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Intrapericardial herniation. A report of 2 cases.
J A Mayor-Davies1, R S Britz, M J Soares
1Department of Surgery, Hillbrow Hospital, Johannesburg.
Summary
Traumatic intrapericardial rupture is rare and often fatal. This report details two cases of delayed central tendon defects and intrapericardial herniation following blunt chest and abdominal trauma.
Area of Science:
- Trauma Surgery
- Cardiothoracic Surgery
- Diagnostic Imaging
Background:
- Traumatic intrapericardial rupture is a rare injury, frequently associated with fatal outcomes.
- Blunt chest and abdominal trauma can lead to severe internal injuries.
Observation:
- Two cases presented with delayed symptoms after initial blunt trauma.
- Patients exhibited central tendon defects and subsequent intrapericardial herniation.
Findings:
- The cases highlight the possibility of delayed presentation of intrapericardial injuries.
- Central tendon defects were noted as a precursor to herniation.
Implications:
- Delayed diagnosis of traumatic intrapericardial rupture is possible.
- Recognition of central tendon defects is crucial for identifying at-risk patients.
- This underscores the importance of thorough evaluation after blunt force trauma.