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Congenital pleuroperitoneal hernia presenting as gastrothorax in five cavalier King Charles spaniel dogs
Author(s) -
Rossanese M.,
Pivetta M.,
Pereira N.,
Burrow R.
Publication year - 2019
Publication title -
journal of small animal practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 67
eISSN - 1748-5827
pISSN - 0022-4510
DOI - 10.1111/jsap.12846
Subject(s) - medicine , diaphragmatic breathing , congenital diaphragmatic hernia , thoracic cavity , diaphragm (acoustics) , hernia , diaphragmatic hernia , surgery , anatomy , pathology , pregnancy , fetus , physics , alternative medicine , biology , acoustics , loudspeaker , genetics
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.