포메라니안견에서 발생한 횡격막허니아의 임상학적, 방사선학적, 초음파학적 및 수술적 소견

Clinical, Radiographic, Echocardiographic, Intraoperative Findings of Diaphragmatic Hernia in a Pomeranian Dog

  • 발행 : 1999.12.01

초록

A 8 years old male Pomeranian weighing 4 kg was referred because of coughing of 4 months' duration. Heart sounds and cardiac apex beat were showed more intense on the right side. On radiographic views, loss of normal line of the diaphragm, gas-containing intestines and stomach in thoracic cavity, and right displacement of heart were observed. Ultrasonography revealed that liver located adjacent to the heart. Although the dog died due to severe respiratory disorder in surgical procedure, in thoracic and abdominal surgery, a large defect was found in the left and right ventral muscular portion and left central tendon of the diaphragm, extending from the esophageal hiatus to rib. Left and right cranial lobe of liver, small intestines, stomach and spleen were herniated in the thoracic cavity. Because of the size and chronicity of the defect in the diaphragm, closure was impossible with an abdominal muscle graft.

키워드

참고문헌

  1. Diaphragm In: Current techniques in small animal surgery(4th ed.) Bellah,J.R.
  2. Management of thoracic trauma In: Saunders manual of small animal practice Bjorling,D.E.
  3. Traumatic diaphragmatic hernia In: Current techniques in small animal surgery(3rd ed.) Boudrieau,R.J.
  4. Compend Contin Educ Pract Vet v.9 Pathophysiology of traumatic diaphragmatic hernia in dogs Boudrieau,S.J.;Muir,W.W.
  5. J Am Anim Hosp Assoc v.18 The formation of an omental pedicle flap and its experimental use in the repair of a diaphragmatic rent in the dog Bright,R.M.;Thatcher,H.L.
  6. J Surg Res v.21 A physiologic basis for the adhesion-free healing of deperitonealized surfaces Buckman,R.F.;Buchman,P.D.;Harfnagel,H.U.
  7. Vet Clin North Am v.5 Diaphragmatic hemia in the dog and cat Carb,A.
  8. Emerg Med Clin North Am v.1 Disorders of the chest wall and diaphragm Dornen,S.C.
  9. Acta Pathol et Microbiol Scand v.62 Regeneration of parietal peritoneum Eskeland,G.
  10. Surg Gynecol Obstet v.95 The repair of diaphramatic defects with cutis grafts: an experimental study Geever,E.D.;Merendino,K.A.
  11. J Am Vet Med Assoc v.181 Abdominal flap graft for repair of chronic diaphragmatic hernia in the dog Helphrey,M.L.
  12. Diaphragmatic, pericardial, and hiatal hernia In: Textbook of small animal surgery(2nd ed.) Johnson,K.A.
  13. Arch Surg v.69 Congenital absence of hemidiaphragm and use of a lobe of liver in tis surgical correction Neville,W.E.;Clowes,G.H.A.
  14. J Thorac Cardiovasc Surg v.48 Replacement of left hemidiaphragm by a pedicled abdominal muscular flap Rosenkrantz,J.G.;Cotton,E.K.
  15. Surg Gynecol Obstet v.105 Experimental use of homologous fascia lata to repair diaphragmatic defects in dogs Schairer,B.E.;Keeley,J.L.
  16. J Am Vet Med Assoc v.185 thoracic wall and pulmonary trauma in dogs sustaining fractures as a result of motor vehicle accidents Spackman,C.J.A.(et al.)
  17. Vet Q v.8 Diagnosis and treatment of acquired diaphragmatic hernia by thoracotomy in 49 dogs and 72 cats Stokhof,A.A.
  18. Mediastinal, pleural, and extrapleural diseases In: Textbook of veterinary internal medicine(4th ed.) Timothy,B.;Woodfield,J.A.
  19. Semin Vet Med Surg(small anim) v.1 Diaohragmatic hernia in the dog and cat: a 25-year overview Wilson,G.P.;Hayes,H.M.
  20. J Am Vet Med Assoc v.159 A review of 116 diaphragmatic hernias in dogs and cats Wilson,G.P.;Newton,C.D.;Burt,J.K.