Vet Med - Czech, 2014, 59(3):150-156 | DOI: 10.17221/7385-VETMED

Combined surgical and endoscopic approach for the reduction of a congenital hiatal hernia in a cat: a case reportCase Report

L. Pisoni, S. Del Magno, F. Cinti, M. Baron Toaldo, M. Joechler, M. Pietra
School of Agriculture and Veterinary Medicine, University of Bologna, Bologna, Italy

A case of surgical resolution of type I or "sliding" hiatal hernia is reported. A seven-month-old kitten was presented because of abdominal discomfort, accelerated breathing after eating and chronic vomiting. The clinical examination was unremarkable. Thoracic radiographs and gastroscopy led to the diagnosis of type I hiatal hernia. The surgical resolution consisted of hiatal plication, oesophagopexy and left-flank incisional gastropexy. All procedures were carried out using a 6 mm videoendoscope positioned in the stomach to evaluate the right oesophago-gastric junction reduction. One week after surgery there was a recurrence of symptoms and a second laparotomy was performed. During the second surgery additional hiatal plication was necessary and an oesophagopexy was repeated after dissection of the phrenico-oesophageal ligament. Moreover, a new incisional gastropexy was carried out after resolution of the first one. The cat recovered without complications and at one-year follow-up did show no signs related to the hiatal hernia. This communication reports on possible additional surgical techniques in cases of type I hiatal hernia and contributes to an understanding of the importance of oesophagopexy in cases of hiatus malformation.

Keywords: cat; surgery; endoscopy; hiatal hernia

Published: March 31, 2014  Show citation

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Pisoni L, Del Magno S, Cinti F, Baron Toaldo M, Joechler M, Pietra M. Combined surgical and endoscopic approach for the reduction of a congenital hiatal hernia in a cat: a case report. Vet Med - Czech. 2014;59(3):150-156. doi: 10.17221/7385-VETMED.
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