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Pericardial window formation complicated by intrapericardial diaphragmatic hernia
Jeremy Docekal1, Thomas Fabian2
1Department of Internal Medicine, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA.
Case Reports in Surgery
|April 8, 2014
Summary
Rare diaphragmatic defects can cause abdominal contents to herniate into the pericardial sac. This case highlights a patient presenting with cardiac and abdominal issues after a subxiphoid pericardioperitoneal window procedure.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Imaging
Background:
- Diaphragmatic defects are rare, potentially leading to intra-abdominal contents herniating into the pericardial space.
- Causes include trauma, congenital defects (septum transversum), or surgical complications.
Purpose of the Study:
- To describe a rare case of internal herniation into the pericardial space following a surgical procedure.
- To highlight the diagnostic and clinical implications of such rare events.
Main Methods:
- Case report of a 73-year-old female patient.
- Review of clinical presentation, symptoms, and medical history.
- Analysis of the patient's condition post-subxiphoid pericardioperitoneal window.
Main Results:
- The patient presented with cardiac and abdominal symptoms.
- Symptoms appeared one month after a subxiphoid pericardioperitoneal window procedure.
- Suggests a potential complication of the surgical intervention.
Conclusions:
- Internal herniation through a diaphragmatic defect into the pericardial space is a rare but serious complication.
- Clinical vigilance is crucial in patients with cardiac and abdominal symptoms post-pericardioperitoneal procedures.
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