Pericardiectomy causing abdominal hernia incarceration
Related Experiment Video
Updated: May 29, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Taufiek Konrad Rajab1, Musoni Maurice, Jackline Munyana
1Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. trajab@rics.bwh.harvard.edu
Abstract:
A 26-year-old Rwandan male presented with constrictive pericarditis, massive ascites and a giant umbilical hernia that had been asymptomatic for over a decade. Successful pericardiectomy was complicated by prompt incarceration of the abdominal hernia. This unexpected complication was caused by rapid resolution of the ascites due to autodiuresis and subsequent collapse of the hernial orifice. Patients with constrictive pericarditis and massive ascites who are evaluated for pericardiectomy should be carefully examined for the presence of abdominal hernias. If any such hernias are found, perioperative hernia repair should be considered and postoperative diuresis should be undertaken under close observation.
Related Concept Videos
Pericarditis III: Medical Management
Pericarditis I: Introduction
Hiatal Hernia
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Aneurysm III: Interprofessional Care
Pericarditis IV: Nursing Management
