Paracostal Hernia with Intestinal Necrosis in a Cat

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  • 腸壊死を起こした猫の傍肋骨ヘルニアの1例

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A five-month-old mixed-breed cat was brought to our hospital, with acute hyposthenea, swelling of the right chest, and rapid, weak pulse. The cat was diagnosed by physical and blood chemistry tests, and radiography, as having a paracostal hernia. In spite of primary medical care, the cat was still in poor general condition the next day. Therefore, surgical operation was chosen, because radiography using iodine contrast medium confirmed that the alimentary canal was obstructed. The peritoneum and the transverse muscle of the abdomen were ruptured at the last costal part of the right chest, and the intestinum tenue deviated toward the right chest wall subcutis. Rupture of the diaphram of the ventarl region was also seen. Since the herniated jejunum had twisted and necrotized at the hernia ring, this locus of the jejunum was removed surgically and an end-to-end anastomosis was created. The lacerated abdominal wall and the ruptured diaphragm were closed with simple interrupted sutures using braided silk. The cat was in good health after surgery.

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