Megaesophagus development after surgical treatment of diaphragmatic hernia in three cats

Year 2020, Volume: 91 Issue: 2, 169 - 175, 15.06.2020

Yusuf Şen , Medine İrem Başer , İrem Ergin , Gonca Sönmez , Ali Bumin

https://doi.org/10.33188/vetheder.661451

Abstract

A one year old and two three year old domestic short hair cats presented with trauma induced diaphragmatic hernia at Ankara University Animal Hospital. After clinical and radiographic examination all three cats diagnosed with diaphragmatic hernia. All cats gone under surgical repair for hernias. Several days after surgery all cats brought back to the clinic with vomiting, regurgitation and anorexia. Direct radiographs show esophageal dilatation and right shift in esophagus. Megaesophagus persisted for several weeks and was an unexpected complication as no association between diaphragmatic hernia (and diaphragmatic rupture) and megaesophagus has never been described in the veterinary literature. With medical treatment using prokinetic and antacid and high ground feeding, all cats recovered from megaesophagus without need for surgical intervention. There is no report of gastroesophageal reflux or megaesophagus associated with DH (or DY) in veterinary literature although there were three cases in very little amount of time in our clinic thus megaesophagus due to DH can be more common in cats than believed to be.

Keywords

Cat, megaesophagus, diaphragmatic hernia, surgery

Üç kedide diyafram fıtığının cerrahi sağaltımı sonrası megaözefagus gelişmesi

Abstract

Ankara Üniversitesi Veteriner Fakültesi Hayvan Hastanesine travma şikayeti ile başvuran bir adet bir yaşında ve iki adet üç yaşında kediye çekilen radyografiler ve klinik muayene sonucu diyafram fıtığı tanısı konuldu. Diyafram fıtığı tedavisi cerrahi olarak yapıldı. Tüm kediler birkaç gün sonra kliniğe kusma, regürgitasyon ve iştahsızlık şikayetleri ile geri getirildi. Direkt radyografilerde özefagial genişleme ve özegafusun sağa doğru yer değiştirdiği görüldü. Veteriner literatüründe megaözefagus ve diyafram fıtığı arasında bağlantı çok az sayıda olguda tanımlandığı için megaözefagus, diyafram fıtığının beklenmeyen bir komplikasyonudur. Tüm kediler prokinetik ve antiasid ilaç sağaltımı ve yüksek zeminden besleme ile cerrahi müdahaleye ihtiyaç duymadan iyileşti. Kedilerde diyafram fıtığı sonucu gelişen megaözefagus da gastroözefagial reflüye dair çok az sayıda olgu tanımlanmasına rağmen kliniğimizde kısa sürede üç hastada bu duruma rastlanması, bu durumunun düşünüldüğünden daha yaygın bir komplikasyon olduğunu göstermektedir.

Keywords

Kedi, Megaözefagus, Diyafram fıtığı, cerrahi

References

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