Massive Abdominal Hernia in 3 Years Old Cat

A hernia of the abdominal wall is a protrusion of the abdominal contents through an acquired or congenital area of weakness or defect in the wall. Many hernias are asymptomatic, but some become incarcerated or strangulated, causing pain and requiring immediate surgery. Diagnosis is clinical

Treatment is surgical herniorrhaphy

History

Clinical signs

Diagnosis

Cat presented wit large abdominal herniation after couple months ago after falling from the 2nd floor with no treatment attempts

  • Vomiting
  • Anorexia
  • Lethargy
  • Straining to urinate or defecate
  • Abdominal pain
  • Difficulty in movement

Abdominal Radiographs

  • Abnormal location of intestines, bladder


X Ray shows the herniation containing majority of the intestines and the bladder

Preoperative image of the herniation

Preoperative image of the herniation

Preoperative image of the herniation

Preoperative image of the herniation

Ventral midline approach of the abdomen

Approaching the abdomen for better evaluation and ring visualization

Skin over the ring incised for organs exteriorization

ring incised for organs exteriorization

صورة المعرض

herniation content exposed

صورة المعرض

extending the incision

صورة المعرض

intestines retracted form inside the ring

صورة المعرض

inspection for the exteriorized parts

صورة المعرض

Spleen is split into two pieces

صورة المعرض

Hydrometra is observed and ovariohysterectomy was done

صورة المعرض

Multiple adhesions observed and dissected

صورة المعرض

Multiple adhesions observed and dissected

صورة المعرض

Multiple adhesions observed and dissected

صورة المعرض

Multiple adhesions observed and dissected

صورة المعرض

Removal the hernial ring

صورة المعرض

Abdomen is then sutured

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