Surgical stabilisation of hiatal hernia and gastroesophageal reflux associated with idiopathic inflammatory polymyopathy in a Wire Fox Terrier

https://doi.org/10.17221/47/2020-VETMEDCitation:

Kim MY, Lee JH, Park HM, Kim JH, Yoon HY (2021): Surgical stabilization of hiatal hernia and gasatroesophageal reflux associated with idiopathic inflammatory polymyopathy in a Wire Fox Terrier. Vet Med-Czech 66, 172–178.

download PDF

A one-and-a-half-year-old male Wire Fox Terrier weighing 3 kg presented with continuous drooling and vomiting. Its body condition score was 3/9, and severe atrophy of the temporal/masticatory muscle, trismus, and enophthalmos was observed on physical examination. The radiographic examination and fluoroscopic oesophagography revealed a type 1 hiatal hernia with gastroesophageal reflux. The serology tests revealed increased muscle enzyme activities. The antibody tests for acetylcholine receptor, type 2M fibre, and infectious agents were negative. A conventional surgical treatment was performed, and a thickened, stretched, and flaccid diaphragmatic muscle and an extended inelastic oesophageal hiatus were observed. On the histological examination of the diaphragmatic muscle, a diffuse histiocytic myositis was confirmed. Although the postoperative gastroesophageal reflux totally disappeared, the oesophageal motility and clinical signs did not improve significantly. Medical treatment with immunosuppressive agents was attempted and was effective in alleviating the clinical signs and abnormal oesophageal motility. The health condition of the dog was adequately maintained in the 12-month monitoring period. These findings suggest that, although the medical and surgical treatment have different therapeutic effects, they should be considered simultaneously for the management of a hiatal hernia associated with polymyopathy in dogs.

References:
Acke E, Jones BR, Breathnach R, McAllister H, Mooney CT. Tetanus in the dog: Review and a case report of concurrent tetanus with hiatal hernia. Ir Vet J. 2004 Oct 1;57(10):593-7. https://doi.org/10.1186/2046-0481-57-10-593
 
Bright RM, Denovo C, Sackman J, Toal C. Hiatal hernia in the dog and cat: A retrospective study of 16 cases. J Small Anim Pract. 1990 May;31(5):244-50. https://doi.org/10.1111/j.1748-5827.1990.tb00795.x
 
Brumitt J, Essman S, Kornegay J, Graham J, Weber W, Berry C. Radiographic features of golden retriever muscular dystrophy. Vet Radiol Ultrasound. 2006 Oct-Nov;47(6):574-80. https://doi.org/10.1111/j.1740-8261.2006.00188.x
 
Callan M, Washabau R, Saunders H, Kerr L, Prymak C, Holt D. Congenital esophageal hiatal hernia in the Chinese Shar-Pei dog. J Vet Intern Med. 1993 Jul;7(4):210-5. https://doi.org/10.1111/j.1939-1676.1993.tb01009.x
 
Dalakas M. Pathogenesis and therapies of immune mediated myopathies. Autoimmun Rev. 2012 Jan;11(3):203-6. https://doi.org/10.1016/j.autrev.2011.05.013
 
Ellis H. Controversies regarding the management of hiatus hernia. Am J Surg. 1980 Jun;139(6):782-8. https://doi.org/10.1016/0002-9610(80)90383-9
 
Ellison G, Lewis D, Phillips L, Tarvin B. Esophageal hiatal hernia in small animals: Literature review and a modified surgical technique. J Am Anim Hosp Assoc. 1987 Jan;23(4):391-9.
 
Evans J, Levesque D, Shelton GD. Canine inflammatory myopathies: A clinicopathologic review of 200 cases. J Vet Intern Med. 2004 Sep-Oct;18(5):679-91. https://doi.org/10.1111/j.1939-1676.2004.tb02606.x
 
Gaskell J, Gibbs C, Pearson H. Sliding hiatus hernia with reflux oesophagitis in two dogs. J Small Anim Pract. 1974 Aug;15(8):503-10. https://doi.org/10.1111/j.1748-5827.1974.tb06528.x
 
Guiot L, Lansdowne G, Rouppert P, Stanley BJ. Hiatal hernia in the dog: A clinical report of four Chinese shar peis. J Am Anim Hosp Assoc. 2008 Nov-Dec;44(6):335-41. https://doi.org/10.5326/0440335
 
Ham L, Bree H. Conservative treatment of tetanus associated with hiatus hernia and gastroesophageal reflux. J Small Anim Pract. 1992 Jun;33(6):289-94. https://doi.org/10.1111/j.1748-5827.1992.tb01146.x
 
Kahrilas P, Lin S, Chen J, Manka M. The effect of hiatus hernia on gastro-oesophageal junction pressure. Gut. 1999 Apr;44(4):476-82. https://doi.org/10.1136/gut.44.4.476
 
Kirkby KA, Bright RM, Owen HD. Paraesophageal hiatal hernia and megaesophagus in a three-week-old Alaskan Malamute. J Amall Anim Pract. 2005 Aug;46(8):402-5. https://doi.org/10.1111/j.1748-5827.2005.tb00338.x
 
Keeley B, Puggioni A, Pratschke K. Congenital oesophageal hiatal hernia in a pug. Ir Vet J. 2008 Jun;61(6):389-93. https://doi.org/10.1186/2046-0481-61-6-389
 
Katsianou I, Svoronou M, Papazoglou L. Current views regarding hiatal hernia in dogs and cats. Hell J Companion Anim Med. 2014 Jan;3(2):31-9.
 
Lorinson D, Bright RM. Long-term outcome of medical and surgical treatment of hiatal hernias in dogs and cats: 27 cases (1978–1996). J Am Vet Med Assoc. 1998 Aug 1;213(3):381-4.
 
Merieux P, Verity M, Clements P. Esophageal abnormalities and dysphagia in polymyositis and dermatomyositis. Arthritis Rheumatol. 1983 Aug;26(8):961-8. https://doi.org/10.1002/art.1780260804
 
Mayhew P, Marks S, Pollard R, Culp W, Kass P. Prospective evaluation of surgical management of sliding hiatal hernia and gastroesophageal reflux in dogs. Vet Surg. 2017 Nov;46(8):1098-109. https://doi.org/10.1111/vsu.12684
 
Prymak C, Saunders HM, Washabau RJ. Hiatal hernia repair by restoration and stabilization of normal anatomy. An evaluation in four dogs and one cat. Vet Surg. 1989 Sep-Oct;18(5):386-91. https://doi.org/10.1111/j.1532-950X.1989.tb01106.x
 
Podell M. Inflammatory myopathies. Vet Clin North Am Small Anim Pract. 2002 Jan;32(1):147-67. https://doi.org/10.1016/S0195-5616(03)00083-4
 
Platt S, Fraser McConnel J, Garosi L, Ladlow J, De Stefani A, Diane Shelton G. Magnetic resonance imaging in the diagnosis of canine inflammatory myopathies in three dogs. Vet Radiol Ultrasound. 2006 Nov 1;47(6):532-7. https://doi.org/10.1111/j.1740-8261.2006.00181.x
 
Sivacolundhu R, Read R, Marchevsky A. Hiatal hernia controversies – A review of pathophysiology and treatment options. Aust Vet J. 2002 Mar 10;80(1):48-53. https://doi.org/10.1111/j.1751-0813.2002.tb12046.x
 
Tauro A, Addicott D, Foale RD, Bowman C, Hahn C, Long S, Massey J, Haley AC, Knowler SP, Day MJ, Kennedy LJ, Rusbridge C. Clinical features of idiopathic inflammatory polymyopathy in the Hungarian Vizsla. BMC Vet Res. 2015 Apr 21;11(1): [13]. https://doi.org/10.1186/s12917-015-0408-7
 
download PDF

© 2021 Czech Academy of Agricultural Sciences | Prohlášení o přístupnosti