title: A congenital anterior diaphragmatic hernia with massive pericardial effusion requiring neither emergency pericardiocentesis nor operation. A case report and review of the literature.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of Neonatology, Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan. kazuiked@sc.itc.keio.ac.jp
authors.forename: Kazushige
authors.initials: K
authors.lastname: Ikeda
authors.forename: Isamu
authors.initials: I
authors.lastname: Hokuto
authors.forename: Keisuke
authors.initials: K
authors.lastname: Tokieda
authors.forename: Osamu
authors.initials: O
authors.lastname: Nishimura
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ishimoto
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Morikawa
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn; D010490:Pericardial Effusion / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D020519:Pericardiocentesis; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011859:Radiography; D016216:Ultrasonography, Prenatal