Congenital pleuro - peritoneal diaphragmatic hernia

RE: Congenital pleuro - peritoneal diaphragmatic hernia

Utlendigur — Sun, 24 Jun 2018 10:54:49 GMT

I've seen one in a 6mnth collie whose owners watched her "breathing funny" for 2 days, then vomiting for a further 24hrs before they decided to come in. Needless to say it wasn't a good outcome - pretty much the whole of the small intestines through the defect and strangulated. Dog died mid op but the whole intestine was dead anyway. The defect was a perfect circle about 2" diameter so would have needed some sort of mesh but would have been treatable if brought in sooner

RE: Congenital pleuro - peritoneal diaphragmatic hernia

serena holmes — Sun, 24 Jun 2018 01:07:21 GMT

Incidental finding or dyspnoic?

RE: Congenital pleuro - peritoneal diaphragmatic hernia

Joyce Whitehead — Sat, 23 Jun 2018 23:54:20 GMT

Only one I’ve seen, flat coat retriever that had a ventral abdo defect at birth which we sutured as a new born. Appeared to have just a muscle defect as she was growing to match her siblings but when admitted for repair at 4 months we realised there was more of an issue. Huge diaphragmatic defect, stomach and liver in pleural cavity. Removed and surured, used a proline mesh in abdominal muscle defect as it was so large. She never looked back and is now a healthy 14 month old starting her working training.

RE: Congenital pleuro - peritoneal diaphragmatic hernia

Chris Barker — Sat, 23 Jun 2018 23:12:22 GMT

My experience with pericardio-peritoneal hernia is varied. I had one which was such a simple defect that we pulled omentum and bowel back into the abdomen, stitched up the diaphragmatic defect and the dog never looked back. But I've also had one where the liver was adherent, as if it had developed within the pericardial sac, and this malposition prevented successful surgery and resolution