title: The central tendon defect: a rare problem, a novel technique.
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.
authors.affiliation: Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, United Kingdom.
authors.forename: James Mitchell Stewart
authors.initials: JM
authors.lastname: Andrews
authors.forename: Fraser Donald
authors.initials: FD
authors.lastname: Munro
authors.forename: Gordon Alexander
authors.initials: GA
authors.lastname: MacKinlay
mesh_terms: D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn