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Also known as: '''''Acquired Diaphragmatic Hernia — Displacement of Stomach into Thorax

Also known as: '''''Acquired Diaphragmatic Hernia — Displacement of Stomach into Thorax

In most acute cases, animals must be stabilised before the tear in the diaphragm can be repaired surgically.  This may involve the following steps:

In most acute cases, animals must be stabilised before the tear in the diaphragm can be repaired surgically.  This may involve the following steps:

*Provision of '''oxygen''' to dyspnoeic animals, using a mask, flow-by or intra-nasal catheter.

*Provision of '''oxygen''' to dyspnoeic animals, using a mask, flow-by or intra-nasal catheter.

*'''Pleurocentesis''' if pleural effusion or pneumothorax are suspected.

*'''[[Pleurocentesis]]''' if pleural effusion or pneumothorax are suspected.

*Keeping the animal in '''sternal recumbency''' to allow more efficient thoracic excursion.

*Keeping the animal in '''sternal recumbency''' to allow more efficient thoracic excursion.

*'''Gastric decompression''' by orogastric tube or percutaneously if the stomach is though to be dilated.

*'''Gastric decompression''' by orogastric tube or percutaneously if the stomach is though to be dilated.

Patients that undergo surgical repair of a rupture have a favourable prognosis, with around 90% being discharged after treatment.  Animals that survive the first 24 hours after surgical repair are generally considered to do well subsequently.

Patients that undergo surgical repair of a rupture have a favourable prognosis, with around 90% being discharged after treatment.  Animals that survive the first 24 hours after surgical repair are generally considered to do well subsequently.

 

Use these links to find recent scientific publications via CAB Abstracts (log in required unless accessing from a subscribing organisation).

|Vetstream = [https://www.vetstream.com/canis/Content/Freeform/fre00521.asp Anesthesia: for ruptured diaphram]<br>[https://www.vetstream.com/canis/Content/Illustration/ill06111.asp Intraoperative picture 1]<br>[https://www.vetstream.com/canis/Content/Illustration/ill06112.asp Intraoperative picture 2]<br>[https://www.vetstream.com/canis/Content/Illustration/ill00333.asp Radiograph DV]<br>[https://www.vetstream.com/canis/Content/Illustration/ill00334.asp Radiograph lateral]

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|literature search = [http://www.cabdirect.org/search.html?q=title%3A%28%22Diaphragmatic+rupture%22%29+OR+title%3A%28%22acquired+Diaphragmatic+hernia%22%29+OR+%28ab%3A%28diaphragm%29+AND+ab%3A%28rupture%29%29 Diaphragmatic rupture publications]

[http://www.cabdirect.org/search.html?q=title%3A%28%22Diaphragmatic+rupture%22%29+OR+title%3A%28%22acquired+Diaphragmatic+hernia%22%29+OR+%28ab%3A%28diaphragm%29+AND+ab%3A%28rupture%29%29 Diaphragmatic rupture publications]

==References==

==References==

Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition) Mosby Elsevier

Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition) Mosby Elsevier

<references/>

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[[Category:Stomach_and_Abomasum_-_Pathology]]

[[Category:Stomach_and_Abomasum_-_Pathology]]

[[Category:Cat]][[Category:Peritoneal Cavity Diseases - Dog]][[Category:Musculoskeletal Diseases - Dog]][[Category:Respiratory Pathology - Dog]]

[[Category:Musculoskeletal Diseases - Cat]][[Category:Respiratory Diseases - Cat]][[Category:Peritoneal Cavity Diseases - Cat]][[Category:Peritoneal Cavity Diseases - Dog]][[Category:Musculoskeletal Diseases - Dog]][[Category:Respiratory Diseases - Dog]]

[[Category:Expert_Review]]

[[Category:Expert_Review]]

[[Category:Peritoneal Cavity_Disorders_-_Horse]]

[[Category:Peritoneal Cavity Diseases - Horse]]