Document Type : Short Communication

Authors

Department of Clinical Sciences, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran

Abstract

Diaphragmatic rupture is introduced as one of the most common injuries occurring in small animals. In our retrospective report, 14 cats with a mean age of 12 months (male = 8, female = 6) that underwent diaphragmatic herniorrhaphy were studied. The data included the following: age, sex, breed, and clinical signs. The cause of diaphragmatic hernia, diaphragmatic rupture area, herniated organs, concomitant injuries, and survival rate after surgical treatment were detailed. The cats included 11 domestic shorthair (DSH) and three Persian. Trauma was the most common cause of rupture in these patients and one 3-month old Persian cat had peritoneopericardial diaphragmatic hernia (PPDH). The most common clinical sign was dyspnea. Concurrent disorders included fractures of pelvic, long bones and ribs and mild pneumothorax. One of the five cats survived with concurrent disorders. In this study, the frequency of rupture sites was as follows: the right-side (11 cats), left-side (2 cats), and dorsal side of diaphragm in one case. The most frequently inserted organ into the chest was liver. In our study, the survival rate after surgical treatment was 71.00%. In conclusion, we suggested that stabilization of the patient was important before herniorrhaphy. Based on our study, the concurrent damages affected the survival rate.

Keywords

  1. Das J, Jena B, Behera SS. Surgical management of feline traumatic diaphragmatic hernia- a case report. J Livestock Sci 2016; 7: 107-110.
  2. Hunt GB, Johnson KA. Diaphragmatic hernias. In: Tobias KM, Johnston Veterinary surgery small animal. 1st ed. St. Louis, USA: Elsevier 2013; 1380-1390.
  3. Fossum TW. Surgery of the lower respiratory system: pleural cavity and diaphragm. In: Fossum TW, Cho J, Dewey CW, et al. Small Animal Surgery. 5th Philadelphia, USA: Elsevier 2019; 916- 956.
  4. Legallet C, Thieman Mankin K, Selmic LE. Prognostic indicators for perioperative survival after diaphragmatic herniorrhaphy in cats and dogs: 96 cases (2001-2013). BMC Vet Res 2016; 13(1):16. doi: 10.1186/s12917-016-0926-y.
  5. Besalti O, Pekcan Z, Caliskan, M, et al. A retrospective study on traumatic diaphragmatic hernias in cats. Ankara Üniv Vet Fak Derg 2011; 58: 175-179.
  6. Gibson TW, Brisson, BA, Sears W. Perioperative survival rates after surgery for diaphragmatic hernia in dogs and cats: 92 cases (1990-2002). J Am Vet Med Assoc 2005; 227(1): 105-109.
  7. Boudrieau RJ, Muir WW. Pathophysiology of traumatic diaphragmatic hernia in dogs. Compend Contin Educ Pract Vet 1987; 9(4): 379-385.
  8. Wilson GP 3rd, Newton CD, Burt JK. A review of 116 diaphragmatic hernias in dogs and cats. J Am Vet Med Assoc 1971; 159 (9): 1142-1145.
  9. Walker RG, Hall LW. Rupture of the diaphragm: Report of 32 cases in dogs and cats. Vet Rec1965; 77: 830-837.
  10. Sullivan M, Reid J. Management of 60 cases of diaphragmatic rupture. J Small Anim Pract 1990; 31 (9): 425-430.
  11. Schmiedt CW, Tobias KM, Stevenson MA. Traumatic diaphragmatic hernia in cats: 34 cases (1991-2001). J Am Vet Med Assoc 2003; 222 (9): 1237-1240.
  12. Bellenger CR, Hunt GB, Goldsmid SE, et al. Outcomes of thoracic surgery in dogs and cats. Aust Vet J 1996; 74(1): 25-30.
  13. Hyun C. Radiographic diagnosis of diaphragmatic hernia: review of 60 cases in dogs and cats. J Vet Sci 2004; 5 (2): 157-162.
  14. Minihan AC, Berg J, Evans KL. Chronic diaphragmatic hernia in 34 dogs and 16 cats. J Am Anim Hosp Assoc 2004; 40 (1): 51-63.
  15. Banz AC, Gottfried SD. Peritoneopericardial diaphragmatic hernia: a retrospective study of 31 cats and eight dogs. J Am Anim Hosp Assoc 2010; 46(6): 398-404.
  16. Marolf A, Kraft S, Lowry J, et al. Radiographic diagnosis - right kidney herniation in a cat. Vet Radiol Ultrasound 2002; 43(3): 237-240.
  17. Stokhof AA. Diagnosis and treatment of acquired diaphragmatic hernia by thoracotomy in 49 dogs and 72 cats. Vet Q 1986; 8(3): 177-183.
  18. Kraje BJ. Intrathoracic and concurrent orthopedic injury associated with traumatic rib fracture in cats: 75 cases (1980- 1998). J Am Vet Med Assoc 2000; 216(1): 51-54.