The patient is a 6 year old neutered male Pomeranian dog, who was presented for occasional coughing. A right sided diaphragmatic hernia seen on radiographs. Blood work showed amylase 1583 and glucose 124; all other values were within normal limits.
Case Study
Diaphragmatic hernia in a 6 year old MN Pomeranian
DX
Right medial lobar hepatic diaphragmatic hernia.
Sonographic Differential Diagnosis
Right medial lobar hepatic diaphragmatic hernia, which appears stable. No regional inflammation was noted. However, surgical intervention should be considered given the coughing in this patient.
Image Interpretation
The herniated portion of the liver measured 8.2 cm and appeared to buttress against the vena cava. This appeared to be entering via diaphragmatic inlet and juxtaposed the right heart. The esophagus appears displaced cranially. Contiguous hepatic vein and portal vein surpass the diaphragm into the right medial lobes of the liver.
Outcome
None
Clinical Differential Diagnosis
Sliding or fixed diaphragmatic hernia, lung/respiratory disease
Sampling
None
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Patient Information
Patient Name :
Riley H
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
03_00317
Clinical Signs
- Coughing
Images
Blood Chemistry
- Amylase, High
Clinical Signs
- Coughing