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Peer-reviewed veterinary case report

Cat vomiting caused by liver hernia through diaphragm and treatment

By Pilli, Mehmet et al.·Published in Tierarztliche Praxis. Ausgabe K, Kleintiere/Heimtiere·2020·Department of Surgery·View original on PubMed

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Original publication title: Pleuroperitoneal true diaphragmatic hernia of the liver in a cat.

Species:
cat

Plain-English summary

A 2-year-old female domestic shorthair cat was brought in for intermittent vomiting. Tests showed a liver lobe was pushing through the diaphragm into the chest cavity, which is a rare condition. The vet performed surgery to move the liver back into place and close the hole in the diaphragm. After the surgery, the cat stopped vomiting and seemed to recover well.

People also search for: cat vomiting causes · cat liver problems · cat surgery recovery · cat hernia treatment

Abstract

A 2-year old female domestic shorthair cat was referred with intermittent vomiting. Laboratory analyses revealed only an elevated alanine aminotransferase activity. Plain thoracic radiographs showed a right-sided transdiaphragm protrusion of a liver lobe into the thoracic cavity. On abdominal ultrasound the diaphragm and liver parenchyma also presented a bulge towards the thoracic cavity. By cranial median laparotomy herniation of the quadrate liver lobe through the right aspect of the diaphragm into the thoracic cavity was confirmed. The protruding quadrate liver lobe was covered by intact parietal peritoneum. Following relocation of the liver lobe the defect was closed. Postoperatively the intermittent vomiting stopped. The purpose of this case report was to present plain radiography and abdominal ultrasonography as effective tools in the diagnosis of this rare and usually asymptomatic true herniation case along with its operative treatment.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32823353/