An 8-month-old neutered female domestic mixed breed cat was presented to Dr. L. Kriaučeliūnas Small Animal Clinic due to coughing that persisted for 2 weeks. Lateral and dorsoventral chest radiographs revealed an unusual dome-shaped soft tissue opacity mass that had contact with the cranial part of the diaphragm. Together with heart and abdominal ultrasound findings, we decided that one of the differential diagnoses was a diaphragmatic hernia. During the diagnostic celiotomy, a vertical 4 cm in length diaphragmatic deficit was visualized. Left medial and lateral liver lobes were herniated, yet healthy-looking. Adhesions between the liver lobes and the pericardium sac were visualized and dissected. The pericardium was sutured with simple interrupted suture pattern. A herniorrhaphy was performed suturing the diaphragm with the continuous suture pattern. Successful surgical treatment resulted in fully resolved clinical symptoms.
Dalmer, T. R., & Clugston, R. D. (2019). Gene ontology enrichment analysis of congenital diaphragmatic hernia-associated genes. Pediatric Research, 85(1), 13-19. http://dx.doi.org/10.1038/s41390-018-0192-8. PMid:30287891.
Evans, S. M., & Biery, D. N. (1980). Congenital peritoneopericardial diaphragmatic hernia in the dog and cat: A literature review and 17 additional case histories. Veterinary Radiology, 21(3), 108-116. http://dx.doi.org/10.1111/j.1740-8261.1980.tb00589.x.
Haroun, H. S. (2018). Congenital diaphragmatic hernias: A review article. Anatomy Physiol Biochem Int J, 4(2), 555635.
Kim, J., Kim, S., Jo, J., Lee, S., & Eom, K. (2016). Radiographic and computed tomographic features of caval foramen hernias of the liver in 7 dogs: Mimicking lung nodules. The Journal of Veterinary Medical Science, 78(11), 1693. http://dx.doi.org/10.1292/jvms.16-0161. PMid:27430293.
Losty, P. D. (2014). Congenital diaphragmatic hernia: Where and what is the evidence? Seminars in Pediatric Surgery, 23(5), 278-282. http://dx.doi.org/10.1053/j.sempedsurg.2014.09.008. PMid:25459012.
Montedonico, S., Nakazawa, N., & Puri, P. (2008). Congenital diaphragmatic hernia and retinoids: Searching for an etiology. Pediatric Surgery International, 24(7), 755-761. http://dx.doi.org/10.1007/s00383-008-2140-x. PMid:18401587.
Ng, C. S., Lee, T. W., Wan, S., & Yim, A. P. (2006). Caval foramen hernia masquerading as a thoracic mass. Canadian Journal of Surgery, 49(1), 64-65. PMid:16524148.
Nonaka, Y., Takashima, K., Yamane, T., & Yamane, Y. (2008). Caval foramen hernia in a dog. Dobutsu Rinsho Igaku, 17, 81-85.
Park, J., Lee, H. B., & Jeong, S. M. (2020). Caval foramen hernia in a dog: Preoperative diagnosis and surgical treatment. The Journal of Veterinary Medical Science, 82(11), 1602. http://dx.doi.org/10.1292/jvms.19-0575. PMid:32801281.
Siow, J. W., Hoon, Q. J., Jenkins, E., Heblinski, N., & Makara, M. (2020). Caval foramen hernia in a cat. Journal of Feline Medicine and Surgery Open Reports, 6(2), 2055116920964021. http://dx.doi.org/10.1177/2055116920964021. PMid:33149929.
Slatter, D. H. (2003). Textbook of small animal surgery (3rd ed., Elsevier Health Sciences, pp. 471-487). Philadelphia: Saunders.
Voges, A. K., Bertrand, S., Hill, R. C., Neuwirth, L., & Schaer, M. (1997). True diaphragmatic hernia in a cat. Veterinary Radiology & Ultrasound, 38(2), 116-119. http://dx.doi.org/10.1111/j.1740-8261.1997.tb00825.x. PMid:9238779.
White, J. D., Tisdall, P. L. C., Norris, J. M., & Malik, R. (2003). Diaphragmatic hernia in a cat mimicking a pulmonary mass. Journal of Feline Medicine and Surgery, 5(3), 197-201. http://dx.doi.org/10.1016/S1098-612X(02)00069-4. PMid:12765631.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Dmitrij Kvitka, Dalia Juodžentė, Greta Rudenkovaitė, Evelina Burbaitė, Monika Laukutė