Presentation
Screening thoracic radiographs. One other puppy from the litter had subaortic stenosis. Umbilical hernia is present.
Patient Data
The cardiac silhouette is markedly enlarged and rounded and there are visible intestinal loops containing granular and soft tissue opaque material superimposed on the ventral cardiac silhouette. There is border effacement of the ventral margin of the diaphragm, and the intestinal loops superimposed on the cardiac silhouette are confluent with the abdomen. The pulmonary vasculature and the visible pulmonary parenchyma are normal. Within the viewable abdomen, there is a loss of peritoneal serosal detail and the stomach contains heterogeneous soft tissue opaque and gas material.
Case Discussion
Peritoneal pericardial diaphragmatic hernia with intetstinal contents. At surgery, the PPDH contained liver, intestines, and gallbladder.
An echocardiogram revealed a small ventriculoseptal defect and mild tricuspid valve regurgitation.
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