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Traumatic intrapericardial rupture of the diaphragm
The Journal of Trauma
|October 1, 1978
Summary
A rare diaphragmatic rupture allowed transverse colon herniation into the pericardium. Surgical repair via an abdominal incision successfully treated this intrapericardial hernia.
Area of Science:
- Cardiovascular Surgery
- Gastrointestinal Surgery
- Thoracic Surgery
Background:
- Intrapericardial diaphragmatic rupture is an exceedingly rare condition.
- Herniation of abdominal contents into the pericardial sac presents unique diagnostic and therapeutic challenges.
Observation:
- A 60-year-old female patient presented with an intrapericardial rupture of the diaphragm.
- A loop of the transverse colon had herniated into the pericardial space.
Findings:
- The case represents one of only ten previously reported instances of this specific injury.
- Hernia reduction and diaphragmatic defect repair were successfully performed using an upper midline abdominal approach.
Implications:
- This case highlights the feasibility of transabdominal repair for intrapericardial diaphragmatic hernias.
- Prompt surgical intervention is crucial for managing this rare but potentially life-threatening condition.