Pericardio-diaphragmatic avulsion and concomitant rupture of the central tendon of the diaphragm.
Two patients, treated for blunt thoracoabdominal trauma with ruptured diaphragm and concomitant avulsion of the pericardial sac in its entirety from the central tendon of the diaphragm, are presented. We do not think this entity has been reported before. We explain this type of lesion on the basis of embryological development of the pericardium at the level of the central tendon of the diaphragm.
Department of Thoracic Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK. filip.vantornout@nnuh.nhs.uk
Filip
F
Van Tornout
Marc
M
Van Leuven
Wynn
W
Parry
D000063:Accidents, Traffic; D000293:Adolescent; D003964:Diaphragm / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D010496:Pericardium / Q000293:injuries* / Q000601:surgery; D012421:Rupture / Q000601:surgery; D013708:Tendon Injuries / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000601:surgery*