Rare complication after pericardial window: symptomatic diaphragmatic hernia containing bowel and liver.
BMJ Case Rep
; 13(11)2020 Nov 30.
Article
in English
| MEDLINE | ID: covidwho-949261
ABSTRACT
A 37-year-old woman presented to her local district general hospital with a cough, pleuritic chest pain and intermittent cyanosis. Eight months prior, she underwent a successful pericardial window for recurrent, symptomatic pericardial effusions. On presentation she was hypoxic but haemodynamically stable. Her chest radiograph raised the suspicion of a diaphragmatic hernia, confirmed by CT imaging. This identified herniation through the diaphragm of the transverse colon and left lobe of the liver resulting in cardiac compression and right ventricular dysfunction. She continued to deteriorate and required emergency intubation to allow safe transfer to a tertiary upper gastrointestinal unit. She underwent a laparotomy and repair of the diaphragmatic hernia with an uneventful inpatient recovery. In the literature, diaphragmatic liver herniation is a recognised complication secondary to trauma or congenital defects, however, to our knowledge, there are currently no cases described following pericardial windowing.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pericardial Effusion
/
Pericardial Window Techniques
/
Hernia, Diaphragmatic, Traumatic
Type of study:
Case report
Topics:
Long Covid
Limits:
Adult
/
Female
/
Humans
Language:
English
Year:
2020
Document Type:
Article
Affiliation country:
Bcr-2020-236078
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