A congenital anterior diaphragmatic hernia with massive pericardial effusion requiring neither emergency pericardiocentesis nor operation. A case report and review of the literature

Kazushige Ikeda, Isamu Hokuto, Keisuke Tokieda, Osamu Nishimura, Hitoshi Ishimoto, Yasuhide Morikawa

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Abstract

All previously reported cases of anterior diaphragmatic hernia with massive pericardial effusion were treated by pericardiocentesis and radical surgery during the early neonatal period. However, we initially followed the course of our patient in the neonatal period. Subsequently, elective surgery was performed at 70 days of age. Including our case, cardiac tamponade has not been observed in any previously reported cases of congenital anterior diaphragmatic hernia with massive pericardial effusion. Conclusion: Emergency pericardiocentesis and surgery are not always required immediately after birth, even when the presence of this condition is suspected by prenatal diagnosis. Our observation may be beneficial to preterm low birth weight infants with this condition.

Original languageEnglish
Pages (from-to)336-340
Number of pages5
JournalJournal of Perinatal Medicine
Volume30
Issue number4
DOIs
Publication statusPublished - 2002 Jan 1

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Keywords

  • Anterior diaphragmatic hernia
  • Foramen Morgagni
  • Intrauterine MR imaging
  • Pericardial effusion
  • Prenatal diagnosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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