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Peer-reviewed veterinary case report

Cat with congenital paraesophageal hernia causing breathing

By Tong, Kim et al.·Published in Journal of the American Animal Hospital Association·2015·and Department of Small Animal Clinical Sciences, United States·View original on PubMed

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Original publication title: Congenital Paraesophageal Hernia in a Cat.

Species:
cat

Plain-English summary

A 3-month-old male domestic shorthair cat was brought to the vet because he suddenly stopped eating, seemed very tired, and was having trouble breathing. The vet found that his stomach and other organs had moved into the wrong place due to a type of hernia. The cat underwent emergency surgery to put everything back where it belongs and to secure the stomach in place. After the surgery, he recovered well and showed no signs of illness for over two years.

People also search for: cat not eating · cat breathing problems · cat hernia surgery recovery · congenital hernia in cats · cat lethargy causes

Abstract

A 3 mo old male domestic shorthair weighing 2 kg was presented for acute onset of anorexia, lethargy, paradoxical breathing, and a palpable mass effect in the cranial abdomen. Initial diagnostics and imaging suggested a pleuroperitoneal or hiatal hernia. Emergency abdominal exploration was performed, and a complex type II paraesophageal hiatal hernia was identified. The entire stomach, greater and lesser omenta, spleen, left limb of the pancreas, and the proximal segment of the descending duodenum were herniated through a discrete defect in the phrenicoesophageal ligament. After reduction of the herniated organs back into the abdomen, a phrenicoplasty, esophagopexy, and left-sided fundic gastropexy were performed. The cat recovered uneventfully from the procedure and was free of any signs of disease for at least 30 mo postoperatively. This is the first detailed report of the findings and successful surgical treatment of a complex congenital, type II paraesophageal hiatal hernia with complete herniation of the stomach, omenta, and spleen in a cat.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26083444/