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Pericardial diaphragmatic hernia in a 3 month old MN Yorkipoo

Case Study

Pericardial diaphragmatic hernia in a 3 month old MN Yorkipoo

A 3-month-old male neutered Yorkipoo dog was presented with a history of coughing. On survey radiographs, a diaphragmatic hernia was suspected because of a nebulous appearance of the diaphragm.

A 3-month-old male neutered Yorkipoo dog was presented with a history of coughing. On survey radiographs, a diaphragmatic hernia was suspected because of a nebulous appearance of the diaphragm.

DX

Pericardial diaphragmatic hernia of the liver.

Sonographic Differential Diagnosis

Pericardial diaphragmatic hernia of the liver. Stable heart. Mildly prominent right atrium and slight tricuspid insufficiency. This is likely secondary to the diaphragmatic hernia in cor pulmonale type presentation.

Image Interpretation

The right atrium was slightly prominent in this patient, which is likely a secondary effect from the pericardial diaphragmatic hernia. Slight pulmonic insufficiency was noted. The cardiac presentation in this patient appeared largely normal from an internal standpoint. However, there was no separation between the pericardium and thoracic base as well as the diaphragm. The liver lobes appeared to involve the pericardium. The heart appears stable at this time with the following mmode measurements: FS: 37%; EF: 71%; LA/AO 1.3; RVOT 0.6; LA: 0.9; LVIDd 1.6.

Outcome

No treatment was performed. The owners decided to observe the patient.

Comments

The patient is clinically stable at this point. Surgical correction would be ideal. However, this would be a delicate intervention. 

Clinical Differential Diagnosis

Diaphragmatic hernia, peritoneal-pericardial diaphragmatic hernia

Sampling

None

Patient Information

Patient Name : Prince C
Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 15_00029

Clinical Signs

  • Coughing

Images

VDRad_0322201103154915_00029_LtradsDH_0728201103180015_00029_Liverwithdiaphragm_07282011031813Liverwithdiaphragm_03222011031759

Clinical Signs

  • Coughing