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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September/October 2010
Case Reports|
September 01 2010
Hemorrhagic Pleural Effusion Secondary to an Unusual Type III Hiatal Hernia in a 4-Year-Old Great Dane
Lena C. Gordon, BSc (Hons), DVM, MRCVS;
Lena C. Gordon, BSc (Hons), DVM, MRCVS
Wey Referrals, 125-129 Chertsey Road, Woking, Surrey, GU21 5BP United Kingdom
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Edward J. Friend, BVetMed, CertSAS, Diplomate ECVS, MRCVS;
Edward J. Friend, BVetMed, CertSAS, Diplomate ECVS, MRCVS
Wey Referrals, 125-129 Chertsey Road, Woking, Surrey, GU21 5BP United Kingdom
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Michael H. Hamilton, BVM&S, CertSAS, Diplomate ECVS, MRCVS
Michael H. Hamilton, BVM&S, CertSAS, Diplomate ECVS, MRCVS
Wey Referrals, 125-129 Chertsey Road, Woking, Surrey, GU21 5BP United Kingdom
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J Am Anim Hosp Assoc (2010) 46 (5): 336–340.
Citation
Lena C. Gordon, Edward J. Friend, Michael H. Hamilton; Hemorrhagic Pleural Effusion Secondary to an Unusual Type III Hiatal Hernia in a 4-Year-Old Great Dane. J Am Anim Hosp Assoc 1 September 2010; 46 (5): 336–340. doi: https://doi.org/10.5326/0460336
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