Korean J Vet Res > Volume 58(2); 2018 > Article
Korean Journal of Veterinary Research 2018;58(2):111-114.
DOI: https://doi.org/10.14405/kjvr.2018.58.2.111    Published online July 2, 2018.
Idiopathic type-4 hiatal hernia in a middle-aged cat
Gi-Na Kim1, Soon-Wuk Jeong1, Hun-Young Yoon2, Hyun-Jung Han1
1Department of Veterinary Emergency Medicine, Konkuk Veterinary Medical Teaching Hospital, Konkuk University
2Department of Veterinary Surgery, Konkuk Veterinary Medical Teaching Hospital, Konkuk University
A 6-year-old female domestic short hair cat presented with acute onset of vomiting, anorexia, lethargy, and tachypnea. The cat was apparently healthy prior to presentation without history of trauma. On diagnostic imagings, the entire stomach and spleen were detected in the thoracic cavity. An emergent celiotomy was performed, and a type-4 hiatal hernia was confirmed; the stomach, spleen, pancreas, and duodenum were herniated through the esophageal hiatus. It was corrected using phrenicoplasty, esophagopexy, and left-sided gastropexy and there was no recurrence 16 months after surgery. This is the first case report of an idiopathic type-4 hiatal hernia in a cat.
Key Words: cats, phrenico-esophageal ligament, type-4 hiatal hernia
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