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Intrapericardial diaphragmatic hernia: report of 2 cases with prenatal diagnosis
Ibrahim Halil Kalelioğlu1, Burçin Karamustafaoğlu, Recep Has
1Department of Obstetrics and Gynecology, Istanbul University, Istanbul Faculty of Medicine, Capa, Fatih, 34093 Istanbul, Turkey.
Insights
Intrapericardial diaphragmatic hernia is a rare congenital defect. This report details two prenatal diagnoses of this condition, aiding in early detection and management.
Area of Science:
- Perinatology
- Congenital Abnormalities
- Pediatric Surgery
Background:
- Intrapericardial diaphragmatic hernia (IPDH) is an extremely rare congenital anomaly.
- Few cases are documented in medical literature, highlighting its rarity.
- The condition involves a triad of massive pericardial effusion, pulmonary compression, and liver herniation into the pericardium.
Observation:
- Two cases of IPDH were diagnosed prenatally.
- Diagnosis occurred within an obstetrics and gynecology unit.
- Prenatal identification allows for timely intervention planning.
Findings:
- The study presents two cases of intrapericardial diaphragmatic hernias.
- Both cases were successfully diagnosed during prenatal examinations.
- This highlights the potential for prenatal detection of this rare condition.
Implications:
- Early prenatal diagnosis of IPDH is crucial for planning management.
- Improved understanding of IPDH can lead to better patient outcomes.
- This case series contributes to the limited literature on IPDH.
Abstract:
An intrapericardial diaphragmatic hernia is a very rare congenital abnormality, with only a few cases reported in the English literature. The triad includes a massive pericardial effusion, bilateral pulmonary compression with or without pulmonary hypoplasia, and herniation of part of the liver into the pericardium. We report 2 cases of intrapericardial diaphragmatic hernias diagnosed prenatally in our obstetrics and gynecology unit.
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