title: Massive intrapericardial herniation of stomach following pericardial window.
abstract: Herniation of intra-abdominal contents into the pericardial cavity is rare. We describe one such case occurring after creation of a pericardioperitoneal window for drainage of a pericardial effusion. The diagnosis of an intrapericardial hernia should be considered in patients presenting with gastrointestinal and/or cardiorespiratory symptoms following surgical procedures involving the diaphragm.
authors.affiliation: Division of Gastroenterology, Hepatology Department of Internal Medicine, Mayo Clinic, Rochester, Minn., USA.
authors.forename: V J
authors.initials: VJ
authors.lastname: Murari
authors.forename: G L
authors.initials: GL
authors.lastname: Alexander
authors.forename: S D
authors.initials: SD
authors.lastname: Cassivi
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D010490:Pericardial Effusion / Q000175:diagnosis / Q000601:surgery*; D010491:Pericardial Window Techniques / Q000009:adverse effects*; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D013270:Stomach; D035423:Thoracic Cavity; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome