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Also known as: '''''Acquired Diaphragmatic Hernia — Displacement of Stomach into Thorax
Do not confuse with: [[Hiatal Hernia]], [[Hernia, Peritoneopericardial Diaphragmatic|Peritoneopericardial Hernia]], [[Hernia, Pleuroperitoneal Diaphragmatic|Pleuroperitoneal Hernia]], Congenital Diaphragmatic Hernia
==Description==
==Description==
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.
==Prognosis==
==Prognosis==
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.
{{Learning
|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]
|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]
}}
==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
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[[Category:Stomach_and_Abomasum_-_Pathology]]
[[Category:Stomach_and_Abomasum_-_Pathology]]
[[Category:To_Do_-_James]]
[[Category:Cat]][[Category: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:Alimentary_Disorders_-_Horse]]
[[Category:Peritoneal Cavity Diseases - Horse]]