Bilateral Inguinal Herniation Containing the Ovary, Uterus and Omentum in a Dog

Case Description- An 8-year-old intact female Pekingese dog was referred to the Veterinary Teaching Hospital with painless, reducible bilateral inguinal mass, approximately 6 months prior to presentation.Clinical Findings- Clinical and laboratory examinations showed no significant general symptoms. Radiographs of the caudal abdominal part revealed two soft tissue opacities at both sides of inguinal region and no gas was detected. Ultrasonography of the left mass revealed that the uterine horns were placed underneath the mammary tissue with normal echogenicity. On the Base of the clinical and paraclinical evaluations, inguinal herniation of uterine was diagnosed presumptively.Treatment and Outcome- Through ventral midline skin incision, both hernial sacs and rings were exposed. The left hernial sac was containing complete uterus, cervix, left fallopian tube and ovary and the right one was containing omentum and fat. Ovariohysterectomy was performed from the left inguinal ring and omentum and fat were reduced into the abdominal cavity through the right ring. Herniorrhaphy was carried out in both rings. Two months after the repair, there were no postsurgical complications, and the dog recovered uneventfully.Clinical Relevance- In the present case, in order to prevent the recurrence of the hernia and to stop breeding because of the probability of heritable nature of this disease, ovariohystrectomy was performed. In this report, as the entire uterus and ovaries were easily exposed from the left inguinal ring and to prevent extra trauma to the animal and shorten the operation time due to the midline celiotomy, ovariohystrectomy was carried out from the left inguinal ring without any problems.