after patient has been stabilized is the treatment of choice. Oxygen should be supplied if animal is dyspenic. If pleural effusion is present, thoracentasis should be performed. If animal is in shock, should be treated first for shock. If stomach is herniated surgery should be done at earliest possible as gastric dilatation may further compromise the respiration. Mortality is higher when surgery is performed within 24 hours or after 1 year of the injury.

Click on the Links below for further details:
DH - 1
DH - 2
DH - 3
Posted by at 3 comments:
Labels: ,
Subscribe to: Posts (Atom)