• 1.

    Gill SS, Barstad RD. A review of the surgical management of perineal hernias in dogs. J Am Anim Hosp Assoc. 2018;54(4):179187.

  • 2.

    Bellenger CR. Perineal hernias in dogs. Aust Vet J. 1980;56(9):434438.

  • 3.

    Burrows CF, Harvey CE. Perineal hernia in the dog. J Small Anim Pract. 1973;14(6):315332.

  • 4.

    Brissot HN, Dupré GP, Bouvy BM. Use of laparotomy in a staged approach for resolution of bilateral or complicated perineal hernia in 41 dogs. Vet Surg. 2004;33(4):412421.

    • Search Google Scholar
    • Export Citation
  • 5.

    Weaver AD, Omamegbe JO. Surgical treatment of perineal hernia in the dog. J Small Anim Pract. 1981;22(12):749758.

  • 6.

    Grand J-G, Bureau S, Monnet E. Effects of urinary bladder retroflexion and surgical technique on postoperative complication rates and long-term outcome in dogs with perineal hernia: 41 cases (2002–2009). J Am Vet Med Assoc. 2013;243(10):14421447.

    • Search Google Scholar
    • Export Citation
  • 7.

    Hayes HM, Wilson GP, Tarone RE. The epidemiologic features of perineal hernia in 771 dogs. J Am Anim Hosp Assoc. 1978;14:703707.

  • 8.

    Waters DJ, Roy RG, Stone EA. A retrospective study of inguinal hernia in 35 dogs. Vet Surg. 1993;22(1):4449.

Jejunal strangulation and incarceration associated with bilateral perineal hernias in a neutered male dog

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  • 1 Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA
  • | 2 Department of Veterinary Biosciences and Diagnostic Imaging, College of Veterinary Medicine, University of Georgia, Athens, GA

Abstract

CASE DESCRIPTION

An 8-year-old 6.8-kg neutered male Dachshund was presented for evaluation of vomiting, diarrhea, anorexia, and swelling over the right perineal region. The dog had a history of a bilateral perineal herniorrhaphy and castration 14 months prior to presentation.

CLINICAL FINDINGS

Bilateral perineal hernias were confirmed by digital rectal examination. Abdominal ultrasonography confirmed the presence of intestine within the right hernia. Three days after admission to the hospital, the region of the right perineal hernia became painful, erythematous, and edematous. Computed tomography revealed jejunal incarceration within the right hernia with dilation of 1 jejunal segment that indicated intestinal obstruction.

TREATMENT AND OUTCOME

Abdominal exploratory surgery was performed, during which irreducible small intestinal incarceration was confirmed. Intra-abdominal jejunal resection and anastomosis was performed, and an approximately 13-cm-long section of the jejunum was resected. Bilateral perineal herniorrhaphies with internal obturator and superficial gluteal muscle transposition were performed. Six months after surgery, digital rectal examination of the dog revealed that the repair was intact. The dog had no perineal hernia–related clinical signs at the time of the recheck examination.

CLINICAL RELEVANCE

For the dog of the present report, surgical management of small intestinal strangulation associated with a perineal hernia was successful. Although a portion of the small intestines can frequently be found within perineal hernias in dogs, perineal hernia-related small intestinal strangulation has not been previously described, to the authors’ knowledge. Veterinarians and clients should be aware of this potential complication secondary to perineal hernia and be prepared to perform an abdominal surgical procedure to address small intestinal incarceration in affected dogs.

Abstract

CASE DESCRIPTION

An 8-year-old 6.8-kg neutered male Dachshund was presented for evaluation of vomiting, diarrhea, anorexia, and swelling over the right perineal region. The dog had a history of a bilateral perineal herniorrhaphy and castration 14 months prior to presentation.

CLINICAL FINDINGS

Bilateral perineal hernias were confirmed by digital rectal examination. Abdominal ultrasonography confirmed the presence of intestine within the right hernia. Three days after admission to the hospital, the region of the right perineal hernia became painful, erythematous, and edematous. Computed tomography revealed jejunal incarceration within the right hernia with dilation of 1 jejunal segment that indicated intestinal obstruction.

TREATMENT AND OUTCOME

Abdominal exploratory surgery was performed, during which irreducible small intestinal incarceration was confirmed. Intra-abdominal jejunal resection and anastomosis was performed, and an approximately 13-cm-long section of the jejunum was resected. Bilateral perineal herniorrhaphies with internal obturator and superficial gluteal muscle transposition were performed. Six months after surgery, digital rectal examination of the dog revealed that the repair was intact. The dog had no perineal hernia–related clinical signs at the time of the recheck examination.

CLINICAL RELEVANCE

For the dog of the present report, surgical management of small intestinal strangulation associated with a perineal hernia was successful. Although a portion of the small intestines can frequently be found within perineal hernias in dogs, perineal hernia-related small intestinal strangulation has not been previously described, to the authors’ knowledge. Veterinarians and clients should be aware of this potential complication secondary to perineal hernia and be prepared to perform an abdominal surgical procedure to address small intestinal incarceration in affected dogs.

Contributor Notes

Corresponding author: Dr. Grimes (jgrimes@uga.edu)