title: [Diaphragmatic hernia as a rare complication during caesarean section in a cow (author's transl)].
abstract: The literature on diaphragmatic hernia in cattle and buffaloes is reviewed. A heifer showed accelerated respiration, symptoms of dyspnoea, occasional coughing and groaning, a variable appetite and emaciation unaccompanied by an increase in temperature for sixteen days prior to parturition. A diagnosis was not established. During parturition which occurred at term, marked symptoms were not observed, and it was decided to perform caesarian section because of the unduly large foetus. During the operation, performed in the standing animal, the heifer offered violent resistance when the abdominal cavity had been opened, showing symptoms of severe dyspnoea and/or pain, an fell down. In this state of excitement, which subsequently came to resemble shock, the heifer showed cyanotic mucosae and a very quick pulse. The heart sounds on the left side were inaudible on auscultation. The operation could only be completed in the recumbent position after sedation. Nothing which could account for the symptoms was detectable throughout treatment. The animal then remained quiet, the mucosae having regained their pink colour, the pulse rate decreased. Respiration continued to be too rapid and it became plain that it was obviously of the pendular type. The animal having been slaughtered in agreement with the owner, diaphragmatic hernia was found to be present on the left side. The enlarged spleen was largely situated in the thorax and partly adhered to the lung. The history of the case is discussed.
mesh_terms: D000818:Animals; D002417:Cattle; D002418:Cattle Diseases / Q000150:complications*; D002585:Cesarean Section / Q000662:veterinary*; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000662:veterinary*; D007744:Obstetric Labor Complications / Q000209:etiology / Q000662:veterinary*; D011247:Pregnancy
vernacular_title: Hernia diafragmatica als zeldzame complicatie tijdens een sectio caesarea bij een rund.