case_images: PMC11212120_01
case_images: Complete barium meal contrast procedure. (A) Oral barium preprandial chest and abdominal dorsal radiographs showed abnormal shadows with uneven density and air-containing cavities in the chest. (B) Oral barium prepristine chest right position radiograph, showing a low-density tubular shadow in the chest cavity and a clear contour of the tube wall. (C) 30 minutes after oral barium meal, a chest and abdominal dorsum X-ray shows a large amount of barium meal deposition in the stomach, with some barium meal entering the small intestine, which is located in the right chest cavity. (D) 30 minutes after oral barium meal, the right chest X-ray shows the appearance of small intestine in the chest cavity, with barium meal deposition and high-density imaging. (E) After 2 hours and 30 minutes of oral barium meal, a chest abdominal and dorsal X-ray shows that the barium meal enters the cecum and is located in the right chest cavity, presenting high-density imaging. (F) On the right chest X-ray 2 hours and 30 minutes after oral barium meal, it can be seen that the barium meal enters the cecum and is located in the chest cavity, showing a high-density effect. (G) 4 hours and 30 minutes after oral barium meal, there is a small amount of barium meal located in the cecum, and most of the barium meal enters the colon and is located in the abdominal cavity, presenting high-density imaging. (H) On the right chest X-ray 4 hours and 30 minutes after oral barium meal, a large amount of barium meal can be seen entering the colon and located in the abdominal cavity. (I) On the left chest X-ray 4 hours and 30 minutes after oral barium meal, a large amount of barium meal can be seen entering the colon and located in the abdominal cavity. (J) 21 hours and 30 minutes after oral barium meal, there is no residual barium meal in the chest and intestines, and barium meal enters the colon and rectum, presenting high-density imaging. (K) 21 hours and 30 minutes after oral barium meal, on the right chest X-ray, it can be seen that there is no residual barium meal in the intestinal tract of the chest. The barium meal enters the colon and rectum, located in the abdominal cavity. (L) On the left chest X-ray 21 hours and 30 minutes after oral barium meal, it can be seen that there is no residual barium meal in the thoracic intestine. The barium meal enters the colon and rectum, located in the abdominal cavity. (M) Postoperative chest and abdominal dorsal radiograph, it can be seen that the chest cavity and abdominal organs have clear contours and obvious diaphragm. (N) Postoperative chest right radiograph, the chest cavity and abdominal organs are clearly contoured and the diaphragm line is obvious. The organ indicated by the red arrow is the small intestine; the organ indicated by the yellow arrow is the stomach; the organ indicated by the blue arrow is the cecum; the organ indicated by the black arrow is the colon; the organ indicated by the purple arrow is the rectum; and the part indicated by the white arrow is the diaphragm line.
case_images: fvets-11-1357626-g001.jpg
case_images: PMC11212120_01_fvets-11-1357626-g001.jpg
case_images: fig1
case_images: Blood biochemical tests (Supplementary Figure S1) revealed that alkaline phosphatase (ALKP) was 317 U/L (the reference ranges: 20-150 U/L), which was more than twice the normal level, and alanine aminotransferase (ALT) was 1,012 U/L (the reference ranges: 10-118 U/L), which was nearly nine times the normal level, suggestive of liver damage. Radiographs revealed a low-density tubular shadow in the thoracic cavity with a well-defined wall (Figures 1A,B). After 30 minutes, the dogs was examined by X-ray again, radiograph revealed that the tubular shadow in the chest cavity contains a large amount of barium sulfate suspension (Figures 1C,D). Radiographs were taken 2 hours and 30 minutes after the oral gavages with barium, and barium deposits were seen in the cecum, which was located in the thoracic cavity, confirming the herniation of the cecum into the thoracic cavity (Figures 1E,F). Furthermore, most of the barium went into the colon and rectum, which was located in the abdominal cavity (Figures 1G-I). The results showed that all the barium had moved to the colon and rectum, both of which were in the abdominal cavity (Figures 1J-L). Postoperative chest plain radiograph results showed good diaphragm continuity, and no abdominal organs, such as the intestine and liver, were seen in the thoracic cavity (Figures 1M,N).
case_images: Four-chamber view of long axis of right sternum. On the ventral side of the heart, there is a soft tissue mass, which is the right liver lobe, and a small amount of liquid area can be seen between the myocardium and the soft tissue image. The organ indicated by the blue arrow is the liver, while the part indicated by the orange arrow is fluid accumulation.
case_images: fvets-11-1357626-g002.jpg
case_images: PMC11212120_01_fvets-11-1357626-g002.jpg
case_images: fig2
case_images: Showing intraoperative findings. (A) Liver and intestinal herniation into the chest cavity. (B) The liver lobes are purplish-red and hernia holes are visible. The organ indicated by the blue arrow is the liver, while the part indicated by the white arrow is the hernia.
case_images: fvets-11-1357626-g003.jpg
case_images: PMC11212120_01_fvets-11-1357626-g003.jpg
case_images: fig3
case_images: Further exploration revealed that part of the small intestine and liver lobe had entered the thoracic cavity, and a hernia hole were seen on the right diaphragm (Figure 3A). The liver lobe in the thoracic cavity was purplish-red, the hernia hole was visible at this stage (Figure 3B), and the diaphragm had a circular tear hole.