{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T16:11:21Z","timestamp":1763741481357,"version":"3.45.0"},"reference-count":23,"publisher":"American Animal Hospital Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the American Animal Hospital Association"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>An unusual case of combined axial and paraesophageal (type III) hiatal hernia (HH) in a 4-year-old Great Dane is reported. The main presenting complaint was dyspnea, and no history of trauma was present. A tentative diagnosis of HH with secondary pleural effusion was made based on clinical signs and radiographic findings. Exploratory celiotomy revealed herniation of the gastric cardia, fundus, and body through the esophageal hiatus and an adjacent, distinct defect in the diaphragm. Rupture of the short gastric vessels lead to the formation of a hemorrhagic pleural effusion that impaired ventilation. The esophageal hiatus was surgically reduced in size, and the second defect was closed with nonabsorbable sutures. Esophagopexy and tube gastropexy procedures were also performed. The dog was clinically normal 9 months postoperatively. This type of HH is not currently defined within the traditional classification system and to the authors\u2019 knowledge has not been previously reported.<\/jats:p>","DOI":"10.5326\/0460336","type":"journal-article","created":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T12:11:00Z","timestamp":1410783060000},"page":"336-340","source":"Crossref","is-referenced-by-count":4,"title":["Hemorrhagic Pleural Effusion Secondary to an Unusual Type III Hiatal Hernia in a 4-Year-Old Great Dane"],"prefix":"10.5326","volume":"46","author":[{"given":"Lena C.","family":"Gordon","sequence":"first","affiliation":[{"name":"Wey Referrals, 125-129 Chertsey Road, Woking, Surrey, GU21 5BP United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward J.","family":"Friend","sequence":"additional","affiliation":[{"name":"Wey Referrals, 125-129 Chertsey Road, Woking, Surrey, GU21 5BP United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael H.","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Wey Referrals, 125-129 Chertsey Road, Woking, Surrey, GU21 5BP United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3280","reference":[{"key":"R1","series-title":"J Am Vet Med Assoc","first-page":"1437","volume":"193","year":"1988","unstructured":"Miles KG, Pope ER, Jergens AE. Paraesophageal hiatal hernia and pyloric obstruction in a dog.\n          J Am Vet Med Assoc\n          1988;193: 1437\u20131439."},{"key":"R2","series-title":"Vet Surg","first-page":"386","volume":"18","year":"1989","unstructured":"Prymak C, Saunders HM, Washabau RJ. Hiatal hernia repair by restoration and stabilization of normal anatomy: an evaluation in four dogs and one cat.\n          Vet Surg\n          1989;18:386\u2013391."},{"year":"2002","key":"R3","unstructured":"Hedlund CS. Surgery of the digestive system: surgery of the esophagus. In: Fossum TW, ed. Small Animal Surgery. 2nd ed. St. Louis: Mosby,\n          2002:307\u2013337."},{"year":"2003","key":"R4","unstructured":"Hunt GB, Johnson KA. Diaphragmatic, pericardial, and hiatal hernia. In: Slatter DH, ed. Textbook of Small Animal Surgery. 3rd ed. Philadelphia: WB Saunders,\n          2003:471\u2013487."},{"year":"2003","key":"R5","unstructured":"Tams TR. Diseases of the esophagus. In: Tams TR, ed. Handbook of Small Animal Gastroenterology. 2nd ed. St. Louis: WB Saunders,\n          2003:149\u2013152."},{"year":"2007","key":"R6","unstructured":"Woltman T, Oelschlager BK. Benign esophageal disorders. In: Zinner MJ, Ashley SW, eds. Maingot\u2019s Abdominal Operations. 11th ed. London: McGraw-Hill Comp. Inc.,\n          2007:203\u2013204."},{"key":"R7","series-title":"J Small Anim Pract","first-page":"33","volume":"39","year":"1998","unstructured":"Pratschke KM, Hughes JML, Skelly C, et al. Hiatal herniation as a complication of chronic diaphragmatic herniation.\n          J Small Anim Pract\n          1998;39:33\u201338."},{"key":"R8","series-title":"Can Vet J","first-page":"640","volume":"38","year":"1997","unstructured":"Auger JM, Riley SM. Combined hiatal and pleuroperitoneal hernia in a shar-pei.\n          Can Vet J\n          1997;38:640\u2013642."},{"key":"R9","series-title":"Aust Vet J","first-page":"48","volume":"80","year":"2002","unstructured":"Sivacolundhu RK, Read RA, Marchevsky AM. Hiatal hernia controversies\u2014a review of pathophysiology and treatment options.\n          Aust Vet J\n          2002;80:48\u201353."},{"key":"R10","series-title":"J Small Anim Pract","first-page":"244","volume":"31","year":"1990","unstructured":"Bright RM, Sackman JE, DeNovo C, et al. Hiatal hernia in the dog and cat: a retrospective study of 16 cases.\n          J Small Anim Pract\n          1990;31:244\u2013250."},{"key":"R11","series-title":"J Am Vet Med Assoc","first-page":"87","volume":"199","year":"1991","unstructured":"Dieringer TM, Wolf AM. Esophageal hiatal hernia and megaesophagus complicating tetanus in two dogs.\n          J Am Vet Med Assoc\n          1991;199:87\u201389."},{"key":"R12","series-title":"J Am Vet Med Assoc","first-page":"381","volume":"213","year":"1998","unstructured":"Lorinson D, Bright RM. Long-term outcome of medical and surgical treatment of hiatal hernias in dogs and cats: 27 cases (1978\u20131996).\n          J Am Vet Med Assoc\n          1998;213:381\u2013384."},{"year":"1986","key":"R13","unstructured":"Dehoff WD. Surgery of the stomach. In: Jones BD, ed. Canine and Feline Gastroenterology. Philadelphia: WB Saunders,\n          1986:134\u2013160."},{"key":"R14","series-title":"J Vet Intern Med","first-page":"210","volume":"7","year":"1993","unstructured":"Callan MB, Washabau RJ, Saunders HM, et al. Congenital esophageal hiatal hernia in the Chinese shar-pei dog.\n          J Vet Intern Med\n          1993;7:210\u2013215."},{"year":"2002","key":"R15","unstructured":"Park RD. The diaphragm. In: Thrall DE, ed. Textbook of Veterinary Diagnostic Radiology. 4th ed. Philadelphia: WB Saunders,\n          2002: 359\u2013375."},{"key":"R16","series-title":"J Small Anim Pract","first-page":"251","volume":"31","year":"1990","unstructured":"Williams JM. Hiatal hernia in a shar-pei.\n          J Small Anim Pract\n          1990;31:251\u2013254."},{"key":"R17","series-title":"J Small Anim Pract","first-page":"402","volume":"46","year":"2005","unstructured":"Kirkby KA, Bright RM, Owen HD. Paraesophageal hiatal hernia and megaesophagus in a three-week-old Alaskan malamute.\n          J Small Anim Pract\n          2005;46:402\u2013405."},{"year":"2006","key":"R18","unstructured":"Mathews KA. Respiratory emergencies. In: Mathews KA, ed. Veterinary Emergency and Critical Care Manual. 2nd ed. Guelph: Lifelearn,\n          2006:555\u2013573."},{"year":"2003","key":"R19","unstructured":"Latimer KS, Mahaffey EA, Prasse KW. Duncan and Prasse\u2019s Veterinary Laboratory Medicine: Clinical Pathology. 4th ed. Ames: Iowa State Press,\n          2003:338."},{"key":"R20","series-title":"J Am Vet Med Assoc","first-page":"1617","volume":"220","year":"2002","unstructured":"Peycke LE, Partington BP, Hosgood G. Veterinary medicine today: what is your diagnosis?\n          J Am Vet Med Assoc\n          2002;220:1617\u20131618."},{"key":"R21","series-title":"J Am Vet Med Assoc","first-page":"81","volume":"201","year":"1992","unstructured":"Stickle R, Sparschu G, Love N, et al. Radiographic evaluation of esophageal function in Chinese shar-pei pups.\n          J Am Vet Med Assoc\n          1992;201:81\u201384."},{"key":"R22","series-title":"J Small Anim Pract","first-page":"503","volume":"15","year":"1974","unstructured":"Gaskell CJ, Gibbs C, Pearson H. Sliding hiatus hernia with reflux oesophagitis in two dogs.\n          J Small Anim Pract\n          1974;15:503\u2013509."},{"year":"1993","key":"R23","unstructured":"Hermanson JW, Evans HE. The muscular system. In: Evans HE, ed. Miller\u2019s Anatomy of the Dog. 3rd ed. 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