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Hernia, Peritoneopericardial Diaphragmatic (view source)
Revision as of 11:01, 6 July 2010
, 11:01, 6 July 2010no edit summary
===Diagnosis===
===Diagnosis===
====Clinical Signs====
====Clinical Signs====
*The disease is frequently asymptomatic.
*The disease is frequently asymptomatic.
*Gastro-intentinal signs may be reported, including vomiting, diarrhoea, abdominal pain, anorexia and weight loss.
*Gastro-intentinal signs may be reported, including vomiting, diarrhoea, abdominal pain, anorexia and weight loss.
====Radiography====
====Radiography====
The cardiac silhouette is enlarged and continuous with that of the diaphragm. If loops of small intestine have passed into the pericardial sac, areas of as lucency may be apparent overlying the cardiac silhouette and, if necessary, this can be confirmed by a barium contrast study. The trachea may also be displaced dorsally.
The cardiac silhouette is enlarged and continuous with that of the diaphragm. If loops of small intestine have passed into the pericardial sac, areas of as lucency may be apparent overlying the cardiac silhouette and, if necessary, this can be confirmed by a barium contrast study. The trachea may also be displaced dorsally.
====Echocardiography====
====Echocardiography====
===Prognosis===
===Prognosis===
A study assessing treatment regimes used in cats showed a post-operative mortality rate of 14%, whereas progressive disease was reported in 9% of those managed conservatively. This result may largely reflect the criteria used for determining whether a cat was a surgical candidate.
A study assessing treatment regimes used in cats showed a post-operative mortality rate of 14%, whereas progressive disease was reported in 9% of those managed conservatively. This result may largely reflect the criteria used for determining whether a cat was a surgical candidate.
===References===
===References===
'''Reimer SB, Kyles AE, Filipowicz DE, Gregory CR''' Long-term outcome of cats treated conservatively or surgically for peritoneopericardial diaphragmatic hernia: 66 cases (1987-2002) ''J Am Vet Med Assoc. 2004 Mar 1;224(5):728-32''
'''Gorman N''' Canine Medicine and Therapeutics ''Blackwell Science'' Fourth Edition
'''Gorman N''' Canine Medicine and Therapeutics ''Blackwell Science'' Fourth Edition