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Clinical evaluation and surgical intervention for diaphragmatic eventration mimicking peritoneopericardial hernia in
Min-Jung Ko1, Kyoung-Min Song2, Hun-Young Yoon1,3
1Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, Seoul 05029, Korea.
Insights
A British Shorthair cat with chronic cough was treated for suspected diaphragmatic hernia. Surgery revealed laxity, leading to diaphragmatic plication, successfully resolving the condition.
Area of Science:
- Veterinary Surgery
- Cardiology
- Pulmonology
Background:
- Congenital peritoneopericardial diaphragmatic hernia can cause chronic respiratory issues in young animals.
- Accurate diagnosis requires advanced imaging like CT scans.
- Surgical intervention is often necessary for congenital defects.
Observation:
- A 2-year-old cat presented with a persistent cough since infancy.
- Initial diagnostics suggested a peritoneopericardial diaphragmatic hernia.
- Intraoperative findings revealed diaphragmatic laxity rather than a defect.
Findings:
- Transabdominal diaphragmatic plication was performed to address the lax diaphragm.
- Postoperative diagnosis was diaphragmatic eventration.
- The cat showed significant improvement in clinical signs and imaging post-procedure.
Implications:
- Transabdominal diaphragmatic plication is an effective treatment for feline diaphragmatic eventration.
- This surgical technique can resolve chronic respiratory distress in cats.
- Long-term follow-up confirmed the sustained efficacy of the procedure.
Abstract:
A 2-year-old spayed female British Shorthair cat presented with an increased frequency and duration of cough since infant period. Based on radiographic, ultrasonographic, and computed tomography findings, peritoneopericardial diaphragmatic hernia was considered so that repair surgery was planned. During celiotomy, lax diaphragm was identified instead of defect. Transabdominal diaphragmatic plication was performed to resolve lax diaphragm and to prevent recurrence by overlapping relatively normal part of diaphragm. Diagnosed with diaphragmatic eventration postoperatively, the cat showed improvement in clinical signs and imaging results. Transabdominal diaphragmatic plication is a suitable treatment; the patient maintained normally during a 14-month follow-up period.

