• cesarean section;
  • congenital anomaly;
  • nutritional support;
  • pediatrics;
  • pulsus paradoxus


Objective: To describe the surgical repair and pre- and postoperative management of a peritoneopericardial diaphragmatic hernia (PPDH) in a pregnant dog.

Case summary: A pregnant dog was presented for vomiting, lethargy, and pale mucous membranes. Pulsus paradoxus was noted on physical examination. The dog was diagnosed with a PPDH via thoracic radiographs, abdominal ultrasound, and an echocardiogram. The hernia was surgically repaired and the dog received supportive medical care until the puppies were old enough to be delivered via cesarean section. The mother and all puppies survived.

New or unique information provided: This is the first report that describes the surgical repair and postoperative management of a PPDH in a pregnant dog.