Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2006  |  Volume : 11  |  Issue : 1  |  Page : 51--52

MRI in central diaphragmatic hernia with intrapericardial herniation


CR Thambidorai1, A Zulfiqar2, J Rohana3, S Venayagamurthy1,  
1 Departments of Surgery, Hospital University Kebangsaan Malaysia, Cheras, 56000, Kuala Lumpur, Malaysia
2 Departments of Radiology, Hospital University Kebangsaan Malaysia, Cheras, 56000, Kuala Lumpur, Malaysia
3 Departments of Neonatology, Hospital University Kebangsaan Malaysia, Cheras, 56000, Kuala Lumpur, Malaysia

Correspondence Address:
C R Thambidorai
Department of Surgery, Hospital University Kebangsaan Malaysia, Jalan Yaacob Latiff, Cheras, 56000, Kuala Lumpur
Malaysia




How to cite this article:
Thambidorai C R, Zulfiqar A, Rohana J, Venayagamurthy S. MRI in central diaphragmatic hernia with intrapericardial herniation.J Indian Assoc Pediatr Surg 2006;11:51-52


How to cite this URL:
Thambidorai C R, Zulfiqar A, Rohana J, Venayagamurthy S. MRI in central diaphragmatic hernia with intrapericardial herniation. J Indian Assoc Pediatr Surg [serial online] 2006 [cited 2020 Apr 2 ];11:51-52
Available from: http://www.jiaps.com/text.asp?2006/11/1/51/24641


Full Text

A ten-month old male infant presented with recurrent cough. Chest radiograph [Figure 1] showed bowel shadows in the left hemithorax with elevation of the inferior border of the heart. Ultrasound (US) revealed herniation of the liver and pericardial effusion [Figure 2]. Magnetic resonance imaging (MRI) [Figure 3][Figure 4] showed the intrapericardial herniation and the extent of the central tendon defect (CTD). The findings were confirmed at surgery. The use of MRI in the diagnosis of CH in infants has not been reported before.

In central hernia (CH) of the diaphragm, herniation occurs through a CTD, mainly into the pericardial cavity and left hemithorax.[1] The pericardial effusion in CH may be the result of pericardial irritation.[1] The limited suprahepatic space often hinders the correct definition of the CTD at surgery. Preoperative MRI ensures the use of appropriate incision, protection of inferior vena cava and hepatic veins at surgery and the adequacy of hernia repair.

References

1Akalin F, Ayabakan C, Dincer I, Isbir S, Kiyan, G, Karakoc F. Rare cause of pericardial effusion in infancy: Intra-pericardial diaphragmatic hernia. Pediatr Intern 2004;46:191-4.