Peer-reviewed veterinary case report
Long-term results for cats treated for peritoneopericardial
By Reimer, S Brent et al.Ā·Published in Journal of the American Veterinary Medical AssociationĀ·2004Ā·Veterinary Medical Teaching Hospital, United StatesĀ·View original on PubMed ā
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Original publication title: Long-term outcome of cats treated conservatively or surgically for peritoneopericardial diaphragmatic hernia: 66 cases (1987-2002).
- Species:
- cat
Plain-English summary
A group of cats with a condition called peritoneopericardial diaphragmatic hernia (PPDH), which can cause breathing and digestive issues, were treated either with surgery or conservative management. Out of 66 cats, 37 underwent surgery while 29 were treated without surgery. Most owners reported being very satisfied with the outcomes, especially those whose cats had surgery, although some cats experienced minor complications after surgery. Overall, the long-term outlook for both treatment options was positive, with many cats recovering well.
People also search for: cat breathing problems PPDH Ā· cat surgery recovery time Ā· peritoneopericardial diaphragmatic hernia treatment options
Abstract
OBJECTIVE: To determine long-term outcome of cats treated conservatively or surgically for peritoneopericardial diaphragmatic hernia (PPDH). DESIGN: Retrospective study. ANIMALS: 67 cats with PPDH. PROCEDURE: Medical records of cats with a diagnosis of PPDH made from 1987 through 2002 were reviewed. Information regarding long-term outcome was obtained from owners. RESULTS: Prevalences of PPDH in domestic longhair and Himalayan cats were significantly greater and prevalence of PPDH in domestic shorthair cats was significantly lower than prevalence of PPDH in the hospital cat population over the 15-year study period. Historical problems most commonly related to the respiratory and gastrointestinal tracts. Peritoneopericardial diaphragmatic hernia was the primary diagnosis in 40 cats and an incidental finding in 27 cats. One cat died prior to arrival at the Veterinary Medical Teaching Hospital. Thirty-seven of 66 cats were treated surgically, and 29 were treated conservatively. The postoperative mortality rate was 14%. Postoperative complications developed in 29 of 37 cats, the most common of which was hyperthermia. Two of 22 conservatively treated cats had progression of clinical signs necessitating surgical intervention or resulting in death. Owner satisfaction with treatment choice and long-term outcome was rated as very satisfied by 88% of owners of surgically treated cats and 68% of owners of conservatively treated cats. CONCLUSIONS AND CLINICAL RELEVANCE: Cats with overt clinical signs attributable to PPDH are good candidates for surgical herniorrhaphy. Postoperative complications may develop but are generally minor and self-limiting. Long-term outcome of cats treated conservatively or surgically was rated as very good by most owners.
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Search related cases āOriginal publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/15002811/