Case Of the Month

Inguinal Hernia in an 8-Year-Old MN Yorkshire Terrier: Our Case Of the Month: May 2020

An 8-year-old male neutered Yorkshire terrier was presented for vomiting, anorexic, lethargy, dehydration, and azotemia. A 2 x 2cm dense mass was palpated in the left inguinal region. Non-reducible. R/O renal disease, pancreatitis. Current meds: Cerenia; Famotidine; Ampicillin; Baytril. CBC: pmns 22K; PCV 67%; TP 9.6; Bun 48; Creat 3; Phos 10 (values improving with fluids).

DX

Inguinal hernia

Outcome

IV fluid support, plasma expanders, and immediate surgical intervention were recommended, rectifying the hernia entrapment. A portion of intestinal resection likely would be necessary for this patient depending upon the viability of the herniated intestine. Once the patient is stabilized, a workup for PDH/Cushing’s disease would be warranted if the clinical parameters are present. Concurrent cystotomy recommended given the bladder calculus. GI biopsies warranted. This is a surgical emergency. Doppler assessment of the herniated intestine appeared normal indicating intestinal vascular viability. The patient underwent surgery for resection, anastomosis, and inguinal hernia repair. The patient is doing great post-operatively.