Page 531 - Feline diagnostic imaging
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30.5 Herniation  543

                (a)                                                        (b)






















                (c)

















                                         (d)

















               Figure 30.20  A 10-year-old DSH presented for a nonhealing wound in the right inguinal region. (a) Lateral radiographic
               projection. Air is noted caudal to the diaphragm (arrows) within the abdominal cavity. Decreased abdominal detail is noted
               along the ventral abdominal wall. Subcutaneous emphysema is present dorsal and ventral to the abdominal cavity. (b)
               Ventrodorsal radiographic projection. A triangular air opacity is noted adjacent to the gastric fundus. (c) A left lateral horizontal
               beam ventrodorsal view was obtained and a large amount of free abdominal air is apparent. (d) Ultrasonographic image
               showing cellular fluid in the peritoneal cavity. Histopathologic samples collected at surgery found the stomach wall had
               ruptured due to ulceration and necrosis.
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