Abstract

A 75-year-old Korean man was referred to our hospital with cramping abdominal pain. His chest X-ray showed an abnormal air shadow above the diaphragm, and computed tomography showed an abdominal viscera in the pericardium. We performed surgery and confirmed peritoneopericardial diaphragmatic hernia with small bowel strangulation. Postoperative course was uneventful. Peritoneopericardial diaphragmatic hernia is very rare in humans, so we report the case with a literature review.

Highlights

  • A peritoneopericardial diaphragmatic hernia is one that permits direct communication between the peritoneal and pericardial cavities through a defect in the diaphragm

  • We report a case of peritoneopericardial diaphragmatic hernia with small bowel strangulation in a 75-year-old Korean man

  • After the reduction of the herniated bowel, we identified the diaphragmatic defect

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Summary

Background

A peritoneopericardial diaphragmatic hernia is one that permits direct communication between the peritoneal and pericardial cavities through a defect in the diaphragm. We report a case of peritoneopericardial diaphragmatic hernia with small bowel strangulation in a 75-year-old Korean man. Case presentation A 75-year-old Korean male patient was referred to our emergency department with cramping abdominal pain for three days. An x-ray of the chest showed abnormal air shadows above the diaphragm (Figure 1).

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