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Why is this Pekingese vomiting?

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Answers:

  1. Intestinal loops are superimposed to the cardiac silhouette. Meanwhile, there are few intestinal loops in the abdomen.
  2. Peritoneo-pericardial diaphragmatic hernia (PPDH).
  3. During laparotomy, intestinal loops and other viscera are gently pulled into the abdomen, and the hernia is sutured.
  4. This is a tricky but vital question. Many PPDHs are incidental findings. After all, this patient has been living with a hernia for 10 years. The challenge is to be convinced that the hernia is truly the cause of the vomiting before surgery is considered.

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One thought on “Why is this Pekingese vomiting?

  1. I saw the intestinal loops in the chest. My first thought was to refer to a surgeon to repair this hernia

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