Intrapericardial diaphragmatic hernia in a 6-month-old girl: A case report and review of the literature.
Int J Surg Case Rep 2019;
60:49-52. [PMID:
31202998 PMCID:
PMC6580309 DOI:
10.1016/j.ijscr.2019.05.049]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 05/21/2019] [Accepted: 05/29/2019] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION
Intrapericardial congenital diaphragmatic hernia (IPCDH) is extremely rare: only 18 cases in children have been reported in the literature since 1981. We report the 19th case of infantile IPCDH in a 6-month-old girl and compare with previous reports.
PRESENTATION OF CASE
Our patient initially presented with four days of dyspnea and was diagnosed with CDH by preoperative radiography. She was taken to the operating room, where an IPCDH was discovered, and successfully reduced.
DISCUSSION
CDH may present with cardiopulmonary compromise, but IPCDH directly compress the heart, leading to acute or subacute heart failure.
CONCLUSION
Pediatric surgeons should be aware of and prepared for the possibility of IPCDH when making surgical plans to correct CDH.
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