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Peer-reviewed veterinary case report

Dog with rare caval foramen hernia diagnosed and treated with surgery

By Park, Jiyoung et al.·Published in The Journal of veterinary medical science·2020·Ulsan Smart Animal Medical Center, South Korea·View original on PubMed

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Original publication title: Caval foramen hernia in a dog: Preoperative diagnosis and surgical treatment.

Species:
dog

Plain-English summary

A 13-year-old Maltese was brought in for reverse sneezing, and during tests, a mass near the diaphragm was discovered. This mass was pressing on a major blood vessel, leading to a diagnosis of a caval foramen hernia, a rare condition. The dog underwent surgery to remove the hernia and also had a splenectomy due to spleen congestion. While the dog initially recovered well after surgery, it sadly passed away later from aspiration pneumonia, a complication that can occur after surgery.

People also search for: Maltese reverse sneezing · dog hernia surgery recovery · aspiration pneumonia in dogs

Abstract

A 13-year-old, 5.6-kg castrated-male Maltese was presented for reverse sneezing. A dome-shaped round mass abutting diaphragm was incidentally found ventral to caudal vena cava, which had the same echogenicity and density as that of the liver during ultrasonography and computed tomography, showing isoattenuation with a contrast study. Vascular distribution was identified throughout the mass. A caval foramen hernia (CFH) was diagnosed tentatively, followed by a herniorrhaphy and splenectomy of the chronically congested spleen. The patient had been doing well for 5-month postoperative but died because of aspiration pneumonia. CFH is an extremely rare condition, requiring surgery due to compression of the vena cava. It should be considered as a differential diagnosis when intrathoracic, mass-like lesions are identified near the diaphragm.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32801281/