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Can you solve this puzzle?

June 15, 2021

By Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified

Presentation

Ten-year-old intact female beagle with bilateral abdominal swelling. (The head is to the right, while the knees are seen at the edge of the towel on the left.)

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Question 1: What is your diagnosis?
	A fine-needle aspirate of the masses is required to answer
	I can’t tell. A CT scan is recommended
	This dog mostly likely has bilateral inguinal hernias

Question 2: What would be the wrong treatment?
	A ventral midline incision could be made to repair both defects
	An incision could be made over each hernia to repair the defect
	Both masses should be excised with wide margins, then biopsied

Question 3: Which additional procedure is important to perform?
	A prophylactic gastropexy should be performed
	The dog should be spayed since a hereditary basis is suspected
	A dental cleaning should be done under the same anesthesia