CTICasesTraumatic Intra-pericardial Diaphragmatic Hernia
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
CT demonstrated significant fat interposed between the myocardium and pericardium, with an abnormal diaphragmatic contour and a clear defect. This represented herniation of sub-diaphragmatic fat into the pericardial space. An older CT from 2011 showed a more subtle version of this finding. Associated findings included evidence of remote blunt trauma to the left chest wall with displaced rib fractures.
Key takeaways
This case illustrates a rare presentation of a diaphragmatic hernia, specifically an intra-pericardial hernia caused by remote blunt trauma, which can cause symptoms like chest discomfort. The herniation of fat into the pericardial space through a diaphragmatic defect highlights the varied presentations of post-traumatic diaphragmatic injuries.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Intrapulmonary Bronchogenic Cyst (with Hemorrhage/Infection)Congenital
- Thymic CarcinoidNeoplastic
- Necrotizing Pneumonia (Group A Streptococcus) and Pneumocystis PneumoniaInfection
- Atrio-esophageal Fistula with Pneumopericardium Post-Left Atrial AblationIatrogenic
- Mitral ClipsIatrogenic
- Anti-Synthetase Syndrome (Anti-Jo-1) with Organizing PneumoniaILD
- Iatrogenic Air EmbolismIatrogenic
- Combined Partial Anomalous Pulmonary Venous Return and Congenital Bronchial AtresiaCongenital
See all cases from September 24, 2015 →
Related Trauma cases
- Posterior Sternoclavicular Joint Dislocation (Left)
- Boerhaave's Syndrome (Esophageal Perforation) Secondary to Food Bolus Obstruction
- Delayed Mediastinal Hematoma Secondary to Sternal and Spinal Fractures
- Grade 3 Blunt Traumatic Aortic Injury
- Pleural Splenosis Post-Traumatic Splenectomy
- Traumatic Pneumatoceles/Lacerations in a Post-Transplant Lung Hernia