J Surg Case Rep. 2019 Nov 26;2019(11):rjz281. doi: 10.1093/jscr/rjz281. eCollection 2019 Nov. https://www.ncbi.nlm.nih.gov/pubmed/31798823

Asymptomatic congenital intrapericardial diaphragmatic hernia in a woman becoming symptomatic after childbirth.

Kakaje A¹, Mahfouz M², Chaban H².

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Abstract

This paper describes a rare case presentation of congenital asymptomatic intrapericardial diaphragmatic hernia. In this case, the female patient survived without symptoms for over 30 years until becoming symptomatic at childbirth. Diaphragmatic hernia occurs when abdominal viscera protrude into the thoracic cavity, with pericardial hernias being the rarest type. Diaphragmatic hernia can be caused by trauma that raises the intra-abdominal pressure, whereas congenital hernias are often symptomatic at birth. It is rare to have a congenital asymptomatic intrapericardial diaphragmatic hernia, where the patient survives until adulthood and subsequently becomes symptomatic after delivering a child; hence, that is the uniqueness of this case.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019.PMID: 31798823 PMCID: PMC6878722 DOI: 10.1093/jscr/rjz281Free PMC Article