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Deschamps JY, Corbarieu T, Abboud N, Roux FA. True Diaphragmatic Hernia (Morgagni Hernia) Incidentally Diagnosed with Positive Contrast Peritoneography in a Cat: A Rare Case Report and a Review. Vet Sci 2024; 11:159. [PMID: 38668426 PMCID: PMC11053675 DOI: 10.3390/vetsci11040159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Revised: 03/05/2024] [Accepted: 03/25/2024] [Indexed: 04/29/2024] Open
Abstract
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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Affiliation(s)
- Jack-Yves Deschamps
- Emergency and Critical Care Unit, Oniris VetAgro Bio, Nantes-Atlantic College of Veterinary Medicine, Food Science and Engineering, La Chantrerie, CS 40706, 44 307 Nantes, France; (T.C.); (N.A.); (F.A.R.)
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Kvitka D, Juodžentė D, Rudenkovaitė G, Burbaitė E, Laukutė M. Successful early diagnosis and surgical treatment of congenital caval foramen hernia in an 8-month-old mixed breed cat. BRAZILIAN JOURNAL OF VETERINARY MEDICINE 2023; 45:e005622. [PMID: 36780257 PMCID: PMC9910220 DOI: 10.29374/2527-2179.bjvm005622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 01/23/2023] [Indexed: 01/28/2023] Open
Abstract
An 8-month-old neutered female domestic mixed breed cat was presented to Dr. L. Kriaučeliūnas Small Animal Clinic due to coughing that persisted for 2 weeks. Lateral and dorsoventral chest radiographs revealed an unusual dome-shaped soft tissue opacity mass that had contact with the cranial part of the diaphragm. Together with heart and abdominal ultrasound findings, we decided that one of the differential diagnoses was a diaphragmatic hernia. During the diagnostic celiotomy, a vertical 4 cm in length diaphragmatic deficit was visualized. Left medial and lateral liver lobes were herniated, yet healthy-looking. Adhesions between the liver lobes and the pericardium sac were visualized and dissected. The pericardium was sutured with simple interrupted suture pattern. A herniorrhaphy was performed suturing the diaphragm with the continuous suture pattern. Successful surgical treatment resulted in fully resolved clinical symptoms.
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Affiliation(s)
- Dmitrij Kvitka
- Veterinarian, Dr. L. Kriaučeliūnas Small Animal Veterinary Clinic, Faculty of Veterinary, Veterinary Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
| | - Dalia Juodžentė
- Veterinarian, Dr. L. Kriaučeliūnas Small Animal Veterinary Clinic, Faculty of Veterinary, Veterinary Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.,Correspondence
Dalia Juodžentė
Dr. L. Kriaučeliūnas small animal clinic
LT-62125, Tilžės 18
Kaunas, Lithuania
E-mail:
| | - Greta Rudenkovaitė
- Veterinarian, Dr. L. Kriaučeliūnas Small Animal Veterinary Clinic, Faculty of Veterinary, Veterinary Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
| | - Evelina Burbaitė
- Veterinarian, Neurology and Neurosurgery Division, San Marco Veterinary Clinic, Veggiano, Italy.
| | - Monika Laukutė
- Veterinarian, Dr. L. Kriaučeliūnas Small Animal Veterinary Clinic, Faculty of Veterinary, Veterinary Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
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Moyer AL, Vinayak A, Heo J. Diaphragmatic hernia presenting as a pulmonary mass in a dog. VETERINARY RECORD CASE REPORTS 2020. [DOI: 10.1136/vetreccr-2020-001170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Ashley Lauren Moyer
- Surgical OncologyVCA West Coast Specialty and Emergency Animal HospitalFountain ValleyCaliforniaUSA
| | - Arathi Vinayak
- Surgical OncologyVCA West Coast Specialty and Emergency Animal HospitalFountain ValleyCaliforniaUSA
| | - Jin Heo
- Diagnostic ImagingVCA West Coast Specialty and Emergency Animal HospitalFountain ValleyCaliforniaUSA
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Rossanese M, Pivetta M, Pereira N, Burrow R. Congenital pleuroperitoneal hernia presenting as gastrothorax in five cavalier King Charles spaniel dogs. J Small Anim Pract 2018; 60:701-704. [PMID: 29708274 DOI: 10.1111/jsap.12846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Revised: 01/05/2018] [Accepted: 01/18/2018] [Indexed: 11/26/2022]
Abstract
Five cavalier King Charles spaniels were examined for acute onset of respiratory distress. Thoracic radiographs demonstrated diaphragmatic hernia and tension gastrothorax, visible as a distended stomach occupying the left caudal thoracic cavity. Exploratory midline coeliotomy confirmed congenital pleuroperitoneal diaphragmatic hernia with herniation and dilatation of the stomach. The hernia configuration was consistent in all cases, with a defect affecting the left diaphragmatic crus. Congenital pleuroperitoneal diaphragmatic hernia is a rare condition caused by a defect in the dorsolateral diaphragm. Defects of the left crus of the diaphragm could result in the herniation of the stomach into the thoracic cavity with possible subsequent tension gastrothorax. Cavalier King Charles spaniels may have a predisposition to this condition. Tension gastrothorax is an acute life-threatening consequence of gastric herniation through a diaphragmatic defect that must be promptly recognised and surgically treated.
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Affiliation(s)
- M Rossanese
- Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Neston, Chester, CH64 7TE, UK
| | - M Pivetta
- North Downs Specialist Referrals, Bletchingwley, Surrey, RH1 4QP, UK
| | - N Pereira
- Small Animal Hospital, Vetsuisse Faculty, University of Zurich, Zurich 8057, Switzerland
| | - R Burrow
- Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Neston, Chester, CH64 7TE, UK
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Souza Neto JRNDE, Branco É, Giese EG, Lima ARDE. Morphological Characterization of Diaphragm in Common Squirrel Monkey (Saimiri sciureus). AN ACAD BRAS CIENC 2018; 90:169-178. [PMID: 29466481 DOI: 10.1590/0001-3765201820170167] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 09/11/2017] [Indexed: 11/21/2022] Open
Abstract
The wall of the diaphragm can be affected by congenital or acquired alterations which allow the passage of viscera between the abdominal and chest cavities, allowing the formation of a diaphragmatic hernia. We characterized morphology and performed biometrics of the diaphragm in the common squirrel monkey Saimiri sciureus. After fixation, muscle fragments were collected and processed for optical microscopy. In this species the diaphragm muscle is attached to the lung by phrenopericardial ligament. It is also connected to the liver via the coronary and falciform ligaments. The muscle is composed of three segments in total: 1) sternal; 2) costal, and 3) a segment consisting of right and left diaphragmatic pillars. The anatomical structures analyzed were similar to those reported for other mammals. Histological analysis revealed stable, organized muscle fibers with alternation of light and dark streaks, indicating transverse striation.
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Affiliation(s)
- José Ricardo N DE Souza Neto
- Laboratório de Pesquisa Morfológica Animal/LaPMA, Faculdade de Medicina Veterinária, Universidade Federal Rural da Amazônia/UFRA, Avenida Presidente Tancredo Neves, 2501, Montese, 66077-530 Belém, PA, Brazil
| | - Érika Branco
- Laboratório de Pesquisa Morfológica Animal/LaPMA, Faculdade de Medicina Veterinária, Universidade Federal Rural da Amazônia/UFRA, Avenida Presidente Tancredo Neves, 2501, Montese, 66077-530 Belém, PA, Brazil
| | - Elane G Giese
- Laboratório de Histologia e Embriologia Animal/LHEA, Faculdade de Medicina Veterinária, Universidade Federal Rural da Amazônia/UFRA, Avenida Presidente Tancredo Neves, 2501, Montese, 66077-530 Belém, PA, Brazil
| | - Ana Rita DE Lima
- Laboratório de Histologia e Embriologia Animal/LHEA, Faculdade de Medicina Veterinária, Universidade Federal Rural da Amazônia/UFRA, Avenida Presidente Tancredo Neves, 2501, Montese, 66077-530 Belém, PA, Brazil
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Rose AM, Ryan SD, Johnstone T, Beck C. IMAGING DIAGNOSIS-THE COMPUTED TOMOGRAPHY FEATURES OF A PLEUROPERITONEAL HERNIA IN A CAT. Vet Radiol Ultrasound 2016; 58:E55-E59. [DOI: 10.1111/vru.12406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 07/14/2016] [Accepted: 07/14/2016] [Indexed: 11/29/2022] Open
Affiliation(s)
- Anne Marie Rose
- Faculty of Veterinary and Agricultural Sciences; The University of Melbourne; Werribee VIC 3030 Australia
| | - Stewart D. Ryan
- Faculty of Veterinary and Agricultural Sciences; The University of Melbourne; Werribee VIC 3030 Australia
| | - Thurid Johnstone
- Faculty of Veterinary and Agricultural Sciences; The University of Melbourne; Werribee VIC 3030 Australia
| | - Cathy Beck
- Faculty of Veterinary and Agricultural Sciences; The University of Melbourne; Werribee VIC 3030 Australia
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Verrilli AM, Hohenhaus AE, Le Roux AB, Donovan TA. What Is Your Diagnosis?: Primary pulmonary neoplasia. J Am Vet Med Assoc 2016; 248:493-6. [PMID: 26885590 DOI: 10.2460/javma.248.5.493] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Hartmann H, Basso P, Faria K, Oliveira M, Souza F, Garcia É, Feranti J, Silva M, Brun M. Laparoscopic repair of congenital pleuroperitoneal hernia using a polypropylene mesh in a dog. ARQ BRAS MED VET ZOO 2015. [DOI: 10.1590/1678-4162-7619] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Pleuroperitoneal hernias are the most uncommon type of diaphragmatic hernias in dogs and cats. The treatment of choice is surgery and may involve the use of prosthetic implant through celiotomy. In the current report, laparoscopic repair of a congenital pleuroperitoneal hernia using polypropylene mesh in a dog is described. The surgery was feasible. Appropriate reduction of the hernia was carried out and no complications were noted.
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Affiliation(s)
| | - P.C. Basso
- Universidade Federal de Santa Maria, Brazil
| | - K.L. Faria
- Universidade Federal de Santa Maria, Brazil
| | | | - F.W. Souza
- Universidade Federal de Santa Maria, Brazil
| | | | | | | | - M.V. Brun
- Universidade Federal de Santa Maria, Brazil
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Respiratory and Thoracic Medicine. THE CAT 2012. [PMCID: PMC7158197 DOI: 10.1016/b978-1-4377-0660-4.00030-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Parry A. Positive contrast peritoneography in the diagnosis of a pleuroperitoneal diaphragmatic hernia in a cat. J Feline Med Surg 2010; 12:141-3. [DOI: 10.1016/j.jfms.2009.06.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2009] [Indexed: 11/27/2022]
Abstract
A young adult entire male domestic shorthair cat was presented with a known history of a road traffic accident. Survey radiographs suggested a congenital diaphragmatic hernia unrelated to the recent trauma. Positive contrast peritoneography was undertaken and findings were consistent with a pleuroperitoneal diaphragmatic hernia (or true hernia). This was repaired surgically and was thought to be an incidental finding. This case report demonstrates the use of positive contrast peritoneography as a simple and effective tool in the diagnosis of pleuroperitoneal diaphragmatic hernias.
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Affiliation(s)
- Andrew Parry
- The Barn Animal Hospital, Great Binfields Road, Old Basing, Hampshire RG24 8AD, United Kingdom
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Cariou MP, Shihab N, Kenny P, Baines SJ. Surgical management of an incidentally diagnosed true pleuroperitoneal hernia in a cat. J Feline Med Surg 2009; 11:873-7. [DOI: 10.1016/j.jfms.2009.04.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2009] [Indexed: 10/20/2022]
Abstract
Diaphragmatic defects in cats are common and most frequently occur as a result of trauma.1 Congenital diaphragmatic defects include peritoneopericardial hernias, hiatal hernias and, infrequently, true diaphragmatic, or pleuroperitoneal, hernias. Only three reports of feline pleuroperitoneal hernias could be found in the veterinary literature.2–4 All of these cats presented for evaluation of respiratory distress and two were managed successfully with surgery. This report describes the incidental diagnosis and successfully surgical treatment of a pleuroperitoneal hernia in a cat. It highlights the fact that pleuroperitoneal hernias may not always be symptomatic and that they may not be as rare as previously considered.
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Affiliation(s)
- Matthieu P.L. Cariou
- Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, AL9 7TA, United Kingdom
| | - Nadia Shihab
- Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, AL9 7TA, United Kingdom
| | - Patrick Kenny
- Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, AL9 7TA, United Kingdom
| | - Stephen J. Baines
- Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, AL9 7TA, United Kingdom
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CHOI JIHYE, KIM HYUNWOOK, KIM MIEUN, YOON JUNGHEE. IMAGING DIAGNOSIS-POSITIVE CONTRAST PERITONEOGRAPHIC FEATURES OF TRUE DIAPHRAGMATIC HERNIA. Vet Radiol Ultrasound 2009; 50:185-7. [DOI: 10.1111/j.1740-8261.2009.01514.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Transient megaoesophagus and oesophagitis following diaphragmatic rupture repair in a cat. J Feline Med Surg 2008; 10:284-90. [DOI: 10.1016/j.jfms.2007.11.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2007] [Indexed: 11/17/2022]
Abstract
A 6-month-old domestic shorthair female cat was presented with suspected diaphragmatic hernia (DH) that was later confirmed by thoracic radiography. The cat underwent exploratory celiotomy with a diaphragmatic rupture (DR) repair and recovered. Six days later, it was represented with vomiting and anorexia. Megaoesophagus (MO) and gastric dilatation were diagnosed by contrast radiography. A second celiotomy revealed no abnormalities and gastropexy was performed. Endoscopy demonstrated MO, oesophagitis and gastro-oesophageal reflux. MO persisted for several weeks and was an unexpected complication as no association between DR (or DH) and MO has never been described in the veterinary literature. The cat was treated medically with aggressive prokinetic and antacid therapy along with prolonged temporary oesophageal diversion (percutaneous endoscopic gastrostomy tube) with an excellent outcome.
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White JD, Tisdall PLC, Norris JM, Malik R. Diaphragmatic hernia in a cat mimicking a pulmonary mass. J Feline Med Surg 2003; 5:197-201. [PMID: 12765631 DOI: 10.1016/s1098-612x(02)00069-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
A seven-year-old castrated British shorthair cross cat was presented for coughing of five-weeks duration. Thoracic radiographs and an unguided bronchoalveolar lavage showed changes consistent with inflammatory airway disease. In addition, a soft tissue density was evident in the thoracic films between the heart and the diaphragm. Exploratory thoracotomy demonstrated a diaphragmatic hernia, probably congenital in origin, with incarceration of a portion of the hepatic parenchyma. The herniated portion of liver was resected surgically and the defect in the diaphragm closed. The cat was given a 10-day course of doxycycline post-operatively and the cough did not recur subsequently. In retrospect, the hernia was potentially an incidental problem, the cat's coughing being attributable to inflammatory airway disease.
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Affiliation(s)
- J D White
- University Veterinary Centre Sydney, Faculty of Veterinary Science, Building B10, The University of Sydney, NSW 2006, Australia.
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