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Emergency typhlectomy for caecal strangulation caused by chronic diaphragmatic hernia in a dog
  1. Luis Correa,
  2. Francisco Silveira and
  3. Jackie Demetriou
  1. Dick White Referrals, Six Mile Bottom, UK
  1. Correspondence to Dr Luis Correa;{at}


A two-year-old female entire Catahoula leopard dog was referred for investigation and management of suspected chronic diaphragmatic hernia, 11 months post road traffic accident. The dog had a two-month history of progressive lethargy and one-week history of vomiting and anorexia. Physical examination revealed a slight increase in respiratory effort with normal respiratory rate. Cardiac and pulmonary sounds were muffled on thoracic auscultation and intestinal loops were not immediately palpable in the abdomen. Thoracic radiographs acquired before referral were suggestive of a diaphragmatic hernia, which was later confirmed on abdominal and thoracic ultrasound. Cardiorespiratory deterioration was evident eight hours post presentation and an emergency exploratory laparotomy was performed. The small intestines, caecum, and the ascending and transverse colon were found to have herniated into the thorax. Marked caecal necrosis was found intraoperatively. A typhlectomy and repair of the diaphragmatic defect were performed. The patient recovered uneventfully and was in good health nine months postoperatively.

  • typhlectomy
  • chronic diaphragmatic hernia
  • exploratory laparotomy
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  • Contributors All authors have contributed and agreed to submit the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article.

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