Case Report
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A Bilateral Congenital Scrotal Hernia in an Akkaraman Breed Lamb: A Diagnostic Approach and Surgical Management

Year 2024, , 27 - 30, 02.01.2025
https://doi.org/10.5281/zenodo.14638083

Abstract

This case report aimed to evaluate the clinical course of an Akkaraman lamb with a bilateral congenital scrotal hernia, especially in terms of diagnostic approach and surgical treatment process. Clinical, radiological, and ultrasonographic examinations made diagnosis and hematological parameters were additionally examined. In this particular case, trans-scrotal ultrasonography demonstrated a reduction in blood flow to the herniated intestinal segments. Hematological analyses revealed hyperlactatemia, leukopenia, and decreased MCHC levels. During the operation, it was determined that the herniated organ was the small intestine; it was observed that both testicles were atrophic, and the left inguinal ring expanded in the craniolateral direction, forming an opening of approximately 15 cm. Bilateral orchiectomy, herniorrhaphy, and scrotal ablation procedures were performed operatively. The lamb was discharged in good health on the 10th postoperative day. As a result of the literature review, it was seen that this was the first case of bilateral congenital scrotal hernia reported in a lamb and the Akkaraman sheep breed. Furthermore, hematological tests are believed to possess diagnostic and prognostic value in such cases.

References

  • 1. Ewoldt JM. Surgery of the scrotum. Vet Clin N Am Food Anim Pract. 2008;24(2):253-266.
  • 2. Abubakar N, Bodinga HA, Sidi S, Yakubu AS, Abubakar AA. Management of scrotal hernia in 6 and 9 months old Oudah rams. A case report. AJCRS. 2019;2(2):60-65.
  • 3. Laku D, Saidu AM, Haruna AA, et al. Unilateral scrotal hernia in a Balami ram, surgical management: Case report. Int J Vet Sci Anim Husb. 2021;6(6):8-10.
  • 4. Radišić B, Capak D, Matičić D, et al. Surgical treatment of a unilateral scrotal hernia in a ram-a case report. Vet Arhiv. 2010;80(1):145-154.
  • 5. Bhatt J, Bhat AR, Atal MS, Verma N. Surgical management of scrotal hernia in a fat tail and rump lamb (Dumba). Indian J Vet Surg. 2017;38(2):134.
  • 6. Parizi AM. Unilateral scrotal hernia in a neonate lamb. Indian J Vet Surg. 1999;20(1):57.
  • 7. Lacasta D, Ferrer LM, Ramos JJ, Ochoa PG. Ultrasonographic diagnosis of unilateral scrotal hernia, varicocele and sperm granuloma in a ram. Acta Vet Brno. 2009;78(4):657-659.
  • 8. Bonar A, Pramod SV, Noegroho BS, Mustafa A. Testicular ischemia in a patient with acute epididymitis: A rare case. Urol Case Rep. 2021;40:101882.
  • 9. Dennis SM, Leipold HW. Congenital hernias in sheep. J Am Vet Med Assoc. 1968;152:999-1003.
  • 10. Smith KC, Brown PJ, Barr FJ. A survey of congenital reproductive abnormalities in rams in abattoirs in south west England. Reprod Domest Anim. 2012;47(5):740-745.
  • 11. Kumar V, Malik V, Tyagi SK, Singh AK. Giant unilateral scrotal hernia in a short fat-tailed sheep (Dumba). Indian J Vet Surg. 2022;43(2):147.
  • 12. Jones AE, Puskarich MA. Sepsis-induced tissue hypoperfusion. Crit Care Nurs Clin N Am. 2011;23(1):115-125. 13. Moncy AA, Kavalakat AJ, Vikraman B. Utility of serum L-lactate in identifying ischemia in acute intestinal obstruction: A prospective observational study. Cureus. 2023;15(5):e38443.
  • 14. Banda MA, Lefer DJ, Granger DN. Postischemic endothelium-dependent vascular reactivity is preserved in adhesion molecule-deficient mice. Am J Physiol Heart Circ Physiol. 1997;273(6):2721-2725.
  • 15. Lee JM, Nadimpalli SB, Yoon JH, Mun SY, Suh I, Kim HC. Association between mean corpuscular hemoglobin concentration and future depressive symptoms in women. Tohoku J Exp Med. 2017;241(3):209-217.
Year 2024, , 27 - 30, 02.01.2025
https://doi.org/10.5281/zenodo.14638083

Abstract

References

  • 1. Ewoldt JM. Surgery of the scrotum. Vet Clin N Am Food Anim Pract. 2008;24(2):253-266.
  • 2. Abubakar N, Bodinga HA, Sidi S, Yakubu AS, Abubakar AA. Management of scrotal hernia in 6 and 9 months old Oudah rams. A case report. AJCRS. 2019;2(2):60-65.
  • 3. Laku D, Saidu AM, Haruna AA, et al. Unilateral scrotal hernia in a Balami ram, surgical management: Case report. Int J Vet Sci Anim Husb. 2021;6(6):8-10.
  • 4. Radišić B, Capak D, Matičić D, et al. Surgical treatment of a unilateral scrotal hernia in a ram-a case report. Vet Arhiv. 2010;80(1):145-154.
  • 5. Bhatt J, Bhat AR, Atal MS, Verma N. Surgical management of scrotal hernia in a fat tail and rump lamb (Dumba). Indian J Vet Surg. 2017;38(2):134.
  • 6. Parizi AM. Unilateral scrotal hernia in a neonate lamb. Indian J Vet Surg. 1999;20(1):57.
  • 7. Lacasta D, Ferrer LM, Ramos JJ, Ochoa PG. Ultrasonographic diagnosis of unilateral scrotal hernia, varicocele and sperm granuloma in a ram. Acta Vet Brno. 2009;78(4):657-659.
  • 8. Bonar A, Pramod SV, Noegroho BS, Mustafa A. Testicular ischemia in a patient with acute epididymitis: A rare case. Urol Case Rep. 2021;40:101882.
  • 9. Dennis SM, Leipold HW. Congenital hernias in sheep. J Am Vet Med Assoc. 1968;152:999-1003.
  • 10. Smith KC, Brown PJ, Barr FJ. A survey of congenital reproductive abnormalities in rams in abattoirs in south west England. Reprod Domest Anim. 2012;47(5):740-745.
  • 11. Kumar V, Malik V, Tyagi SK, Singh AK. Giant unilateral scrotal hernia in a short fat-tailed sheep (Dumba). Indian J Vet Surg. 2022;43(2):147.
  • 12. Jones AE, Puskarich MA. Sepsis-induced tissue hypoperfusion. Crit Care Nurs Clin N Am. 2011;23(1):115-125. 13. Moncy AA, Kavalakat AJ, Vikraman B. Utility of serum L-lactate in identifying ischemia in acute intestinal obstruction: A prospective observational study. Cureus. 2023;15(5):e38443.
  • 14. Banda MA, Lefer DJ, Granger DN. Postischemic endothelium-dependent vascular reactivity is preserved in adhesion molecule-deficient mice. Am J Physiol Heart Circ Physiol. 1997;273(6):2721-2725.
  • 15. Lee JM, Nadimpalli SB, Yoon JH, Mun SY, Suh I, Kim HC. Association between mean corpuscular hemoglobin concentration and future depressive symptoms in women. Tohoku J Exp Med. 2017;241(3):209-217.
There are 14 citations in total.

Details

Primary Language English
Subjects Veterinary Surgery
Journal Section Case Reports
Authors

Kadir Sulu 0000-0002-7246-8185

Erdem Gülersoy 0000-0001-8511-0150

Publication Date January 2, 2025
Submission Date December 1, 2024
Acceptance Date December 30, 2024
Published in Issue Year 2024

Cite

AMA Sulu K, Gülersoy E. A Bilateral Congenital Scrotal Hernia in an Akkaraman Breed Lamb: A Diagnostic Approach and Surgical Management. J Vet Case Rep. January 2025;4(2):27-30. doi:10.5281/zenodo.14638083

Content of this journal is licensed under a Creative Commons Attribution NonCommercial 4.0 International License

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