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Gastric dilatation and volvulus in a brachycephalic dog with hiatal hernia
Author(s) -
Aslanian M. E.,
Sharp C. R.,
Garneau M. S.
Publication year - 2014
Publication title -
journal of small animal practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 67
eISSN - 1748-5827
pISSN - 0022-4510
DOI - 10.1111/jsap.12235
Subject(s) - medicine , gastropexy , hiatal hernia , surgery , volvulus , abdominal distension , gastric distension , gastric volvulus , hernia , retching , chest radiograph , exploratory laparotomy , diaphragmatic hernia , pylorus , stomach , distension , vomiting , radiography , reflux , disease
A brachycephalic dog was presented with an acute onset of retching and abdominal discomfort. The dog had a chronic history of stertor and exercise intolerance suggestive of brachycephalic airway obstructive syndrome. Radiographs were consistent with a Type II hiatal hernia. The dog was referred and within hours of admission became acutely painful and developed tympanic abdominal distension. A right lateral abdominal radiograph confirmed gastric dilatation and volvulus with herniation of the pylorus through the hiatus. An emergency exploratory coeliotomy was performed, during which the stomach was derotated, and an incisional gastropexy, herniorrhaphy and splenectomy were performed. A staphylectomy was performed immediately following the exploratory coeliotomy. The dog recovered uneventfully. Gastric dilatation and volvulus is a potentially life‐threatening complication that can occur in dogs with Type II hiatal hernia and should be considered a surgical emergency .