SELECTIVE ABDOMINAL ANGIOGRAPHY AS A DIAGNOSTIC METHOD FOR DIAPHRAGMATIC HERNIA IN THE DOG: AN EXPERIMENTAL STUDY

Difficulty in recognition of some diaphragmatic hernias in dogs have stimulated the authors to develop a diagnostic method consisting of selective angiography of the cranial mesenteric and celiac arteries. The basis for the experimen was that each herniated visceral organ is usually displaced with its vessels. The experiment was carried out on 14 mongrel dogs. Four dogs served as controls. Different kinds of diaphragmatic hernias were surgically created in 10 dogs. Survey abdominal radiographs, gastrointestinal tract contrast studies and selective abdominal angiography were performed 14 days later. In angiograms of dogs with omental diaphragmatic hernias, displacement of branches of the left gastroepiploic artery into the thorax was seen. In angiograms of dogs with hepatic diaphragmatic hernias, branches of the common hepatic artery were seen to enter the thorax. In dogs with herniated small intestine, the jejunal branches of the cranial mesenteric artery were seen entering the thorax. Potential possibilities of selective abdominal angiography for diagnosis of diaphragmatic hernias are discussed.