Radiographic interpretation: Lateral radiograph shows the loss of cardiac silhouette and loss of continuity of the diaphragmatic line. Gas filled loops of intestine are seen in the thorax. There are also poor thoracic details on the ventral caudal thorax. On VD view we can see fissure lines on the left thorax suggestive of the pleural effusion. On the right side of thorax we can see loops of gas filled intestine.
Diagnosis: Traumatic diaphragmatic hernia / pleuroperitoneal hernia.
Treatment and management: Surgery to repair the ruptured diaphragm after patient has been stabilized is the treatment of choice. Oxygen should be supplied if animal is dyspenic. If pleural effusion is present, thoracentasis should be performed. If animal is in shock, should be treated first for shock. If stomach is herniated surgery should be done at earliest possible as gastric dilatation may further compromise the respiration. Mortality is higher when surgery is performed within 24 hours or after 1 year of the injury.
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Labels: Pleuroperitoneal Hernia, Traumatic Diaphragmatic Hernia