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Small Animal Surgical Emergencies


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13.10 Surgical options available for treatment of extrahepatic biliar...Figure 13.11 An incision has been made in the duodenum and a catheter has be...Figure 13.12 The gallbladder is being freed from the liver with a combinatio...Figure 13.13 The cystic duct and artery are ligated with vascular clips. A h...Figure 13.14 (a) Cholecystoenterostomy two‐layer closure. The gallbladder (G...Figure 13.15 (a) Severe bile duct dilation is noted resulting from multiple ...

      13 Chapter 14Figure 14.1 A three‐year‐old male castrated Pomeranian that was hit by a car...Figure 14.2 Ultrasound image of a dog with a ruptured splenic mass and hemop...Figure 14.3 (a) Dual‐phase postcontrast abdominal computed tomography (CT), ...Figure 14.4 (a) Intraoperative image of preparation for liver lobectomy usin...Figure 14.5 Intraoperative image depicting splenic torsion. (a) The spleen i...Figure 14.6 Intraoperative image depicting a ruptured splenic osteosarcoma. ...Figure 14.7 Intraoperative image depicting a hilar splenectomy. Note the ind...Figure 14.8 (a) Intraoperative image depicting retroperitoneal hemorrhage se...

      14 Chapter 15Figure 15.1 Appearance of an umbilical hernia containing a large volume of i...Figure 15.2 Diagnostic and therapeutic algorithm for umbilical and inguinal/...Case Figure 15.1 Appearance of expanding mass on the ventral abdomen.Case Figure 15.2 Radiographic appearance of abdomen on ventral dorsal view s...Case Figure 15.3 Skin incisions around mass.Case Figure 15.4 Removal of elliptical segment of skin with hernia sac expos...Case Figure 15.5 The hernia sac is carefully opened with Metzenbaum scissors...Case Figure 15.6 Intraoperative image of umbilical hernia after hernia ring ...Case Figure 15.7 Completed closure of umbilical defect with interrupted sutu...Figure 15.3 Releasing incisions in the external rectus fascia to reduce tens...Figure 15.4 Diagram of the inguinal ring anatomy. (a) Internal inguinal ring...Figure 15.5 Incarcerated intestines within a complicated inguinal hernia in ...Figure 15.6 External appearance of bilateral inguinal hernias in an adult Be...Figure 15.7 Lateral abdominal radiograph showing loss of the caudal abdomina...Figure 15.8 External appearance of a right scrotal hernia. Note the tube‐lik...Figure 15.9 Midline approach to inguinal hernia repair. (a) Proposed skin in...Figure 15.10 Intraoperative image showing preplaced monofilament sutures clo...Figure 15.11 Midline approach showing bilateral inguinal hernia repair with ...Figure 15.12 Right paramedian approach to a scrotal hernia. Intestines have ...Figure 15.13 Repair of scrotal hernia with castration. (a) Skin incision, th...

      15 Chapter 16Figure 16.1 Abdominal wall in ventral view with transections at three levels...Figure 16.2 Muscles of abdominal wall, ventral view.Figure 16.3 Left lateral abdominal radiograph of a mixed‐breed dog suffering...Figure 16.4 Ventrodorsal radiograph of a one‐year‐old Yorkshire Terrier with...Figure 16.5 Major abdominal evisceration secondary to incisional dehiscence ...Figure 16.6 Decision making and timing for surgical repair of abdominal hern...Figure 16.7 Patient suffering from penetrating bite wounds is prepared for s...Figure 16.8 Ventral midline laparotomy of the dog presented in Figure 16.4. ...Figure 16.9 Middle‐aged male castrated Labrador presented with a body wall h...

      16 Chapter 17Figure 17.1 Anatomy of the right perineal region. R, rectum; L, levator ani;...Figure 17.2 Extensive perineal swelling in an intact male Dachshund with bil...Figure 17.3 Laxity of the pelvic diaphragm is evident of digital rectal exam...Figure 17.4 Diagnostic images from an eight‐year‐old, mixed‐breed, intact ma...Figure 17.5 Computed tomographic images of an 11‐year‐old male castrated Dob...Figure 17.6 To perform concurrent abdominal and perineal approaches, the dog...Figure 17.7 In a dog in ventral recumbency, exposure of the internal obturat...Figure 17.8 Non‐incisional colopexy. Interrupted sutures are placed between ...Figure 17.9 Algorithm for diagnosis and treatment of perineal hernia with an...Figure 17.10 Contrast cystogram of a 13‐year‐old, mixed‐breed, intact male d...Case Figure 17.1 Lateral abdominal radiograph of a seven‐year‐old, male inta...Case Figure 17.2 Perineal ultrasound of the dog in Case Figure 17.1. The per...Figure 17.11 Lateral (a) and ventrodorsal (b) survey radiographs of the dog ...Figure 17.12 Herniation of the bladder and small intestine was diagnosed dur...

      17 Chapter 18Figure 18.1 Normal canine pancreas showing the right and left lobes and body...Figure 18.2 Ventrodorsal (a) and lateral (b) abdominal radiographs of a five...Figure 18.3 Abdominal ultrasound image of a 3.0 cm fluid‐filled pancreatic m...Figure 18.4 Abdominal ultrasound image of a 2.5 × 3.0 cm heterogeneous pancr...Case Figure 18.1 Intraoperative photograph of a pancreatic abscess (white ar...Case Figure 18.2 Intraoperative photographs during debridement (a) of a panc...Case Figure 18.3 Intraoperative photograph during omentalization of a pancre...Figure 18.5 Intraoperative photograph of pancreatic abscessation in a Yorksh...Figure 18.6 Intraoperative photographs of pancreatic abscess surgery in a tw...Figure 18.7 Intraoperative photographs (a, b) of pancreatic abscess debridem...Figure 18.8 Intraoperative photographs of pancreatic abscess omentalization ...

      18 Chapter 19Figure 19.1 (a) View from the diaphragm demonstrating the anatomic distribut...Figure 19.2 Method for obtaining a guillotine biopsy of hepatic parenchyma. ...Figure 19.3 Methods for obtaining a punch biopsy of hepatic parenchyma. This...Figure 19.4 Transection of this ligament allows for improved access to the h...Figure 19.5 (a) An incision into the muscular portion of the diaphragm has b...Figure 19.6 Isolation of the left lateral lobar hepatic artery and left late...Figure 19.7 A 12 Fr red rubber catheter has been placed on the nose of the D...

      19 Chapter 20Figure 20.1 Physical examination findings commonly identified in a patient w...Figure 20.2 Lateral and ventrodorsal radiographs of a dog that had diarrhea ...Figure 20.3 Gastric wall defect. Note the marked gastric wall thickening mar...Figure 20.4 (a) Normal duodenal lymphoid nodule (arrow). Note the lack of hy...Figure 20.5 Small intestinal perforation, peritonitis, and pneumoperitoneum....Figure 20.6 (a) Ultrasonound image of a dog with a small intestinal ulcerati...Figure 20.7 Abdominal computed tomography image from a dog with a perforated...Figure 20.8 Endoscopic evaluation of a dog with intermittent vomiting reveal...Figure 20.9 Gastric ulceration and hemorrhage in the cardia of a dog with a ...

      20 Chapter 21Figure 21.1 Nasoesophageal feeding tube in a dog secured to the head using t...Figure 21.2 Nasoesophageal feeding tube in a cat secured to the head using t...Figure 21.3 Nasoesophageal feeding tube in a dog with an Elizabethan collar ...Figure 21.4 Esophagostomy feeding tube placement in a cat.(a) The cat is...Figure 21.5 A light collar used for dressing an esophagostomy tube in cats....Figure 21.6 Percutaneous endoscopic gastrostomy tube placement in a dog....Figure 21.7 Algorithm for consideration of assisted enteral feeding tube pla...Figure 21.8 Presence of infection at the insertion site of an esophagostomy ...

      21 Chapter 22Figure 22.1 Causes of acute uremia.Case Figure 22.1 Electrocardiogram of a patient with hyperkalemia.Case Figure 22.2 Abdominal radiograph of a cat with cystic calculi. Multiple...Case Figure 22.3 Abdominal bruising in a dog that was hit by a car.Case Figure 22.4 Contrast cystogram of the dog confirms a ruptured urinary b...Figure 22.2 Treatment algorithm for the oliguric patient.

      22 Chapter 23Figure 23.1 A 1.5‐year‐old female spayed Standard Poodle was presented for a...Figure 23.2 A three‐year‐old Chihuahua that was attacked by a Rottweiler. Bl...Figure 23.3 A six‐year‐old male castrated Jack Russell Terrier that was hit ...Figure 23.4 A six‐month‐old female spayed Wheaten Terrier who sustained an i...Figure 23.5 Renal descensus, cystopexy and nephrocystopexy performed in a do...Figure 23.6 Modified Boari flap. (a) A cranially based bladder flap is creat...

      23 Chapter 24Figure 24.1 (a) Photograph of a cat after vehicular trauma. Ventral abdomina...Figure 24.2 Algorithm for management of suspected urinary tract injury.Figure 24.3 Electrocardiogram (ECG) from a dog that presented laterally recu...Figure 24.4 Photograph of an adult male dog after vehicular trauma. The diag...Figure 24.5 Lateral radiograph of an adult male dog after falling from a mot...Case Figure 24.1 (a) A positive‐contrast cystogram performed in a three‐year...Figure 24.6 Lateral radiograph of an adult male dog with a ruptured bladder....Figure 24.7 Ventrodorsal radiograph of an adult male dog with rupture of the...Figure 24.8 Intraoperative photograph of a juvenile female dog. The photogra...Figure 24.9 Neurovascular anatomy of the canine urinary bladder.Figure 24.10 Intraoperative photograph of a seven‐month‐old male Japanese Ch...Figure 24.11 Lateral abdominal radiograph of an adult female dog after vehic...

      24 Chapter 25Figure 25.1 Lateral radiograph of a stray adult female cat that presented wi...Figure 25.2 (a) An adult male dog that presented with bite wounds in the ing...Case Figure 25.1 (a) Positive contrast urethrogram