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Traumatic Pericardial Hernia

Imaging findings

Imaging in a trauma patient showed the heart displaced outside the pericardial sac into the left chest, resulting from a large traumatic pericardial defect. The pericardium remained in its normal position, while the heart had herniated through the defect.

Key takeaways

Traumatic pericardial defects can lead to cardiac herniation, a rare but critical emergency. Recognition of the heart's position outside the pericardium is vital for prompt diagnosis and surgical intervention.

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