Congenital pleuroperitoneal hernia presenting as gastrothorax in five cavalier King Charles spaniel dogs

Rossanese, Matteo; Pivetta, Mauro; Pereira, Nuno; Burrow, Rachel

doi:10.1111/jsap.12846

Cited by 3 publications

(3 citation statements)

References 17 publications

(53 reference statements)

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“…Cases may have been reported in textbooks. Major congenital diaphragmatic defects observed in cats [24,25] or in young dogs [26][27][28][29] were not included in this review.…”

Section: True Diaphragmatic Herniamentioning

confidence: 99%

True Diaphragmatic Hernia (Morgagni Hernia) Incidentally Diagnosed with Positive Contrast Peritoneography in a Cat: A Rare Case Report and a Review

Deschamps,

Corbarieu,

Abboud

et al. 2024

Veterinary Sciences

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An 18-month-old neutered male domestic shorthair cat was presented for an emergency consultation after falling from the second floor. The cat sustained minor traumatic injuries but did not exhibit dyspnea. Routine radiographic examination raised suspicion of a diaphragmatic hernia, but the circumscribed nature of the soft tissues visible in the thorax was atypical for a classic traumatic diaphragmatic hernia. A positive contrast peritoneography highlighted the likely presence of a hernial sac, which strongly suggested a “true diaphragmatic hernia”, also known as “pleuroperitoneal hernia”. This diagnosis was confirmed during laparotomy, which allowed for the visualization of a 3 cm radial diaphragmatic defect in the right ventral quadrant of the pars sternalis. The diaphragm’s edges were rounded. A portion of the falciform ligament and a part of the omentum were protruding through the defect and were contained within a hernial sac. Herniorrhaphy was performed. The cat recovered without complications. Given its presentation and location, ventrally and to the right, this anomaly is analogous to what is described in humans as “Morgagni hernia”. Six other cases of Morgagni hernias have probably been reported in cats but were not identified as such. This case underscores the utility of peritoneography, a straightforward technique useful for diagnosing diaphragmatic hernias, which enables differentiation between acquired traumatic forms and congenital forms, particularly peritoneopericardial hernias and pleuroperitoneal hernias. True diaphragmatic hernias are almost always serendipitous discoveries.

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“…Cases may have been reported in textbooks. Major congenital diaphragmatic defects observed in cats [24,25] or in young dogs [26][27][28][29] were not included in this review.…”

Section: True Diaphragmatic Herniamentioning

confidence: 99%

True Diaphragmatic Hernia (Morgagni Hernia) Incidentally Diagnosed with Positive Contrast Peritoneography in a Cat: A Rare Case Report and a Review

Deschamps,

Corbarieu,

Abboud

et al. 2024

Veterinary Sciences

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“…1,3 There are few documented cases of congenital pleuroperitoneal hernias in dogs and cats. [3][4][5][6][7][8] Surgery is the procedure of choice for definitive diagnosis and hernia repair.…”

Section: Introductionmentioning

confidence: 99%

“…Although affected animals may present with signs of respiratory or gastrointestinal compromise, true pleuroperitoneal hernias are often clinically silent and diagnosed incidentally on thoracic imaging 1,3 . There are few documented cases of congenital pleuroperitoneal hernias in dogs and cats 3–8 . Surgery is the procedure of choice for definitive diagnosis and hernia repair.…”

Section: Introductionmentioning

confidence: 99%

Surgical technique and complications associated with laparoscopic pleuroperitoneal diaphragmatic herniorrhaphy in a dog

Devereux,

Scharf

2023

Vet Record Case Reports

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An 11‐year‐old, neutered, male French bulldog was referred for surgical repair of an incidentally diagnosed pleuroperitoneal diaphragmatic hernia. Thoracic computed tomography revealed a left centroventral diaphragmatic hernia with a large volume of left‐sided intrathoracic fat. A minimally invasive laparoscopic approach was elected. A portion of the intrathoracic fat was laparoscopically reduced. Adhesions and friability of the herniated fat prevented further reduction, and the remaining fat was transected using a vessel‐sealing device to enable herniorrhaphy via intracorporeal suturing. Immediate postoperative computed tomography performed under general anaesthesia confirmed an intact diaphragm with a large volume of persistent left‐sided intrathoracic fat. The patient was immediately returned to the operating room and a keyhole left lateral thoracotomy performed to remove the remaining herniated fat. The patient recovered from surgery and anaesthesia uneventfully. There were no short‐ or long‐term postoperative complications of herniorrhaphy.

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Pleural space disease

Lyons¹

2023

Small Animal Critical Care Medicine

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Congenital pleuroperitoneal hernia presenting as gastrothorax in five cavalier King Charles spaniel dogs

Cited by 3 publications

References 17 publications

True Diaphragmatic Hernia (Morgagni Hernia) Incidentally Diagnosed with Positive Contrast Peritoneography in a Cat: A Rare Case Report and a Review

True Diaphragmatic Hernia (Morgagni Hernia) Incidentally Diagnosed with Positive Contrast Peritoneography in a Cat: A Rare Case Report and a Review

Surgical technique and complications associated with laparoscopic pleuroperitoneal diaphragmatic herniorrhaphy in a dog

Pleural space disease

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