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Bilateral Morgagni hernia in a donkey
Equine Veterinary Education ( IF 0.9 ) Pub Date : 2020-03-03 , DOI: 10.1111/eve.13259
J. M. Arévalo‐Rodríguez 1 , I. Caudron 1 , A. Salciccia 1 , M. Vardersmissen 1 , G. de la Rebière de Pouyade 1 , S. Grulke 1
Affiliation  

This case report describes the clinical presentation and management of a donkey admitted with acute signs of abdominal pain that was diagnosed with a bilateral Morgagni hernia, a rare type of congenital diaphragmatic hernia. For more than 8 months before presentation, the donkey had been showing signs of recurrent mild abdominal pain that responded favourably to medical treatment. On admission, the donkey had mild tachycardia and tachypnoea. Radiography and ultrasound of the thorax and abdomen showed thoracic herniation of the large colon. Exploratory laparotomy was performed, and the sternal and diaphragmatic flexures of the large colon, as well as the left hepatic lobe, were found incarcerated in a bilateral Morgagni hernia. Intestine and liver were removed from the hernia, and the large colon was exteriorised. The defect in the diaphragm was repaired by stapling a polyester mesh circumferentially around the hernia ring and covering the mesh with an excised section of the greater omentum. No further complications and no recurrence of colic were observed during an 8‐month follow‐up period.

中文翻译:

驴中的双侧Morgagni疝气

该病例报告描述了被诊断患有双侧Morgagni疝(一种罕见的先天性diaphragm肌疝)的驴,它的腹部表现出急性症状,其临床表现和处理方法。出诊前八个多月,这只驴表现出反复发作的轻度腹痛迹象,对药物治疗反应良好。入院时,驴患有轻度心动过速和呼吸急促。胸部和腹部的放射线照相和超声检查显示了大结肠的胸椎突出。进行了探索性剖腹手术,发现大结肠的胸骨和diaphragm肌弯曲以及左肝叶被嵌顿在双侧Morgagni疝气中。从疝气中取出肠和肝,使大结肠外化。通过在疝环周围沿圆周缝合一个聚酯网,并用大网膜的切除部分覆盖网,可以修复隔膜的缺损。在8个月的随访期间,未观察到进一步的并发症和绞痛的复发。
更新日期:2020-03-03
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