Case Report: Surgical Repair and Pericardial Drainage in a Scottish Fold Cat with Congenital Peritoneopericardial Diaphragmatic Hernia
Keywords:
Cat, Pericardial tube, Peritoneopericardial diaphragm hernia, Surgical treatmentAbstract
Peritoneopericardial diaphragmatic hernia (PPDH) is the most frequently encountered congenital defect affecting the diaphragm and pericardium in cats. This report aimed to present the case of a 4-month-old intact male Scottish Fold cat that was diagnosed with PPDH, focusing on the surgical technique for pericardial drain insertion and the long-term outcome. The patient had a history of acute vomiting. Physical examination revealed abdominal breathing and mild abdominal discomfort upon palpation, with no history of dyspnea or cyanosis. Thoracic radiography confirmed the diagnosis of diaphragmatic hernia, while abdominal ultrasonography revealed displacement of parts of the liver and gallbladder into the pericardial space, along with thickening of the intestinal wall. Based on this investigation, congenital PPDH was diagnosed. Surgical repair of the PPDH was performed, and the hernial contents included the liver and gallbladder in the pericardial sac. The PPDH was closed with nylon No.3-0 using a simple continuous suture pattern. Air was aspirated from the pericardial sac to establish negative pressure by a pericardial tube. One year post-surgery, the cat exhibited normal breathing and regained overall health.
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