The rarest form of congenital diaphragmatic hernia involves a central tendon defect, which is often associated with a massive pericardial effusion. Very few of these have been reported, and they present unique challenges to the pediatric surgeon. We present a case report of our recent experience of this condition in a term neonate and the difficulties in diagnosing the condition. We also detail the first use of laparoscopy to close such a defect.
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References
1.
TorfsCP, CurryCJet al.A population-based study of congenital diaphragmatic hernia. Teratol, 1992; 46:555–565.
HaraK, KikuchiAet al.Massive pericardial effusion in an early gestational fetus having intrapericardial diaphragmatic hernia. J Obstet Gynaecol Res, 2007; 33:561–565.
6.
PaciM, deFrancoSet al.Septum transversum diaphragmatic hernia in an adult. J Thorac Cardiovasc Surg, 2005; 129:444–445.
7.
de FonsecaJM, DaviesMR, BoltonKD. Congenital hypopericardium associated with the herniation of part of the liver into the pericardial sac. J Pediatr Surg, 1987; 22:851–853.
8.
JankaG, StadtU. Familial and acquired hemophagocytic lymphohistiocytosis. Hematology Am Soc Hematol Educ Program, 2005; 82–88.
