Kedilerde Travmatik Diyafram Fıtığı ve Sağkalımı Etkileyen Faktörler (24 Kediyle Klinik Bir Çalışma)

Yıl 2024, Cilt: 13 Sayı: 2, 128 - 134, 18.12.2024

Berna Ersöz Kanay , Sadık Yayla , Semih Altan , Emine Çatalkaya , Nahit Saylak , Rojda Canli , Laleş Taşdemir

https://doi.org/10.31196/huvfd.1552691

Öz

Travmaya maruz kalan kedilerde diyafram fıtığı hala ciddi bir sorundur. Bu nedenle kedilerde travmatik diyafram yırtılması ve hayatta kalma üzerine etkili faktörler ile ilgili klinik gözlemler aktarılarak klinik pratiğe ve meslektaşlara katkı sağlanması önemlidir. Bu çalışmada travmatik diyafram fıtığı tanısı alan 24 kedi sunuldu. Kontrastlı radyografi şüpheli durumlarda tanı açısından büyük kolaylık sağladı. Çalışmada bulunan 24 kediden 20'si (%83) hayatta kaldı ancak 4'ü öldü. Bu kedilerin diyafram lokalizasyonu 3 kedide sol yarıda olup, sol yırtıkta bu oran oldukça yüksekti (%50). Sağdaki defektlerde fıtıklaşan organ karaciğer, ince bağırsak ve omentum, soldaki defektlerde ise mide, ince bağırsak ve dalaktı. Sonuç olarak %83 oranında hayatta kalma önemlidir ve bu da diyafram fıtığı için iyi bir prognozdur. Birçok olumsuz stres faktörüne rağmen iyi bir ameliyat yönetimi ve ameliyat sonrası bakım, hayatta kalma oranıyla birlikte artırılabilir.

Anahtar Kelimeler

Diyafram fıtığı, Kedi, Sağkalım oranı, Travma

Traumatic Diaphragmatic Hernia in Cats and Factors Affecting Survival (A Clinical Study with 24 Cats)

Öz

Diaphragm hernia is still a severe problem in cats exposed to trauma. This study aimed to contribute to clinical practice and colleagues by notifying clinical observations on traumatic diaphragm rupture in cats and factors effective on survival. In this study, 24 cats with traumatic diaphragm hernia were presented. Contrast radiography has provided great convenience in diagnosing suspicious cases. 20 out of 24 cats (83%) remained alive, but four died. The localization of the diaphragm of these cats in 3 cats was in the left half, which was relatively high (50%) in the left tears. In the defects on the right, the herniated organs were the liver, small intestine, and omentum, while the stomach, small intestine, and spleen in the defects on the left. As a result, survival in 83% is important, and this is a good prognosis for aperture hernia. Despite many negative stress factors, good operation management and postoperative maintenance can increase survival.

Anahtar Kelimeler

Cat, Diaphragmatic hernia, Survival rate, Trauma.

Kaynakça

• Aulia MF, Lestari N, Hartady T, 2022: Diagnosa dan penanganan hernia abdominalis pada kucing. Arshi, 6(3), 49-50.
• Besalti O, Pekcan Z, Caliskan M, Aykut GZ, 2011: A retrospective study on traumatic diaphragmatic hernias in cats. Ankara Uni Vet Fak Derg., 58, 175–179.
• Bjorling DE, Sicard GK, 2004: Diaphragmatic hernia. In: Textbook of Respiratory Diseases in Dogs and Cats, LG, King (ed), 625-633, Missouri: Saunders.
• Bojrab MJ, Gary WE, Slocum B, 1997: Traumatic diaphragmatic hernia. In: Current Techniques in Small Animal Surgery. MJ, Bojrab (eds). 4th ed, 315-320. Williams & Wilkins. Pennsylvania.
• Borges YNC, Guimarães PC, Oliveira BMM, Biazzo L, 2023: Traumatic diaphragmatic rupture in cats. Slov Vet Res, 59(1), 47–57.
• Burns CG, Bergh MS, McLoughlin MA, 2013: Surgical and nonsurgical treatment of peritoneopericardial diaphragmatic hernia in dogs and cats: 58 cases (1999–2008). JAVMA, 242(5), 643-650.
• Cariou MPL, Shihab N, Kenny P, Baines SJ, 2009: Surgical management of an incidentally diagnosed true pleuroperitoneal hernia in a cat. J Feline Med Surg, 11, 873-877.
• Deveci MZY, Yurtal Z, Isler CT et al., 2022: Herniorrhaphy and surgical outcomes of diaphragmatic hernia in cats. Slov Vet Zb, 59(1), 47–57.
• Dsouza NM, Viegas A, Gurunathan N, Jothi NA, 2022: Surgical management of diaphragmatic hernia in a cat: A case report. Pharma Innov, SP-11(9), 1206-1209.
• Fucks de Souza C, José Piccoli R, Eduarda Quintana P et al. 2021: Clinical, surgical, and radiographic aspects in a white-eared opossum (Didelphis albiventris) with traumatic diaphragmatic hernia. Acta Vet Brno, 15(4), 292-298.
• Hyun C, 2004: Radiographic diagnosis of diaphragmatic hernia: review of 60 cases in dogs and cats. J Vet Sci, 5 (2), 157-162.
• Margolis C, Zakošek Pipan M, Demchur JM, Henthorn P, Casal ML, 2018: Congenital peritoneopericardial diaphragmatic hernia in a family of Persian cats. JFMS Open Rep, 4(2), 2055116918804305.
• Mehrjerdi HK, Rajabion M, Mirshahi A, Jaghargh ES, 2022: A retrospective study on diaphragmatic hernia in cats. Vet Res Forum,13 (4), 607-610.
• Minihan AC, Berg J, Evans KL, 2004: Chronic diaphragmatic hernia in 34 dogs and 16 cats. J Am Anim Hosp Assoc, 40 (1), 51-63.
• Nikiphorou X, Chioti R, Patsikas MN, Papazoglou LG, 2016: Peritoneopericardial diaphragmatic hernia in the dog and cat. J Hellenic Vet Med Soc, 67(3), 189–194.
• Oliveira SL, 2020: Torção hepatogástrıca no pós-operatórıo de hernıorrafıa dıafragmátıca. ACA, 2(1), 1-6.
• Ozer K, Guzel O, Devecioglu Y, Aksoy O, 2007: Diaphragmatic hernia in cats: 44 Cases. Med Weter, 63 (12), 1564-1567.
• Pereira GJ, Rahal SC, Melchert A et al., 2023: Eleven-year retrospective analysis of acquired diaphragmatic hernia in 49 dogs and 48 cats. Can Vet J, 64, 149–152.
• Pereira GJ, Rahal SC, Melchert A et al. 2023: Eleven-year retrospective analysis of acquired diaphragmatic hernia in 49 dogs and 48 cats. The Canadian Veterinary Journal, 64(2),149-152.
• Schmiedt CW, Tobias KM, Stevenson M et al. 2003: Traumatic diaphragmatic hernia in cats: 34 cases (1991–2001). JAVMA, 222(9), 1237-1240.
• Subramaniam S, Ab Khalil MK, Zakaria J, Hayati F, 2020: Managing traumatic testicular dislocations: what we know after two centuries. BMJ Case Rep, CP 13(11), e236801.
• Tsioli V, Flouraki E, Mavraki I, Venieris C, Zacharopoulou T, 2020: Liver lobe torsion in a cat with diaphragmatic hernia. Vet Rec Case Rep, 8(2), e001113.
• Yaygıngul R, Bozkan Z, Bilgen Şen Z, Kibar Kurt B, Belge A, 2019: Traumatic diaphragmatic hernia in cats: A retrospective study of 15 cases (2016-2017). Kocatepe Vet J, 12(2), 205-212.