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Ann Thorac Surg 2007;84:638-640
© 2007 The Society of Thoracic Surgeons

Case Reports

Asymptomatic Congenital Intrapericardial Diaphragmatic Hernia and Epigastric Hernia in the Adult

Gaetano La Greca, MD, PhDa,*, Maria Sofia, MDa, Valentina Randazzo, MDa, Francesco Barbagallo, MDa, Rosario Lombardo, MDa, Pierfranco Soma, MDb, Domenico Russello, MDa

a Department of Surgical Sciences, Organ Transplantation, and Advanced Technologies, University of Catania, Cannizzaro Hospital, Catania, Italy
b Plastic Surgery Unit, Cannizzaro Hospital, Catania, Italy

Accepted for publication March 19, 2007.

* Address correspondence to Dr La Greca, via Messina, 354, Catania, 95126, Italy. (Email: glagreca{at}unict.it).

The congenital intrapericardial hernia is a rare kind of diaphragmatic hernia. It is due to an embryologic defect of the central tendon of the diaphragm, often accompanied by other congenital malformations. This work presents a unique case report in the literature of the congenital association between intrapericardial diaphragmatic hernia and epigastric hernia in an adult woman. In spite of herniation of the colon and omentum the patient was completely asymptomatic, requesting surgery for an epigastric hernia for aesthetic reasons. The defect of the diaphragm was sutured and the abdominal wall was repaired with a prosthetic mesh.






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Copyright © 2007 by The Society of Thoracic Surgeons.