“Rocky” is a two-year-old male neutered Domestic Shorthair that presented to Hinsdale Animal Hospital for an acute history of vomiting. Rocky was adopted with his sibling as a kitten from the local humane society. He has always been smaller than his sibling, and more of a picky eater, but was believed to be in generally good health. On the day of presentation, Rocky had vomited approximately 10 times and the owners believed that he has ingested some ribbons they saw him playing with earlier in the week. Radiographs were performed revealing an enlarged cardiac silhouette with areas of lucency consistent with loops of intestines overlying. These findings are consistent with a pericardio-peritoneo-diaphragmatic hernia (PPDH).
PPDH can occur with trauma or, as in this case, is a congenital abnormality that occurs in embryonic development when there is incomplete formation of the septum transversum. This leads to incomplete formation of the diaphragm and hence the ability of abdominal organs such as the liver, intestines, spleen or stomach to move into the pericardial sac.
Since Rocky was showing clinical signs (vomiting) due to this abnormality, surgery was performed. The abdominal organs were retracted via a midline laparotomy and the rent in the diaphragm repaired surgically.
Rocky went on to make a complete recovery.
4 hours post-operatively
4 weeks post-operative radiograph
Help Save Pets was originally founded as the Humane Society of Plainfield in 2000. Since then we have placed over 14,000 animals into loving homes. Each one of these animals was given shelter, food, medical aid and vaccinations and time to find the right home. Our doctors mended mutilated limbs and cured many illnesses so that these animals could get a second chance at good lives. We have grown and now operate out of 6 locations, not all of them in Plainfield. In 2008, we changed our name from the Humane Society of Plainfield to Help Save Pets, still HSP.
Dr. Tony Kremer owns 8 veterinary hospitals in the Chicagoland area and two in Ohio. He is the founder of Help Save Pets, an animal shelter which has saved more than 14,000 pets since 2000. Dr. Tony’s knowledge, insight, and advice are shared regularly with major media outlets across the nation and in the third largest market. Dr. Tony is also a member of the Chicago Veterinary Medical Association Public Education Committee that routinely gets the word out about responsible pet ownership.