Peritoneopericardial Diaphragmatic Hernias in Four Dogs

복막 심낭 횡격막 허니아의 진단 영상 4례

  • Choi, Ji-Hye (Haemaru Referral Animal Hospital) ;
  • Kim, Hyun-Wook (Haemaru Referral Animal Hospital) ;
  • Jang, Jae-Young (Haemaru Referral Animal Hospital) ;
  • Seo, Ji-Min (Haemaru Referral Animal Hospital) ;
  • Kim, Jun-Young (College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Yoon, Jung-Hee (College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University)
  • 최지혜 (해마루 이차진료동물병원) ;
  • 김현욱 (해마루 이차진료동물병원) ;
  • 장재영 (해마루 이차진료동물병원) ;
  • 서지민 (해마루 이차진료동물병원) ;
  • 김준영 (서울대학교 수의과대학 BK21 수의과학(연구인력양성)사업단) ;
  • 윤정희 (서울대학교 수의과대학 BK21 수의과학(연구인력양성)사업단)
  • Published : 2008.02.29

Abstract

Peritoneopericardial diaphragmatic hernia(PPDH) is uncommon and congenital disease in dogs and cats. In PPDH, the peritoneal organs such as liver, small intestine, stomach and omentum are displaced into the congenital defect between pericardial sac and diaphragm and cause the abnormal round and enlarged cardiac silhouette. Abnormal cardiac silhouette contacts with the cranial diaphragmatic border consistently and soft tissue- and/or gas- density structures are summated over the cardiac density in radiography. The contrast medium flows from peritoneal cavity into the pericardial sac and demonstrates the herniated abdominal organs and the abnormal defect in positive peritoneography. In this study, 4 dogs was diagnosed as PPDH using radiography, peritoneography and thoracic ultrasonography and showed various clinical signs according to the kind, amount and clinical state of herniated abdominal organs.

Keywords

References

  1. Berry CR, Koblik PD, Ticer JW. Dorsal peritoneopericardial mesothelial remnant as an aid to the diagnosis of feline congenital peritoneopericardial diaphragmatic hernia. Vet Radiol 1990; 31: 239-245 https://doi.org/10.1111/j.1740-8261.1990.tb00794.x
  2. Evans SM, Biery DN. Congenital peritoneopericardial diaphragmatic hernia in the dog and cat: a literature review and 17 additional case histories. Vet Radiol 1980; 21: 108-116 https://doi.org/10.1111/j.1740-8261.1980.tb00589.x
  3. Forrester SD, Troy GC, Fossum TW. Pleural effusions: Pathophysiology and diagnostic considerations. Compend Contin Educ Pract Vet 1991; 10: 121-136
  4. Hay WH, Woodfield JA, Moon MA. Clinical, echocardiographic, and radiographic findings of peritoneopericardial diaphragmatic hernia in two dogs and a cat. J Am Vet Med Assoc 1989; 195: 1245-1248
  5. Johnson KA. Diaphragmatic, Pericardial and Hiatal Hernia. In: Textbook of small animal surgery. 2nd ed. Philadelphia: WB Saunders, 1993: 455-470
  6. Liptak JM, Bissett SA, Allan GS, Zaki S, Malik R. Hepatic cysts incarcerated in a peritoneopericardial diaphragmatic hernia. J Feline Med Surg 2002; 4: 123-125 https://doi.org/10.1053/jfms.2002.0167
  7. Neiger R. Peritoneopericardial diaphragmatic hernia in cats. Compend Cont Educ Pract Vet 1996; 18: 461-478
  8. Raptopoulos D, Papazoglou LG, Patsikas MN. Re-expansion pulmonary oedema after pneumothorax in a dog. Vet Rec 1995; 136: 395 https://doi.org/10.1136/vr.136.15.395
  9. Reed JR. Pericardial disease and cardiac tumors. In: Textbook of Canine and Feline Cardiology, 2nd ed. Philadelphia: WB Saunders. 1999: 679-701
  10. Reimer SB, Kyles AE, Filipowicz DE, Gregory CR. Longterm outcome of cats treated conservatively or surgically for peritoneopericardial diaphragmatic hernia: 66 cases (1987-2002). J Am Vet Med Assoc 2004; 224: 728-732 https://doi.org/10.2460/javma.2004.224.728
  11. Stampley AR, Waldron DR. Reexpansion pulmonary edema after surgery to repair a diaphragmatic hernia in a cat. J Am Vet Med Assoc. 1993; 203: 1699-1701
  12. Soderstrom MJ, Gilson SD, Gulbas N. Fatal reexpansion pulmonary edema in a kitten following surgical correction of pectus excavatum. J Am Anim Hosp Assoc. 1995; 31: 133-136 https://doi.org/10.5326/15473317-31-2-133
  13. Williams J, Leveille R, Myer CW. Imaging modalities used to confirm diaphragmatic hernia in small animals. Compend Cont Educ Pract Vet 1998; 20: 1199-1211