Abstract
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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