Peer-reviewed veterinary case report
Great Dane with bleeding chest fluid from rare hiatal hernia type
By Gordon, Lena C et al.·Published in Journal of the American Animal Hospital Association·2010·Wey Referrals, United Kingdom·View original on PubMed →
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Original publication title: Hemorrhagic pleural effusion secondary to an unusual type III hiatal hernia in a 4-year-old great dane.
- Species:
- dog
Plain-English summary
A 4-year-old Great Dane was brought in for breathing problems (dyspnea) and was found to have a rare type of hiatal hernia, which caused fluid buildup in the chest. The vet performed surgery to fix the hernia and close a defect in the diaphragm, which had led to bleeding and fluid accumulation. After the surgery, the dog recovered well and was back to normal nine months later.
People also search for: Great Dane breathing problems · hiatal hernia surgery for dogs · dog pleural effusion treatment
Abstract
An unusual case of combined axial and paraesophageal (type III) hiatal hernia (HH) in a 4-year-old Great Dane is reported. The main presenting complaint was dyspnea, and no history of trauma was present. A tentative diagnosis of HH with secondary pleural effusion was made based on clinical signs and radiographic findings. Exploratory celiotomy revealed herniation of the gastric cardia, fundus, and body through the esophageal hiatus and an adjacent, distinct defect in the diaphragm. Rupture of the short gastric vessels lead to the formation of a hemorrhagic pleural effusion that impaired ventilation. The esophageal hiatus was surgically reduced in size, and the second defect was closed with nonabsorbable sutures. Esophagopexy and tube gastropexy procedures were also performed. The dog was clinically normal 9 months postoperatively. This type of HH is not currently defined within the traditional classification system and to the authors' knowledge has not been previously reported.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/20810554/