Hernia diafragmática de origen traumático con secuestro hepático total y desgarre muscular en canino de 4 meses: reporte de caso.

Abstract

Diaphragmatic hernia of traumatic origin is caused by high-impact accidents that tear the diaphragmatic muscles. Next, the analysis of the clinical case of a 4-month-old canine patient with diaphragmatic hernia of traumatic origin, total liver sequestration and intercostal muscle tear is carried out; The patient went to the veterinary center due to being run over, the physical examination revealed the presence of a kyphotic posture related to pain, dyspnea with respiratory distress, general abdominal distension and abdominal dilation towards the left side. In relation to the data provided by the owner in the anamnesis, diaphragmatic hernia is considered a presumptive diagnosis and pleural effusion and systemic inflammatory response syndrome (SIRS) are considered differentials; Diagnostic confirmation is performed by abdominal ultrasound, which demonstrates rupture of the diaphragmatic membrane with visceral displacement and chest x-ray, which shows loss of the diaphragmatic silhouette, poor liver positioning, among other alterations, being findings that confirm the presumptive diagnosis; To resolve the injury, a herniorrhaphy surgical procedure is proposed. However, cardiorespiratory stabilization of the patient is performed for 4 days. Throughout the surgical procedure, a muscle tear is found at the level of the intercostal muscle on the left side with gastric displacement and splenic towards the lesion for which corrective suture is performed; Usually these cases evolve favorably when there is good management of pre-surgical stabilization and post-surgical care. The patient in this case managed to stabilize and survived. After the procedure, he remained in hospital for 3 days and was later discharged and sent home. with care instructions.