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, 12:16, 5 September 2008
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|linkpage =Cardiology - WikiClinical
|linktext =Cardiology
|sublink1=Cardiovascular Conditions - WikiClinical
|subtext1=CARDIOVASCULAR CONDITIONS
|maplink1= Cardiovascular Conditions (Content Map) - WikiClinical
|pagetype=Clinical
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Common pericardial congenital defect in dogs & cats
===Description===
Pericardio-Peritoneo-Diaphragmatic Hernia (PPDH) is a congenital abnormality characterized by the incomplete formation of the diaphragm. The incomplete formation allows for a section of the diaphragm to remain patent allowing abdominal contents (e.g. intestines, liver) to move into the thoracic cavity and eventually into the pericardial sac.
===Diagnosis===
====History & Clinical Signs====
-Asymptomatic
-Vomiting
-Diarrhea
-Abdominal Pain
-Anorexia
-Weight Loss
-Shock
===Physical Exam====
-Empty Abdomen on palpation
-Quiet Heart Sounds
-Gut sounds around the heart (If gut is herniated)
===Radiography====
-Enlarged cardiac silhouette
-Intestines in the pericardial sac (seen best with barium swallow)
===Echocardiography====
-Abdominal organs in the pericardial sac
===Treatment===
-Surgical closure of the defect
===Prognosis===
-Good with surgery