Link: https://www.ncbi.nlm.nih.gov/pubmed/31202998

Int J Surg Case Rep. 2019 Jun 5;60:49-52. doi: 10.1016/j.ijscr.2019.05.049. [Epub ahead of print]
Intrapericardial diaphragmatic hernia in a 6-month-old girl: A case report and review of the literature.
Cossa M1, Robinson TD2.
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Abstract
INTRODUCTION:
Intrapericardial congenital diaphragmatic hernia (IPCDH) is extremely rare: only 18 cases in children have been reported in the literature since 1981. We report the 19th case of infantile IPCDH in a 6-month-old girl and compare with previous reports.

PRESENTATION OF CASE:
Our patient initially presented with four days of dyspnea and was diagnosed with CDH by preoperative radiography. She was taken to the operating room, where an IPCDH was discovered, and successfully reduced.

DISCUSSION:
CDH may present with cardiopulmonary compromise, but IPCDH directly compress the heart, leading to acute or subacute heart failure.

CONCLUSION:
Pediatric surgeons should be aware of and prepared for the possibility of IPCDH when making surgical plans to correct CDH.

Copyright 2019. Published by Elsevier Ltd.

KEYWORDS:
Case report; Congenital diaphragmatic hernia; Pediatric surgery; Pericardium; Thoracic surgery

PMID: 31202998 DOI: 10.1016/j.ijscr.2019.05.049
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