Diaphragmatic Hernia
Copyright Veterinaryradiology.net
Publication Date: 2008-01-25
History
10 year male neutered feline domestic shorthair. One month previously, was hit by a car.
Sustained a bilateral sacroiliac luxation, a L coxofemoral joint luxation, and a R ischial fracture. These were surgically repaired, and his tail was amputated. Recent onset of constipation and weight loss.
4 images
Findings
THORAX There is soft tissue opacification of the right hemithorax. There are irregular gas opacities within the soft tissues of the right hemithorax. The trachea and carina appears displaced to the left. The cardiac silhouette is difficult to evaluate. In the viewable cranial abdomen, the stomach and liver are not identified.
PELVIS Multiple fracture lines and fracture fragments are present within both hemipelves. A metallic screw is present across the left sacroiliac joint. A pin is in the region of the right sacroiliac joint and may be entering the spinal canal. An additional pin spans the ilial wings. An anchor is noted in the region of the left femoral neck. There is a large bony callus emanating from the right coxofemoral joint impinging into the pelvic canal. An angular osseous fragment is noted cranioventral to the pubis.
Diagnosis
Right sided diaphragmatic hernia with displacement of the liver, stomach and small intestines into the thoracic cavity.
Multiple chronic pelvic fractures. Bony callus eminating from the right coxofemoral joint likely occluding the pelvic canal
Discussion
The healing pelvic fractures were causing mild stenosis of the pelvic canal. The diaphragmatic hernia was surgically repaired at this time. Removal of the pin impinging on the spinal canal was discussed but not immediately performed.