{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:22:38Z","timestamp":1790126558277,"version":"4.0.1"},"reference-count":48,"publisher":"American Veterinary Medical Association (AVMA)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2016,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>CASE DESCRIPTION<\/jats:bold>\n                    A 6-year-old 2.08-kg (4.58-lb) neutered male Lionhead-mix pet rabbit\n                    <jats:italic>(Oryctolagus cuniculus)<\/jats:italic>\n                    was examined because of sneezing and increased respiratory effort.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CLINICAL FINDINGS<\/jats:bold>\n                    On the basis of the rabbit's radiographic findings, a diagnosis of diaphragmatic retroperitoneal perirenal fat and kidney herniation was made. Nine months later, physical examination revealed increased respiratory rate and effort and slightly decreased body weight. Thoracic radiography revealed decreased lung aeration and further craniomedial displacement of the right kidney, compared with the initial evaluation findings, suggesting progressive herniation of the retroperitoneal perirenal fat.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>TREATMENT AND OUTCOME<\/jats:bold>\n                    During exploratory celiotomy, a tear in the right dorsal tendinous portion of the diaphragm was noted. The right kidney and perirenal fat were found to be displaced into the thorax. Diaphragmatic herniorrhaphy was performed after replacement of the right kidney and the perirenal fat in the retroperitoneal space. The rabbit recovered uneventfully from anesthesia and surgery. Clinical signs did not recur during the following 16 months.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CLINICAL RELEVANCE<\/jats:bold>\n                    For rabbits with increased respiratory effort, diaphragmatic retroperitoneal perirenal fat and kidney herniation should be included as a differential diagnosis. As illustrated by the case described in this report, appropriate surgical management can provide a successful outcome for affected pet rabbits.\n                  <\/jats:p>","DOI":"10.2460\/javma.248.12.1399","type":"journal-article","created":{"date-parts":[[2016,6,6]],"date-time":"2016-06-06T15:51:24Z","timestamp":1465228284000},"page":"1399-1403","source":"Crossref","is-referenced-by-count":4,"title":["Clinical diagnosis and surgical management of diaphragmatic retroperitoneal perirenal fat and kidney herniation in a pet rabbit"],"prefix":"10.2460","volume":"248","author":[{"given":"Ruey-Shyuan","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che-Chu","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsien-Chi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuan-Sheng","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Small animal surgery.","first-page":"896","article-title":"Surgery of the lower respiratory system: pleural cavity and diaphragm","author":"Fossum","year":"2007"},{"key":"ref2","series-title":"Textbook of veterinary diagnostic radiology.","first-page":"535","article-title":"The diaphragm","author":"Randall","year":"2013"},{"key":"ref3","series-title":"J Am Vet Med Assoc","first-page":"1142","article-title":"A review of 116 diaphragmatic hernias in dogs and cats","volume":"159","author":"Wilson","year":"1971"},{"key":"ref4","series-title":"Compend Contin Educ Pract Vet","first-page":"379","article-title":"Pathophysiology of traumatic diaphragmatic hernia in dogs","volume":"9","author":"Boudrieau","year":"1987"},{"key":"ref5","series-title":"Pediatr Emerg Care","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1097\/00006565-200006000-00012","article-title":"Traumatic avulsion of kidney into the chest through a ruptured diaphragm in a boy","volume":"16","author":"Cohen","year":"2000"},{"key":"ref6","series-title":"Vet Radiol Ultrasound","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1111\/j.1740-8261.2002.tb00996.x","article-title":"Radiographic diagnosis\u2014right kidney herniation in a cat","volume":"43","author":"Marolf","year":"2002"},{"key":"ref7","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/S1098-612X(02)00097-9","article-title":"Hemiurothorax following diaphragmatic hernia and kidney prolapse in a cat","volume":"5","author":"St\u00f6rk","year":"2003"},{"key":"ref8","series-title":"Exotic DVM","first-page":"11","article-title":"Diaphragmatic kidney herniation in a rabbit","volume":"8","author":"Stauber","year":"2005"},{"key":"ref9","series-title":"Vet Radiol Ultrasound","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1111\/j.1740-8261.1991.tb00091.x","article-title":"Radiographic diagnosis","volume":"32","author":"Rochat","year":"1991"},{"issue":"238","key":"ref10","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1111\/j.1748-5827.2000.tb03240.x","article-title":"What is your diagnosis?","volume":"41","author":"Dorey","year":"2000"},{"key":"ref11","series-title":"J Small Anim Pract","first-page":"705","article-title":"Traumatic diaphragmatic rupture in a cat with partial kidney displacement into thorax","volume":"48","author":"Katic","year":"2007"},{"key":"ref12","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1111\/j.1748-5827.1980.tb01377.x","article-title":"Diaphragmatic hernia. Analysis of fifty-six cases in dogs and cats","volume":"21","author":"Garson","year":"1980"},{"key":"ref13","series-title":"Veterinary surgery: small animal","first-page":"1380","article-title":"Diaphragmatic hernias","author":"Hunt","year":"2012"},{"key":"ref14","series-title":"Int Urogynecol J","doi-asserted-by":"publisher","first-page":"1721","DOI":"10.1007\/s00192-014-2453-3","article-title":"Effects of phosphodiesterase type 5 inhibitor, tadalafil, on continence reflex in rats","volume":"25","author":"Izumi","year":"2014"},{"key":"ref15","series-title":"Vet Rec","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1136\/vr.125.8.186","article-title":"Ultrasonographic diagnosis of peritoneopericardial diaphragmatic hernia in a Persian cat","volume":"125","author":"Lamb","year":"1989"},{"key":"ref16","series-title":"Textbook of rabbit medicine","first-page":"121","article-title":"Anaesthesia and analgesia","author":"Harcourt-Brown","year":"2002"},{"key":"ref17","series-title":"Anaesthesia of exotic pets","first-page":"36","article-title":"Rabbit anaesthesia","author":"Longley","year":"2008"},{"key":"ref18","series-title":"Clinical anatomy and physiology of exotic species","first-page":"173","article-title":"Rabbits","author":"O'Malley","year":"2005"},{"key":"ref19","series-title":"Veterinary anaesthesia.","first-page":"599","article-title":"Anesthesia for intrathoracic procedures","author":"Clarke","year":"2014"},{"key":"ref20","series-title":"Br J Anaesth","first-page":"3","article-title":"Monitoring preoxygenation","volume":"72","author":"Campbell","year":"1994"},{"key":"ref21","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.2460\/ajvr.70.11.1333","article-title":"Comparison of time to desaturation between preoxygenated and nonpreoxygenated dogs following sedation with acepromazine maleate and morphine and induction of anesthesia with propofol","volume":"70","author":"McNally","year":"2009"},{"key":"ref22","series-title":"Essentials of small animal anesthesia and analgesia","first-page":"387","article-title":"Anesthesia for patients with respiratory disease and\/or airway compromise","author":"Grubb","year":"2011"},{"key":"ref23","series-title":"Ankara Univ Vet Fak Derg","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1501\/Vetfak_0000002470","article-title":"A retrospective study on traumatic diaphragmatic hernias in cats","volume":"58","author":"Besalti","year":"2011"},{"key":"ref24","series-title":"Compend Contin Educ Pract Vet Equine Ed","first-page":"37","article-title":"Diaphragmatic hernia: treatment, complications and prognosis","volume":"3","author":"Kelmer","year":"2008"},{"key":"ref1","series-title":"Small animal surgery.","first-page":"896","article-title":"Surgery of the lower respiratory system: pleural cavity and diaphragm","author":"Fossum","year":"2007"},{"key":"ref2","series-title":"Textbook of veterinary diagnostic radiology.","first-page":"535","article-title":"The diaphragm","author":"Randall","year":"2013"},{"key":"ref3","series-title":"J Am Vet Med Assoc","first-page":"1142","article-title":"A review of 116 diaphragmatic hernias in dogs and cats","volume":"159","author":"Wilson","year":"1971"},{"key":"ref4","series-title":"Compend Contin Educ Pract Vet","first-page":"379","article-title":"Pathophysiology of traumatic diaphragmatic hernia in dogs","volume":"9","author":"Boudrieau","year":"1987"},{"key":"ref5","series-title":"Pediatr Emerg Care","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1097\/00006565-200006000-00012","article-title":"Traumatic avulsion of kidney into the chest through a ruptured diaphragm in a boy","volume":"16","author":"Cohen","year":"2000"},{"key":"ref6","series-title":"Vet Radiol Ultrasound","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1111\/j.1740-8261.2002.tb00996.x","article-title":"Radiographic diagnosis\u2014right kidney herniation in a cat","volume":"43","author":"Marolf","year":"2002"},{"key":"ref7","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/S1098-612X(02)00097-9","article-title":"Hemiurothorax following diaphragmatic hernia and kidney prolapse in a cat","volume":"5","author":"St\u00f6rk","year":"2003"},{"key":"ref8","series-title":"Exotic DVM","first-page":"11","article-title":"Diaphragmatic kidney herniation in a rabbit","volume":"8","author":"Stauber","year":"2005"},{"key":"ref9","series-title":"Vet Radiol Ultrasound","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1111\/j.1740-8261.1991.tb00091.x","article-title":"Radiographic diagnosis","volume":"32","author":"Rochat","year":"1991"},{"issue":"238","key":"ref10","series-title":"J Small Anim 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Analysis of fifty-six cases in dogs and cats","volume":"21","author":"Garson","year":"1980"},{"key":"ref13","series-title":"Veterinary surgery: small animal","first-page":"1380","article-title":"Diaphragmatic hernias","author":"Hunt","year":"2012"},{"key":"ref14","series-title":"Int Urogynecol J","doi-asserted-by":"publisher","first-page":"1721","DOI":"10.1007\/s00192-014-2453-3","article-title":"Effects of phosphodiesterase type 5 inhibitor, tadalafil, on continence reflex in rats","volume":"25","author":"Izumi","year":"2014"},{"key":"ref15","series-title":"Vet Rec","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1136\/vr.125.8.186","article-title":"Ultrasonographic diagnosis of peritoneopericardial diaphragmatic hernia in a Persian cat","volume":"125","author":"Lamb","year":"1989"},{"key":"ref16","series-title":"Textbook of rabbit medicine","first-page":"121","article-title":"Anaesthesia and analgesia","author":"Harcourt-Brown","year":"2002"},{"key":"ref17","series-title":"Anaesthesia of exotic pets","first-page":"36","article-title":"Rabbit anaesthesia","author":"Longley","year":"2008"},{"key":"ref18","series-title":"Clinical anatomy and physiology of exotic species","first-page":"173","article-title":"Rabbits","author":"O'Malley","year":"2005"},{"key":"ref19","series-title":"Veterinary anaesthesia.","first-page":"599","article-title":"Anesthesia for intrathoracic procedures","author":"Clarke","year":"2014"},{"key":"ref20","series-title":"Br J Anaesth","first-page":"3","article-title":"Monitoring preoxygenation","volume":"72","author":"Campbell","year":"1994"},{"key":"ref21","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.2460\/ajvr.70.11.1333","article-title":"Comparison of time to desaturation between preoxygenated and nonpreoxygenated dogs following sedation with acepromazine maleate and morphine and induction of anesthesia with propofol","volume":"70","author":"McNally","year":"2009"},{"key":"ref22","series-title":"Essentials of small animal anesthesia and analgesia","first-page":"387","article-title":"Anesthesia for patients with respiratory disease and\/or airway compromise","author":"Grubb","year":"2011"},{"key":"ref23","series-title":"Ankara Univ Vet Fak Derg","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1501\/Vetfak_0000002470","article-title":"A retrospective study on traumatic diaphragmatic hernias in cats","volume":"58","author":"Besalti","year":"2011"},{"key":"ref24","series-title":"Compend Contin Educ Pract Vet Equine Ed","first-page":"37","article-title":"Diaphragmatic hernia: treatment, complications and prognosis","volume":"3","author":"Kelmer","year":"2008"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/248\/12\/javma.248.12.1399.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/248\/12\/javma.248.12.1399.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/248\/12\/javma.248.12.1399.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T20:08:50Z","timestamp":1775765330000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/248\/12\/javma.248.12.1399.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,15]]},"references-count":48,"journal-issue":{"issue":"12"},"URL":"https:\/\/doi.org\/10.2460\/javma.248.12.1399","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2016,6,15]]}}}