Cardiac tamponade secondary to traumatic intrapericardial diaphragmatic hernia

Affes, Nejmeddine; Mohamed, Abdenader; Khalil, Khemakem; Khalil, Ben Salah; Issam, Beyrouti Mohamed

doi:10.1016/j.jtcvs.2007.12.075

Cited by 5 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Frank cardiac tamponade has been reported in three cases. 8–10 Pericarditis has been reported twice, one soon after the initial trauma and the second 4 years post. 11 ,12…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The way to a man’s heart is through his stomach? A unique case report of transient constrictive pericarditis secondary to infarction of herniated omentum following bariatric surgery

Singh

Rowe

Hopkins

et al. 2022

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background Intrapericardial diaphragmatic hernias are a rare form of diaphragmatic hernia. The presentation is usually acute due to trauma or from iatrogenic causes. In some instances however, these patients can present years later. We describe an unusual case of transient constrictive pericarditis associated with herniation of omentum through a diaphgragmatic hernia extending into the pericardial space, which infarcted following recent bariatric surgery. A multi-disciplinary approach was required with surgical correction of the diaphragmatic defect and removal of omentum from the pericardial space. Case summary A 38 year old gentleman with a history of a remote abdominal stab wound and recent laparoscopic gastric sleeve procedure presented with sharp central chest pain radiating to the shoulder. Chest imaging (echocardiography, computed tomography [CT] and cardiac magnetic resonance imaging [MRI]) revealed the presence of an intrapericardial diaphragmatic hernia and herniation of devascularised omentum into the pericardial space. Surgery was undertaken to remove the pericardial omentum. Echocardiography and cardiac MRI revealed changes of pericardial constriction which resolved with anti-inflammatories. Discussion A multi-disciplinary approach was required in this case with surgical correction of the diaphragmatic defect and removal of omentum from the pericardial space. Multi-modal imaging proved essential in the diagnosis of this rare condition, aiding in timely diagnosis, ongoing management decisions and for assessing therapeutic response.

show abstract

“…Frank cardiac tamponade has been reported in three cases. 8–10 Pericarditis has been reported twice, one soon after the initial trauma and the second 4 years post. 11 ,12…”

Section: Discussionmentioning

confidence: 99%

“…In delayed presentations however, a thoracic approach is often required due to adhesions in the pericardium as in our case. 5 , 8 …”

Section: Discussionmentioning

confidence: 99%

The way to a man’s heart is through his stomach? A unique case report of transient constrictive pericarditis secondary to infarction of herniated omentum following bariatric surgery

Singh

Rowe

Hopkins

et al. 2022

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

“…Trauma is most common cause of acquired peritoneopericardial hernia. 1 However, less than 100 cases of traumatic pericardial hernias have been reported, and the majority were due to blunt trauma of the chest or abdomen. Surgical procedures described as potentially complicated by pericardial herniation include peritoneopericardial window formation, coronary artery bypass grafting using the gastroepiploic artery, and subxiphoid epicardial pacemaker insertion.…”

Section: Discussionmentioning

confidence: 99%

Acquired transdiaphragmatic hernia: an unusual cause of cardiac tamponade

D’Orio

Demondion

Lebreton

et al. 2017

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Transdiaphragmatic peritoneopericardial hernia is a rare complication after peritoneopericardial window formation, coronary artery bypass grafting using the gastroepiploic artery, or subxiphoid epicardial pacemaker insertion. We describe two different clinical presentations of transdiaphragmatic peritoneopericardial hernia in patients who had undergone recent heart transplantation. One was an exceptional case of cardiac tamponade caused by small bowel strangulation through a diaphragmatic defect.

show abstract

Laparoscopic repair of traumatic intrapericardial diaphragmatic hernia

McCutcheon

Chin

Hogan

et al. 2009

Hernia

View full text Add to dashboard Cite

Diaphragm rupture is associated with approximately 5% of blunt abdominal trauma. However, rupture of the central tendon of the diaphragm leading to an intrapericardial diaphragmatic hernia is very rare, with less than 100 cases reported in the world literature. All previously reported cases have been repaired via laparotomy or thoracotomy. In this paper, we present the first laparoscopic repair of a traumatic intrapericardial diaphragmatic hernia.

show abstract

Cardiac tamponade secondary to traumatic intrapericardial diaphragmatic hernia

Cited by 5 publications

References 7 publications

The way to a man’s heart is through his stomach? A unique case report of transient constrictive pericarditis secondary to infarction of herniated omentum following bariatric surgery

The way to a man’s heart is through his stomach? A unique case report of transient constrictive pericarditis secondary to infarction of herniated omentum following bariatric surgery

Acquired transdiaphragmatic hernia: an unusual cause of cardiac tamponade

Laparoscopic repair of traumatic intrapericardial diaphragmatic hernia

Contact Info

Product

Resources

About